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Journal articles on the topic 'Critical Care Paramedic'

Author: Grafiati

Published: 4 June 2021

Last updated: 26 January 2023

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1

Page, Mike, and Lucy Jolin. "Working as a critical care paramedic." Journal of Paramedic Practice 1, no. 2 (2008): 69–70. http://dx.doi.org/10.12968/jpar.2008.1.2.42022.

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2

Cooke, M. W. "Paramedic care." Emergency Medicine Journal 9, no. 2 (1992): 252–53. http://dx.doi.org/10.1136/emj.9.2.252.

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3

Charlton, Karl, John Franklin, and Rebekah McNaughton. "Phenomenological study exploring ethics in prehospital research from the paramedic’s perspective: experiences from the Paramedic-2 trial in a UK ambulance service." Emergency Medicine Journal 36, no. 9 (2019): 535–40. http://dx.doi.org/10.1136/emermed-2019-208556.

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ObjectivesWe set out to investigate paramedics’ views of ethics and research, drawing on experiences from Paramedic-2, a randomised controlled trial comparing epinephrine and placebo in out-of-hospital cardiac arrest (OHCA).MethodsAn interpretative phenomenological approach was adopted. A purposive sample of paramedics (n=6) from North East Ambulance Service NHS Foundation Trust were invited to a semi-structured, in-depth interview.ResultsThree superordinate themes emerged: (1) morality, (2) emotion and (3) equipoise. Some viewed Paramedic-2 as an opportunity to improve OHCA outcomes for the m

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4

Bedson, Adam. "Non-medical prescribing by paramedics in emergency, urgent and critical care." Journal of Paramedic Practice 13, no. 5 (2021): 184–88. http://dx.doi.org/10.12968/jpar.2021.13.5.184.

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This article considers some of the unique considerations and challenges that are associated with non-medical prescribing in the context of paramedic emergency care. In contrast to primary care, advanced paramedics practicing in emergency settings are more likely to encounter patients who require an immediate supply or administration of medication and access to a range of controlled drugs. Furthermore, access to medical support for prescribing decision-making, restrictions on the prescribing of controlled drugs and potential challenges in obtaining access to patient records, may also impact non

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5

Lewis, D., J. Gould, P. Atkinson, A. K. Sibley, and R. Henneberry. "P091: Emergency Critical Care Ultrasound (ECCU) paramedical course: a novel curriculum for training paramedics in ultrasound." CJEM 20, S1 (2018): S89. http://dx.doi.org/10.1017/cem.2018.289.

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Introduction: Ultrasonography (US), performed in the Emergency Department (ED) by Emergency Physicians, is well established. Educational studies have shown some promise in training paramedics in US use. We have developed and piloted a novel curriculum for paramedic US education. Methods: Based on an informal needs assessment, an US curriculum for paramedics was developed to include: Basic principles, Focused assessment with sonography for trauma (FAST), cardiac, and vascular access. Participants included ED-based and pre-hospital paramedics including all paramedics with critical care training

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Smith, Hazel, and Heidi Doughty. "Training trial of critical care paramedics for non-medical authorisation of blood." British Paramedic Journal 6, no. 4 (2022): 55–59. http://dx.doi.org/10.29045/14784726.2022.03.6.4.55.

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The use of pre-hospital blood transfusion by air ambulance crews is increasing. Blood transfusion is traditionally ‘authorised’ by doctors, not prescribed. However, there is an increasing interest in extending the capability of authorisation to other practitioners ‐ that is, non-medical authorisation (NMA). A UK framework for nurses and midwives has existed since 2007, but training for critical care paramedics (CCPs) has been limited.The Resuscitation with Pre-Hospital Blood Products (RePHILL) trial was launched in 2016, requiring pre-hospital administration of red cells and LyoPlas. Authorisa

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Waterman, Bradley, Kristine Van Aarsen, Michael Lewell, et al. "Abdominal ultrasound image acquisition and interpretation by novice practitioners after minimal training on a simulated patient model." CJEM 22, S2 (2020): S62—S66. http://dx.doi.org/10.1017/cem.2019.495.

