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Journal articles on the topic 'Paramedic'

Author: Grafiati

Published: 4 June 2021

Last updated: 25 July 2025

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1

Schaider, Jeffrey J., John C. Riccio, Robert J. Rydman, and Peter T. Pons. "Paramedic Diagnostic Accuracy for Patients Complaining of Chest Pain or Shortness of Breath." Prehospital and Disaster Medicine 10, no. 4 (1995): 245–50. http://dx.doi.org/10.1017/s1049023x00042114.

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AbstractIntroduction:A multitude of life-threatening and nonlife-threatening processes cause chest pain and shortness of breath. Prehospital therapy for these patients may be lifesaving and includes pharmacologic interventions, as well as invasive procedures. Appropriate therapy depends on the diagnostic skills of the paramedic.Objective:This study was undertaken to determine the accuracy of the paramedic diagnosis in patients transported with a chief complaint of pain or shortness of breath.Setting:Multihospital, one large municipal hospital, one community hospital.Design:Prospective, cross-s

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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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Pryor, Claire, Annette Hand, and Joanne Dunn. "Influences on paramedic prescribing: student and prescriber perspectives." British Paramedic Journal 8, no. 2 (2023): 10–17. http://dx.doi.org/10.29045/14784726.2023.9.8.2.10.

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Background: Paramedic prescribing has been permitted in legislation from 2018. In 2019 one of the first cohorts of paramedic prescribers in the country was invited to share their experiences, thoughts and perceptions around the new and evolving role of paramedic prescribing practice.Aim: To explore the opinions of student and newly qualified paramedic prescribers regarding the impact and effectiveness of paramedic independent prescribing on their clinical practice.Design and setting: A qualitative study was undertaken within the North East of England with a group of experienced paramedics unde

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Holmes, Lisa. "Exploring the Preparedness of Student Paramedics for the Mental Health Challenges of the Paramedic Profession." Prehospital and Disaster Medicine 34, s1 (2019): s83. http://dx.doi.org/10.1017/s1049023x19001742.

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Introduction:The mental health challenges encountered by paramedics have received much attention in recent years. This attention has particularly focused on high rates of stress, depression, anxiety, and post-traumatic stress disorder. This heightened awareness of the high incidence of mental illness, which has at times tragically resulted in the suicide of serving and former paramedics, is stimulating the address of mental health within the paramedic profession. It is now time to call on paramedic educators to prepare student paramedics for the mental health challenges associated with a caree

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Hirello, Laura M., Sean P. A. Drummond, Kelly-Ann Bowles, and Alexander P. Wolkow. "The impact of shift work on paramedics and their practice: Protocol for a simulated paramedic shift work study." PLOS ONE 20, no. 3 (2025): e0319569. https://doi.org/10.1371/journal.pone.0319569.

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Paramedics make up an integral part of modern healthcare systems, however, there remains a paucity of research on the occupational demands of their role. The majority of paramedics in Australia work on a rotating shift schedule. Despite the documented impact of shift work on sleep loss, and resultant performance and physiological impairments, few studies have examined the implications of shift work in paramedic populations. This study explores the impact of shift work, and the resultant circadian rhythm disruption, on paramedic decision making, work performance and underlying physiology. The s

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Matis, Vladimir I., Sharbanu O. Uysenbaeva, and Lyudmila M. Pivina. "DEVELOPMENT OF THE “PARAMEDICINE” EDUCATIONAL PROGRAM." Vestnik Altaiskogo Gosudarstvennogo Pedagogiceskogo Universiteta, no. 53 (December 5, 2022): 35–41. http://dx.doi.org/10.37386/2413-4481-2022-4-35-41.

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The issue of introducing paramedic services is currently relevant for the healthcare systems of Russia and Kazakhstan. The article describes the experience of developing a training program for paramedics based on the analysis and synthesis of scientific publications in evidence-based medicine databases (PubMed, UpToDate, TripDatabase, ResearchGate, GoogleScholar, CyberLeninka). The criteria for inclusion of publications in the analysis were the presence of keywords (paramedical service, emergency medicine, emergency medical services, emergency health care system, paramedic) and the publication

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Stevens, Hayley, Beryl Mansel, and Jayne Cutter. "Comparing independent prescribing to patient group direction use in a general practitioner out-of-hours service: a retrospective cross-sectional service evaluation." British Paramedic Journal 9, no. 2 (2024): 21–28. http://dx.doi.org/10.29045/14784726.2024.9.9.2.21.

