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https://www.readbyqxmd.com/read/28399102/-the-social-pressing-of-self-destroyer-stigma-a-medic%C3%B0-sociological-study
#1
B S Polozhy, V A Ruzhenkov, V V Ruzhenkova
AIM: To explore the characteristics of social pressure of suicide-associated stigma for the development of preventive and destigmatization measures. MATERIAL AND METHODS: By the medico-sociological method were interviewed 1255 persons: 65 psychiatrists at the age of 23 to 80 years; 402 nurses and 437 ward attendants working in mental hospitals, and 351 people of the general population of the Belgorod region. RESULTS AND CONCLUSION: Significant differences were discovered in personal, intimate, family and other fields...
2017: Zhurnal Nevrologii i Psikhiatrii Imeni S.S. Korsakova
https://www.readbyqxmd.com/read/28235388/factors-influencing-the-suicide-intervention-skills-of-emergency-medical-services-providers
#2
Aidana Lygnugaryte-Griksiene, Darius Leskauskas, Nedas Jasinskas, Agne Masiukiene
BACKGROUND: Lithuania currently has the highest suicide rate in Europe and the fifth highest worldwide. AIMS: To identify the factors that influence the suicide intervention skills of emergency medical services (EMS) providers (doctors, nurses, paramedics). METHOD: Two hundred and sixty-eight EMS providers participated in the research. The EMS providers were surveyed both prior to their training in suicide intervention and six months later...
2017: Medical Education Online
https://www.readbyqxmd.com/read/28135805/the-mental-health-acute-assessment-team-a-collaborative-approach-to-treating-mental-health-patients-in-the-community
#3
Steven C Faddy, Kevin J McLaughlin, Peta T Cox, Senthil S Muthuswamy
OBJECTIVE: Many models of community-based mental health crisis teams have been reported. We present our experience of an outreach team made up of a paramedic and mental health nurse. METHODS: A proof-of-concept was conducted in Western Sydney. The primary outcome was the proportion of patients where the team were able to facilitate the most appropriate care. RESULTS: Nearly 70% of patients were able to be treated outside the Emergency Department, with about two-thirds being transported directly to a mental health facility...
January 1, 2017: Australasian Psychiatry: Bulletin of Royal Australian and New Zealand College of Psychiatrists
https://www.readbyqxmd.com/read/27897380/lived-experience-of-involuntary-transport-under-mental-health-legislation
#4
Joanne Bradbury, Marie Hutchinson, John Hurley, Helen Stasa
Police have historically been responsible for transporting people during a mental health crisis in Australia. A major change to the New South Wales (NSW) Mental Health Act (MHA) in 2007 expanded the range of coercive transportation agencies to include NSW Ambulance (paramedics) and NSW Health (mental health nurses). Anecdotal reports, however, describe a lack of clarity around how these changes should be implemented in practice. This research aims to explore this lack of clarity through qualitative analysis of interviews with people with the lived experience of involuntary transport under the MHA...
November 29, 2016: International Journal of Mental Health Nursing
https://www.readbyqxmd.com/read/27884215/public-perception-of-emergency-medical-services-in-the-united-states
#5
Remle P Crowe, Roger Levine, Severo Rodriguez, Ashley D Larrimore, Ronald G Pirrallo
OBJECTIVE: The objective of this study was to assess the public's experience, expectations, and perceptions related to Emergency Medical Services (EMS). METHODS: A population-based telephone interview of adults in the United States was conducted. The survey instrument consisted of 112 items. Demographic variables including age, race, political beliefs, and household income were collected. Data collection was performed by trained interviewers from Kent State University's (Kent, Ohio USA)Social Research Laboratory...
December 2016: Prehospital and Disaster Medicine
https://www.readbyqxmd.com/read/27872525/experiences-of-breast-cancer-survivors-with-oncology-settings-in-urban-india-qualitative-findings
#6
Michelle S Barthakur, Mahendra P Sharma, Santosh K Chaturvedi, Suraj K Manjunath
The experience of diagnosis and treatment of cancer leads to significant changes within an individual. In the course of survivorship trajectory, very often cancer survivors are left with the sense, improvements could be done to enhance the quality of cancer care. This article focuses on experiences of breast cancer survivors with oncology setting in urban India. Data was collected from 15 women in South and East India using in-depth interview method. Qualitative interview data was analysed using descriptive phenomenology method...
December 2016: Indian Journal of Surgical Oncology
https://www.readbyqxmd.com/read/27866392/drug-caused-deaths-in-australian-medical-practitioners-and-health-care-professionals
#7
Jennifer L Pilgrim, Rhyse Dorward, Olaf H Drummer
BACKGROUND AND AIMS: There are numerous factors putting health-care professionals (HCP) at a higher risk of substance abuse and premature death, including high-stress jobs, access to controlled substances, long hours of practice and constant contact with the critically ill. This study aimed to examine fatal drug toxicity in this high-risk cohort, in order to: (1) estimate the rate of drug-caused deaths of Australian HCPs; (2) describe the key characteristics of the cohort; and (3) examine the relationship between HCP occupation and drug type, or intent...