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AbstractBackgroundThe Focused Assessment with Sonography in Trauma (FAST) exam is a rapid ultrasound test to identify evidence of hemorrhage within the abdomen. Few studies examine the accuracy of paramedic performed FAST examinations. The duration of an ultrasound training program remains controversial. This study's purpose was to assess the accuracy of paramedic FAST exam interpretation following a one hour didactic training session.MethodsThe interpretation of paramedic performed FAST exams was compared to the interpretation of physician performed FAST examinations on a mannequin model cont

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8

MClelland, Graham, Karl Charlton, and Matt Limmer. "05 The RESearch PARamedic Experience (RESPARE) study." Emergency Medicine Journal 39, no. 9 (2022): e5.42. http://dx.doi.org/10.1136/emermed-2022-999.5.

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BackgroundThe research paramedic is a relatively niche role undertaken by a small number of paramedics who support, deliver and promote research. Research paramedic positions are often temporary due to the project-based nature of studies. The routes into research, and how to establish a research career, are not as clear as routes into other areas of practice and very little has been published about the research paramedic role. The aim of this study was to explore the experience of people who work, or have worked, as research paramedics.MethodsA generic qualitative approach underpinned by pheno

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LeBlanc, Vicki R., Cheryl Regehr, Walter Tavares, Aristathemos K. Scott, Russell MacDonald, and Kevin King. "The Impact of Stress on Paramedic Performance During Simulated Critical Events." Prehospital and Disaster Medicine 27, no. 4 (2012): 369–74. http://dx.doi.org/10.1017/s1049023x12001021.

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AbstractObjectivesSubstantial research demonstrates that the stressors accompanying the profession of paramedicine can lead to mental health concerns. In contrast, little is known about the effects of stress on paramedics’ ability to care for patients during stressful events. In this study, we examined paramedics’ acute stress responses and performance during simulated high-stress scenarios.MethodsTwenty-two advanced care paramedics participated in simulated low-stress and high-stress clinical scenarios. The paramedics provided salivary cortisol samples and completed an anxiety questionnaire a

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10

Fraess-Phillips, Alex J. "Can Paramedics Safely Refuse Transport of Non-Urgent Patients?" Prehospital and Disaster Medicine 31, no. 6 (2016): 667–74. http://dx.doi.org/10.1017/s1049023x16000935.

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AbstractObjectiveThe goal of this search was to review the current literature regarding paramedic triage of primary care patients and the safety of paramedic-initiated non-transport of non-urgent patients.MethodsA narrative literature review was conducted using the Medline (Medline Industries, Inc.; Mundelein, Illinois USA) database and a manual search of Google Scholar (Google; Mountain View, California USA).ResultsOnly 11 studies were found investigating paramedic triage and safety of non-transport of non-urgent patients. It was found that triage agreement between paramedic and emergency dep

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Smith, J. Chris, and Wesley Burr. "02 Leveraging paramedic data to investigate the effect of COVID-19 on community opioid overdoses." Emergency Medicine Journal 38, no. 9 (2021): A1.2—A2. http://dx.doi.org/10.1136/emermed-2021-999.2.

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BackgroundOpioid overdoses in Canada have shown dramatic increases over recent years, despite significant investments in harm reduction. Most community monitoring currently relies on emergency department and coroner data. Our team has previously shown that paramedic data can be a useful addition to the current metrics as paramedics regularly interact with opioid overdose patients. This study examines paramedic data to investigate the changes to community opioid overdoses in the era of COVID-19 to better support our strategic partners in their battle against the opioid crisis.MethodsThe electro

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Lord, Bill, Emily Andrew, Karen Smith, Amanda Henderson, David J. Anderson, and Stephen Bernard. "OP7 Palliative care in paramedic practice: a retrospective cohort study." Emergency Medicine Journal 36, no. 10 (2019): e4.3-e5. http://dx.doi.org/10.1136/emermed-2019-999abs.7.

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IntroductionParamedics may be involved in the care of patients experiencing a health crisis associated with palliative care. However, little is known about the paramedic’s role in the care of these patients. This study therefore aimed to describe the incidence and nature of cases attended by paramedics, the treatment provided, and the transport destination if transported, where the reason for attendance was associated with a history of palliative care.MethodsThis retrospective cohort study included all adult patients (aged > 17 years) attended by paramedics in the Australian state of Victor

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Laws, Samantha, Mary Halter, and Chao Wang. "PP26 Knowledge, attitudes and practices of UK paramedics regarding pharmacology and the legal, management and administration aspects of medicines: a cross-sectional online quantitative survey." Emergency Medicine Journal 37, no. 10 (2020): e12.2-e12. http://dx.doi.org/10.1136/emermed-2020-999abs.26.

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BackgroundChanges in the paramedic profession have seen an increased range of medicines available within UK ambulances services. However, poor practice in medicines management has been identified by the Care Quality Commission. Literature in this area is sparse. This study aimed to determine the perceived knowledge, attitudes and practices of paramedics regarding pharmacology and the legal and regulatory issues of medicines management and administration.MethodsThe study utilised a cross-sectional survey design, administering an anonymous online survey to all (approximately 1000) paramedics wit

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Flanagan, Belinda, Bill Lord, Rachel Reed, and Gail Crimmins. "02 Women’s experience of unplanned out-of-hospital birth in paramedic care." Emergency Medicine Journal 36, no. 1 (2019): e1.2-e2. http://dx.doi.org/10.1136/emermed-2019-999.2.

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BackgroundParamedics assess, treat and transport labouring women who require intrapartum care in the out-of-hospital setting, yet very little is known about the experiences of mothers who birth whilst being supported by paramedics. Internationally, the healthcare literature describes predisposing factors, clinical risk and maternal and neonatal clinical outcome. However, there is little quality research available that explores the care provided by paramedics or that describes the views of women with recent experience of birth involving paramedic care.MethodsThrough narrative inquiry this study

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15

Bedson, Adam. "Integrating research and evidence-based guidance into prescribing practice." Journal of Paramedic Practice 13, no. 1 (2021): 10–13. http://dx.doi.org/10.12968/jpar.2021.13.1.10.

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The College of Paramedics and the Royal Pharmaceutical Society are clear that they require advanced paramedics, as non-medical prescribers, to review and critically appraise the evidence base underpinning their prescribing practice. Evidence-based clinical guidance such as that published by the National Institute for Health and Care Excellence (NICE) is recommended as the primary source of evidence on which paramedics should base their prescribing decisions. NICE guidance reflects the best available evidence on which to base clinical decision-making. However, paramedics still need to criticall

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Bedson, Adam. "Integrating research and evidence-based guidance into prescribing practice." Journal of Paramedic Practice 13, no. 1 (2021): 10–13. http://dx.doi.org/10.12968/jpar.2021.13.1.10.

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The College of Paramedics and the Royal Pharmaceutical Society are clear that they require advanced paramedics, as non-medical prescribers, to review and critically appraise the evidence base underpinning their prescribing practice. Evidence-based clinical guidance such as that published by the National Institute for Health and Care Excellence (NICE) is recommended as the primary source of evidence on which paramedics should base their prescribing decisions. NICE guidance reflects the best available evidence on which to base clinical decision-making. However, paramedics still need to criticall

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17

Snyder, M., and D. Eby. "P040: Paramedic perception of their role in the emergency department." CJEM 21, S1 (2019): S77. http://dx.doi.org/10.1017/cem.2019.231.