March 2017: Addiction
https://www.readbyqxmd.com/read/27807622/appraisal-of-work-ability-in-relation-to-job-specific-health-requirements-in-ambulance-workers
#8
A van Schaaijk, J S Boschman, M H W Frings-Dresen, J K Sluiter
PURPOSE: To gain insight into which job-specific health requirements relate to work ability, the following two research questions were formulated: Which job-specific health requirements are associated with the appraisal of work ability in ambulance drivers and paramedics? How are appraisals of physical and mental work ability associated with the appraisal of overall work ability in ambulance drivers and paramedics? METHOD: Workers Health Surveillance cross-sectional data of 506 ambulance workers (236 drivers and 270 paramedics) were used...
January 2017: International Archives of Occupational and Environmental Health
https://www.readbyqxmd.com/read/27517801/prehospital-ketamine-is-a-safe-and-effective-treatment-for-excited-delirium-in-a-community-hospital-based-ems-system
#9
Thomas R Scaggs, David M Glass, Megan Gleason Hutchcraft, William B Weir
Excited delirium syndrome (ExDS) is defined by marked agitation and confusion with sympathomimetic surge and incessant physical struggle, despite futility, which may lead to profound pathophysiologic changes and sudden death. Severe metabolic derangements, including lactic acidosis, rhabdomyolysis, and hyperthermia, occur. The pathophysiology of excited delirium is a subject of ongoing basic science and clinical research. Positive associations with ExDS include male gender, mental health disorders, and substance abuse (especially sympathomimetics)...
October 2016: Prehospital and Disaster Medicine
https://www.readbyqxmd.com/read/27384802/assessment-skills-for-paramedics-second-edition-blaber-amanda-y-and-harris-graham-eds-assessment-skills-for-paramedics-second-edition-336pp-%C3%A2-26-99-open-university-press-9780335262168-0335262163-formula-see-text
#10
(no author information available yet)
Despite its title, this book has content that can be applied to many areas of clinical practice. The evidence-based text provides a logical approach to learning as well as undertaking a physiological patient assessment. With lots of helpful illustrations, it lacks photographic examples of presentations or conditions. In addition to covering the usual physical assessment of respiratory, cardiovascular, and abdominal gastrointestinal conditions, this text covers mental and social health assessments to ensure a holistic approach to patient assessment...
July 6, 2016: Emergency Nurse: the Journal of the RCN Accident and Emergency Nursing Association
https://www.readbyqxmd.com/read/27337832/with-some-extra-preparation-cps-are-ideally-suited-to-help-this-vulnerable-population-the-community-paramedic-s-role-in-treating-mental-and-behavioral-health-patients-with-some-extra-preparation-cps-are-ideally-suited-to-help-this-vulnerable-population
#11
https://www.readbyqxmd.com/read/27215126/-tested-but-not-tried-why-is-behavioral-medicine-rarely-implemented-in-clinical-practice
#12
REVIEW
Oded Hammerman, David Mostofsky, Yona Louria, Gal Ifergane, Yacov Ezra
BACKGROUND: Behavioral Medicine is an inter-disciplinary field concerned with the integration of behavioral and biomedical knowledge for the purposes of diagnosis, prevention, treatment and rehabilitation of conditions pertaining to health and illness. Behavioral treatments (such as: hypnosis, relaxation training, meditation, biofeedback and cognitive-behavioral therapy) have been shown to be effective in reducing physical symptoms as well as improving health-related behaviors and quality of life across a wide variety of illnesses, such as: chronic pain, somatic symptoms, diabetes, inflammatory bowel diseases, coronary heart disease and more...
February 2016: Harefuah
https://www.readbyqxmd.com/read/26996645/a-suicide-awareness-and-intervention-program-for-health-professional-students
#13
Eve De Silva, Lisa Bowerman, Craig Zimitat
BACKGROUND: Many emergency service professionals and health professionals play important roles in the assessment and management of suicide risk but often receive inadequate mental health training in this area. A 'Suicide Awareness and Intervention Program' (SAIP) was developed for first year medical, paramedical and pharmacy students at the University of Tasmania, Australia. The program aimed to increase students' knowledge and awareness about suicide-related issues, develop interpersonal skills around suicide screening and increase awareness of available support services...
September 2015: Education for Health: Change in Training & Practice
https://www.readbyqxmd.com/read/26808349/unnecessary-use-of-red-lights-and-sirens-in-pediatric-transport
#14
Beech Burns, Matthew L Hansen, Stacy Valenzuela, Caitlin Summers, Joshua Van Otterloo, Barbara Skarica, Craig Warden, Jeanne-Marie Guise
INTRODUCTION: Approximately 25.5 million pediatric patients are treated in Emergency Departments around the United States annually. Roughly 7% of these patients are transported by ambulance; of these, approximately 7% arrive in ambulances running red lights and sirens (RLS). Compared to those transporting without RLS, emergency vehicles employing RLS are involved in more accidents and are associated with more fatalities. OBJECTIVE: To characterize the use of RLS in pediatric transports and identify factors associated with unnecessary use of RLS...