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Introduction: Inter-disciplinary interaction in the Emergency Department (ED) is critical for good patient care. The perception of paramedics’ experience in this interaction is not well described in the literature. This project gives voice to paramedics’ understanding of their role in the ED. Methods: Qualitative thematic framework analysis of digitally recorded, semi-structured, telephone interviews of 11 paramedics from one urban and one rural Paramedic Service in southwestern Ontario. Recordings and field notes were repeatedly reviewed and discussed by two researchers. A conceptual framewor

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Carter, A., M. Harrison, J. Kryworuchko, et al. "P091: Essential elements to implementing the paramedics providing palliative care at home program: an application of the Consolidated Framework for Implementation Research (CFIR)." CJEM 22, S1 (2020): S97. http://dx.doi.org/10.1017/cem.2020.297.

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Introduction: Providing comfort care support at home without transport to hospital has not traditionally been part of paramedic practice. The innovative Paramedics Providing Palliative Care at Home Program includes a new clinical practice guideline, medications, a database to share goals of care, and palliative care training. This study aimed to determine essential elements for scale and spread of this model of care through the application of an implementation science model, the Consolidated Framework for Implementation Research (CFIR). Methods: Deliberative dialogue sessions were held with pa

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19

Doan, Tan N., Daniel Wilson, Stephen Rashford, Louise Sims, and Emma Bosley. "Epidemiology, management and survival outcomes of adult out-of-hospital traumatic cardiac arrest due to blunt, penetrating or burn injury." Emergency Medicine Journal 39, no. 2 (2021): 111–17. http://dx.doi.org/10.1136/emermed-2021-211723.

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BackgroundSurvival from out-of-hospital traumatic cardiac arrest (TCA) is poor. Regional variation exists regarding epidemiology, management and outcomes. Data on prognostic factors are scant. A better understanding of injury patterns and outcome determinants is key to identifying opportunities for survival improvement.MethodsIncluded were adult (≥18 years) out-of-hospital TCA due to blunt, penetrating or burn injury, who were attended by Queensland Ambulance Service paramedics between 1 January 2007 and 31 December 2019. We compared the characteristics of patients who were pronounced dead on

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20

Hutchinson, Ann, Victoria Allgar, Judith Cohen, et al. "OP08 A feasibility cluster randomised controlled trial of a paramedic-administered breathlessness management intervention for acute-on-chronic breathlessness (BREATHE): study findings." Emergency Medicine Journal 39, no. 9 (2022): e5.45. http://dx.doi.org/10.1136/emermed-2022-999.8.

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BackgroundOne-fifth of conveyances to the emergency department (ED) are due to acute-on-chronic breathlessness. Paramedic breathlessness management may ease distress quicker and/or reduce ED conveyances. We evaluated the feasibility of a full trial of a paramedic delivered intervention to reduce avoidable conveyances (recruitment, randomisation, consent, training and intervention acceptability, adherence, data quality, best primary outcome, sample size estimation). The intervention comprised evidence-based non-drug techniques and a self-management booklet.MethodsThis mixed-methods feasibility

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Bedson, Adam. "Integrating research and evidence-based guidance into prescribing practice." Journal of Prescribing Practice 3, no. 3 (2021): 120–23. http://dx.doi.org/10.12968/jprp.2021.3.3.120.

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The College of Paramedics and the Royal Pharmaceutical Society are clear that they require advanced paramedics, as non-medical prescribers, to review and critically appraise the evidence base underpinning their prescribing practice. Evidence-based clinical guidance such as that published by the National Institute for Health and Care Excellence (NICE) is recommended as the primary source of evidence on which paramedics should base their prescribing decisions. NICE guidance reflects the best available evidence on which to base clinical decision-making. However, paramedics still need to criticall

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22

Wilcox, Susan R., Michael Ries, Ted A. Bouthiller, E. Dean Berry, Travis L. Dowdy, and Sharon DeGrace. "The Importance of Ground Critical Care Transport." Journal of Intensive Care Medicine 32, no. 2 (2016): 163–69. http://dx.doi.org/10.1177/0885066616668484.

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Critical care transport (CCT) teams are specialized transport services, comprised of highly trained paramedics, nurses, and occasionally respiratory therapists, offering an expanded scope of practice beyond advanced life support (ALS) emergency medical service teams. We report 4 cases of patients with severe acute respiratory distress syndrome from influenza in need of extracorporeal membrane oxygenation evaluation at a tertiary care center, transported by ground. Our medical center did not previously have a ground CCT service, and therefore, in these cases, a physician and/or a respiratory th

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Evans, Bridie, Alan Brown, Jenna Bulger, et al. "PP29 Paramedics’ experiences of administering fascia iliaca compartment block to patients with suspected hip fracture." Emergency Medicine Journal 36, no. 1 (2019): e11.3-e12. http://dx.doi.org/10.1136/emermed-2019-999.29.

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BackgroundRoutine pre-hospital pain management for hip fracture is inadequate, with risk of potentially fatal complications, particularly from morphine. Fascia Iliaca Compartment Block (FICB) is used in Emergency Department and orthopaedic wards. The RAPID trial tested feasibility of paramedics administering FICB to patients with suspected hip fracture at the scene of injury.ObjectiveTo explore paramedics’ experience of delivering FICB pre-hospitally.MethodsWe held three focus groups with 11 paramedics serving one district hospital, audio-recorded with participants’ consent. We conducted thema

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Saddler, Oliver. "Getting to grips with neurosciences intensive care." Journal of Paramedic Practice 13, no. 6 (2021): 262. http://dx.doi.org/10.12968/jpar.2021.13.6.262.

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In this month's instalment of Paramedic Roles, Oliver Saddler shares his journey towards becoming a trainee advanced critical care practitioner in neurosciences intensive care, and walks us through a day in his work life

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Warren-James, Matthew, Julie Hanson, Belinda Flanagan, Mary Katsikitis, and Bill Lord. "OP08 Levels and sources of stress reported by first year paramedic students associated with their first ambulance placement." Emergency Medicine Journal 38, no. 9 (2021): A4.2—A4. http://dx.doi.org/10.1136/emermed-2021-999.8.

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BackgroundWhilst there is evidence to suggest paramedics experience significant stress when working in the ambulance setting little is known about the experiences of first year paramedic students. This research aimed to: (i) identify whether levels of stress, anxiety and depression experienced by first year paramedic students changed after ambulance placement compared to a control group, and (ii) identify the main perceived and actual sources of stress around ambulance placement.MethodsA before-and-after quasi-experimental design was used to compare whether the experience of ambulance placemen

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Moore, Emma. "Respecting an autonomous decision to refuse life-saving treatment: a case study." Journal of Paramedic Practice 12, no. 8 (2020): 304–9. http://dx.doi.org/10.12968/jpar.2020.12.8.304.

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Background: Autonomy is a key ethical principle in healthcare, giving patients the right to be involved in their own care. Allowing patients to make decisions based on their own values and beliefs is a fundamental aspect of evidence-based practice. Professional autonomy allows paramedics to make critical decisions around patient care in an emergency, enabling them to provide life-saving treatment. A patient's autonomy can conflict with that of a paramedic, leading to complex ethical situations which can affect the way a paramedic performs their duty of care. Decision-making is a fundamental sk

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Woollard, M., and R. Furber. "The College of Paramedics (British Paramedic Association) position paper regarding the Joint Royal Colleges Ambulance Liaison Committee recommendations on paramedic intubation." Emergency Medicine Journal 27, no. 3 (2010): 167–70. http://dx.doi.org/10.1136/emj.2009.088443.

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Wojner, Anne W., Lewis Morgenstern, Andrei V. Alexandrov, Diana Rodriguez, David Persse, and James C. Grotta. "Paramedic and Emergency Department Care of Stroke: Baseline Data From a Citywide Performance Improvement Study." American Journal of Critical Care 12, no. 5 (2003): 411–17. http://dx.doi.org/10.4037/ajcc2003.12.5.411.