May 2016: Prehospital Emergency Care
https://www.readbyqxmd.com/read/26719976/a-systematic-review-of-suicidal-thoughts-and-behaviors-among-police-officers-firefighters-emts-and-paramedics
#15
REVIEW
Ian H Stanley, Melanie A Hom, Thomas E Joiner
First responders-police officers, firefighters, emergency medical technicians (EMTs), and paramedics-experience significant job-related stressors and exposures that may confer increased risk for mental health morbidities (e.g., posttraumatic stress disorder [PTSD], suicidal thoughts and behaviors) and hastened mortality (e.g., death by suicide). Inherent in these occupations, however, are also factors (e.g., camaraderie, pre-enlistment screening) that may inoculate against the development or maintenance of psychiatric conditions...
March 2016: Clinical Psychology Review
https://www.readbyqxmd.com/read/26663592/fatigue-and-mental-health-in-australian-rural-and-regional-ambulance-personnel
#16
Zoe Pyper, Jessica L Paterson
OBJECTIVE: Australian ambulance personnel experience stress, fatigue and exposure to traumatic events. These risks have been extensively researched in metropolitan paramedics. However, there has been limited research in rural and regional personnel. Rural and regional ambulance personnel make up a significant proportion of the Australian ambulance workforce and may be exposed to unique stressors. The aim of the current study was to investigate levels of fatigue, stress, and emotional trauma in rural and regional ambulance personnel...
February 2016: Emergency Medicine Australasia: EMA
https://www.readbyqxmd.com/read/26339276/experience-feedback-committee-a-management-tool-to-improve-patient-safety-in-mental-health
#17
Bastien Boussat, Thierry Bougerol, Olivier Detante, Arnaud Seigneurin, Patrice François
BACKGROUND: A management tool, called the Experience Feedback Committee, has been applied for patient safety and successfully used in medical departments. The purpose of this study was to analyse the functioning of an Experience Feedback Committee in a psychiatric department and to explore its contribution to the particular issues of patient safety in mental health. METHODS: We conducted a descriptive study based on all the written documents produced by the Experience Feedback Committee between March 2010 and January 2013...
2015: Annals of General Psychiatry
https://www.readbyqxmd.com/read/26323511/prehospital-agitation-and-sedation-trial-phast-a-randomized-control-trial-of-intramuscular-haloperidol-versus-intramuscular-midazolam-for-the-sedation-of-the-agitated-or-violent-patient-in-the-prehospital-environment
#18
RANDOMIZED CONTROLLED TRIAL
Derek L Isenberg, Dorian Jacobs
INTRODUCTION: Violent patients in the prehospital environment pose a threat to health care workers tasked with managing their medical conditions. While research has focused on methods to control the agitated patient in the emergency department (ED), there is a paucity of data looking at the optimal approach to subdue these patients safely in the prehospital setting. Hypothesis This study evaluated the efficacy of two different intramuscular medications, midazolam and haloperidol, to determine their efficacy in sedating agitated patients in the prehospital setting...
October 2015: Prehospital and Disaster Medicine
https://www.readbyqxmd.com/read/26192707/emergency-medical-services-and-psych-calls-examining-the-work-of-urban-ems-providers
#19
Christopher Prener, Alisa K Lincoln
Emergency medical technicians and paramedics form the backbone of the United States' Emergency Medical Service (EMS) system. Despite the frequent involvement of EMS with people with mental health and substance abuse problems, the nature and content of this work, as well as how EMS providers think about this work, have not been fully explored. Using data obtained through observations and interviews with providers at an urban American EMS agency, this paper provides an analysis of the ways in which EMS providers interact with people with mental illness and substance abuse problems, as well as providers' experiences with the mental health care system...
November 2015: American Journal of Orthopsychiatry
https://www.readbyqxmd.com/read/26159347/death-anxiety-among-emergency-care-workers
#20
REVIEW
Mike Brady
Death anxiety, or 'thanatophobia', is a state in which people experience negative emotional reactions in recognition of their own mortality. Emergency and unscheduled healthcare workers, such as emergency nurses and paramedics, are constantly reminded of death and therefore of their own mortality, and this makes them susceptible to death anxiety. This article introduces the concept of death anxiety, and highlights the need for staff, employers and universities to recognise its signs and symptoms. It also suggests some interventions that could prevent the debilitating effects of death anxiety, to improve staff's mental health and the care they provide to patients...
July 2015: Emergency Nurse: the Journal of the RCN Accident and Emergency Nursing Association
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