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• Background Rapid diagnosis and transport by paramedics and efficient, effective emergency management are essential to improving care of acute stroke patients. • Objectives To measure the performance of paramedics and emergency departments providing care for patients with suspected acute stroke. • Methods Two stroke centers and 4 other hospitals where most patients with acute stroke in Houston, Tex, are admitted participated. Hospital and paramedic performance data were collected prospectively on 446 patients with suspected acute stroke transported by paramedics between September 1999 and Feb

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Ford-Jones, Polly Christine, and Claudia Chaufan. "A Critical Analysis of Debates Around Mental Health Calls in the Prehospital Setting." INQUIRY: The Journal of Health Care Organization, Provision, and Financing 54 (January 1, 2017): 004695801770460. http://dx.doi.org/10.1177/0046958017704608.

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Paramedics, health care workers who assess and manage health concerns in the prehospital setting, are increasingly providing psychosocial care in response to a rise in mental health call volume. Observers have construed this fact as “misuse” of paramedic services, and proposed as solutions better triaging of patients, better mental health training of paramedics, and a greater number of community mental health services. In this commentary, we argue that despite the ostensibly well-intentioned nature of these solutions, they shift attention and accountability away from relevant public policies,

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Harthi, Naif, Steve Goodacre, Fiona C. Sampson, and Rayan Alharbi. "PP15 Research priorities for prehospital care of older patients with injuries: scoping review." Emergency Medicine Journal 39, no. 9 (2022): e5.7. http://dx.doi.org/10.1136/emermed-2022-999.15.

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BackgroundThe use of ambulance services by older patients with injuries increases within the impacts of ageing-related changes leading to adverse patient outcomes. There is increasing recognition of the importance of prehospital trauma care for older patients, but little systematic research to guide practice. We aimed to review the published evidence on prehospital trauma care for older patients, determine the scope of existing research and identify research gaps in the literature.MethodsA systematic scoping review guided by the Arksey and O’Malley framework reported in line with the PRISMA-Sc

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Harthi, Naif, Steve Goodacre, Fiona Sampson, and Rayan Alharbi. "755 Research priorities for prehospital care of older patients with injuries: scoping review." Emergency Medicine Journal 39, no. 3 (2022): 253.2–253. http://dx.doi.org/10.1136/emermed-2022-rcem.22.

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Introduction and purposeThe use of ambulance services by older patients with injuries increases within the impacts of ageing-related changes leading to adverse patient outcomes. There is increasing recognition of the importance of prehospital trauma care for older patients, but little systematic research to guide practice. We aimed to review the published evidence on prehospital trauma care for older patients, determine the scope of existing research and identify research gaps in the literature.MethodsA systematic scoping review guided by the Arksey and O’Malley framework reported in line with

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JURKOVICH, GREGORY J., DIANE CAMPBELL, JERRY PADRTA, and ARNOLD LUTERMAN. "Paramedic Perception of Elapsed Field Time." Journal of Trauma: Injury, Infection, and Critical Care 27, no. 8 (1987): 892–97. http://dx.doi.org/10.1097/00005373-198708000-00008.

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Evans, S. "Paramedic care: the case for minimum intervention." Emergency Medicine Journal 14, no. 1 (1997): 60. http://dx.doi.org/10.1136/emj.14.1.60-c.

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Sleet, R. A. "Atlas of Paramedic Skills." Emergency Medicine Journal 5, no. 3 (1988): 189–90. http://dx.doi.org/10.1136/emj.5.3.189-b.

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35

Kirk, Andrew. "Clinical exam: an introduction." Journal of Paramedic Practice 12, no. 1 (2020): 36–38. http://dx.doi.org/10.12968/jpar.2020.12.1.36.

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The clinical examination is an important part of any patient consultation. After the primary survey and patient history, a more in-depth examination of the patient is required in order to aid the working diagnosis and help negate other differential diagnoses. The extent of this depends on the stability of the patient condition and may not be possible in time-critical circumstances. However, it is becoming an increasing part of paramedic practice due to continued expansion of the scope of the paramedic role, both in urgent and emergency care. Educational delivery of clinical examinations of eac

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Kirby, Kim, Sarah Black, Laura Goodwin, et al. "PP20 Paramedic identification and referral of patients in the last year of life: a stakeholder interview study." Emergency Medicine Journal 37, no. 10 (2020): e10.1-e10. http://dx.doi.org/10.1136/emermed-2020-999abs.20.

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BackgroundPatients are approaching End of Life when they are likely to die within the next 12 months. Quality in End of Life Care is variable and identifying patients in the End of Life phase is challenging, particularly in those people with diagnoses other than cancer. Many patients accessing the ambulance service are in the last year of their lives and the role of ambulance services in recognising patients approaching the end of their lives is often overlooked. Patients who are End of Life should be offered advanced care planning.Research QuestionWhat are stakeholders’ views on a paramedic s

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Aprahamian, C., J. C. Darin, and B. M. Thompson. "Trauma cardiac arrest: Scope of paramedic services." Journal of Trauma: Injury, Infection, and Critical Care 26, no. 2 (1986): 201. http://dx.doi.org/10.1097/00005373-198602000-00022.

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Campbell, Craig B. "ECMO retrieval: A case for Critical Care Paramedic integration into the team." Qatar Medical Journal 2017, no. 1 (2017): 5. http://dx.doi.org/10.5339/qmj.2017.swacelso.5.

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Stuhlmiller, David F. E., John R. Clark, Sean Caffrey, Mark Betterton, Chris Nollette, and William Raynovich. "National Association of EMS Educator's Position Paper on the Critical Care Paramedic." Prehospital Emergency Care 23, no. 4 (2018): 593–95. http://dx.doi.org/10.1080/10903127.2018.1536772.

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Rees, Nigel, Chelsey Hampton, Jenna Bulger, et al. "PP28 Tia prehospital referral feasibility trial (TIER): recruitment and intervention usage." Emergency Medicine Journal 36, no. 1 (2019): e11.2-e11. http://dx.doi.org/10.1136/emermed-2019-999.28.

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BackgroundEarly specialist assessment of Transient Ischaemic Attack (TIA) can reduce the risk of stroke and death. This study assessed feasibility of undertaking a multi-centre randomised trial to evaluate clinical and cost effectiveness of referral of patients attended by emergency ambulance paramedic with low-risk TIA directly to specialist TIA clinic for early review.MethodsWe developed a protocol and referral pathway for paramedics to assess and refer patients directly to TIA clinic, including provision of aspirin. We randomly allocated volunteer paramedics to intervention or control group

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Byars, Donald, Bruce Lo, and Jeff Yates. "Evaluation of Paramedic Utilization of the Intubating Laryngeal Mask Airway in High-Fidelity Simulated Critical Care Scenarios." Prehospital and Disaster Medicine 28, no. 6 (2013): 630–31. http://dx.doi.org/10.1017/s1049023x13008856.

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AbstractIntroductionSuccessful oxygenation and ventilation can mean the difference between life and death in the prehospital setting. While airway challenges can be numerous within the confines of the emergency department, there are many additional confounding difficulties in the prehospital setting, which include limited access to equipment, poor lighting, extreme environments, limited personnel to assist, no immediate backup, and limited rescue airway options. The concept of an easy, reliable, and rapidly deployable alternative rescue airway device is critical, especially when considering th

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Angeli, Elizabeth L. "How report writing supports paramedic students' learning." International Paramedic Practice 10, no. 1 (2020): 2–7. http://dx.doi.org/10.12968/ippr.2020.10.1.2.

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Writing skills are critical as emergency medical services (EMS) use them to support patient care, yet limited research supports EMS writing practice and pedagogy. The field of writing studies and its sub-field of technical communication offers theories and methods to understand these skills. Grounded in writing theory, this article reports on a longitudinal study about paramedic documentation training and uses the framework of ‘threshold concepts’: ideas, knowledge, and skills writers gain that transform learning. This study collected paramedic students' writing over 2 years, and participants

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Powar, M., J. Nguyen-Van-Tam, J. Pearson, and A. Dove. "Hidden impact of paramedic interventions." Emergency Medicine Journal 13, no. 6 (1996): 383–85. http://dx.doi.org/10.1136/emj.13.6.383.

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Quinn, Tom, Andrew Butters SRPara, and Ian Todd. "Implementing paramedic thrombolysis – an overview." Accident and Emergency Nursing 10, no. 4 (2002): 189–96. http://dx.doi.org/10.1016/s0965-2302(02)00160-1.

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Miyagatani, Yasusuke, and Mitsuhiro Noborio. "EVALUATION OF STYLETSCOPE GUIDED INTUBATION METHOD FOR PARAMEDIC EDUCATION." Critical Care Medicine 30, Supplement (2002): A123. http://dx.doi.org/10.1097/00003246-200212001-00419.

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Armstrong, Stephanie, Adele Langlois, and Niroshan Siriwardena. "PP8 Paramedic views and experiences of the ethical considerations in ambulance based clinical trials: an interview study." Emergency Medicine Journal 36, no. 1 (2019): e4.1-e4. http://dx.doi.org/10.1136/emermed-2019-999.8.

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BackgroundPrehospital ambulance based research has unique ethical considerations due to urgency, time-limitations and the locations (home, ambulance) involved. We sought to explore these issues through interviews with paramedics that have research experience.MethodsWe undertook semi-structured interviews with paramedics, seeking their views and experiences of undertaking research in ambulance based clinical trials. Participants were purposively chosen because they were actively involved research and had enrolled one or more patients into a clinical trial. Participants were questioned regarding

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Kirk, Andrew. "Neurological examination." Journal of Paramedic Practice 12, no. 10 (2020): 1–4. http://dx.doi.org/10.12968/jpar.2020.12.10.1.

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The clinical examination is an important part of any patient consultation. After the primary survey and taking the patient history, a more in-depth examination is sometimes required to aid making a working diagnosis and help negate other differential diagnoses. The extent of this depends on the stability of the patient and may not be possible in time-critical circumstances. However, clinical examination is an increasing part of paramedic practice owing to the continued expansion of the scope of the paramedic role in both urgent and emergency care. Education on clinical examination concerning e

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Kirk, Andrew. "Cranial nerves: part 1." Journal of Paramedic Practice 12, no. 2 (2020): 1–3. http://dx.doi.org/10.12968/jpar.2020.12.2.1.

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The clinical examination is an important part of any patient consultation. After the primary survey and patient history, a more in-depth examination of the patient is sometimes required to aid the working diagnosis and help negate other differential diagnoses. The extent of this depends on the stability of the patient and may not be possible in time-critical circumstances. However, it is becoming an increasing part of paramedic practice owing to the continued expansion of the scope of the paramedic role in both urgent and emergency care. Educational delivery of clinical examinations of each of

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Kirk, Andrew. "Cranial nerves: part 2." Journal of Paramedic Practice 12, no. 3 (2020): 1–3. http://dx.doi.org/10.12968/jpar.2020.12.3.1.

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The clinical examination is an important part of any patient consultation. After the primary survey and history-taking, a more in-depth examination of the patient is sometimes required to aid the working diagnosis and help negate other differential diagnoses. The extent of this depends on the stability of the patient and it may not be possible in time-critical circumstances. However, it is becoming an increasing part of paramedic practice owing to the continued expansion of the scope of the paramedic role in both urgent and emergency care. Educational delivery of clinical examinations of each

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Dearnley-Lane, Jon. "Cardiovascular examination." Journal of Paramedic Practice 12, no. 4 (2020): 1–4. http://dx.doi.org/10.12968/jpar.2020.12.4.1.

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The clinical examination is an important part of any patient consultation. After the primary survey and taking the patient history, a more in-depth examination is sometimes required to aid making a working diagnosis and help negate other differential diagnoses. The extent of this depends on the stability of the patient and may not be possible in time-critical circumstances. However, clinical examination is an increasing part of paramedic practice owing to the continued expansion of the scope of the paramedic role in both urgent and emergency care. Education on clinical examination concerning e

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