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Introduction: Global demand for healthcare is escalating, prompting exploration of innovative strategies to augment service capacity. Independent prescribing (IP) helps to address this challenge, allowing non-medical professionals to prescribe medication. Paramedics in the UK were granted prescribing privileges in 2018, yet uptake remains low. Despite qualitative evidence indicating that paramedic prescribing is beneficial, quantitative comparisons of medication provision between prescribers and non-prescribers are lacking. Paramedics provide patients with non-emergency medication by three dif

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Gallagher, Ann, Emma Vyvyan, Joan Juniper, et al. "Professionalism in paramedic practice: the views of paramedics and paramedic students." British Paramedic Journal 1, no. 2 (2016): 1–8. http://dx.doi.org/10.29045/14784726.2016.1.2.1.

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Edwards, Judith, Melaine Coward, and Nicola Carey. "Paramedic independent prescribing in primary care: seven steps to success." Journal of Prescribing Practice 2, no. 6 (2020): 292–99. http://dx.doi.org/10.12968/jprp.2020.2.6.292.

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Paramedic practice is evolving and the number of advanced paramedics in primary care roles in the UK has risen dramatically. Recent legislation granting paramedics independent prescribing rights means UK paramedics are the first worldwide to receive this extension in scope of practice – a significant milestone for the paramedic profession. Paramedic prescribing capability is expected to increase autonomy for independent case management and enhance capacity for service development. However, local and national success is likely to depend on skilful implementation and avoidance of historical barr

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Soekiswati, Siti. "STUDI KTIRIS PRAKTIK DOKTEROID PARAMEDIS PADA PELAYANAN KESEHATAN." Media Keadilan: Jurnal Ilmu Hukum 10, no. 2 (2019): 111. http://dx.doi.org/10.31764/jmk.v10i2.1968.

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The chaotic health services due to paramedical doctoroid practices have an impact on legal and humanitarian issues. The existence of violation of the law by paramedic doctoroid actors is inseparable from the weakness of the legal system and structure in the world of medical health. This study aims to uncover paramedics who practice doctoroid practice on independent practice. Using the type of sociological legal research (sociolegal-research) that is descriptive analytical, with a critical study approach. Analysis of the results of the study showed that the practice of paramedic physoids was ca

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C.L., Avadhani, G. Udayasuriyan Dr., and Viyyanna Rao K. "The Role and Importance of Paramedics and their services in an Healthcare Facility – A Review." International Journal of Innovative Science and Research Technology 7, no. 10 (2022): 710–21. https://doi.org/10.5281/zenodo.7278652.

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With the advent of corporate culture in healthcare and advancement of many healthcare procedures like Minimum Invasive Surgery (MIS), Robotic Surgeries or Non Invasive Surgeries etc., has opened many fronts in healthcare in which Paramedics have taken the lead as these people are the connecting bridge between patients and healthcare professionals. The word Paramedic is a combination of two terms, i.e. “Para” means next to, and “Medic” means Doctor. At a nutshell Paramedic means that a Paramedic work alongside with a Doctor/healthcare professional, though not physically

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Rehman, Inayat Ur. "PARAMEDICAL SERVICES IN MODERN HEALTH CARE SYSTEM." Journal of Wazir Muhammad Institute of Paramedical Technology 1, no. 1 (2021): 1. http://dx.doi.org/10.37762/jwmipt.7.

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A paramedic or health care provider is a health professional that provides rapid response, emergency medical assessment, treatment and care to critically ill patients1. The word Paramedic is a combination of two words; para means "along the side of" and medic means "physician", so a paramedic works as an extender of the physician. He works under the direct supervision of a medical expert and is considered a “delegated practitioner”. Paramedical service is crucial for the effective running of the modern health care system and is the lifeline of the health sector2. Paramedics are trained,

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Hill, Lawrence, and Georgette Eaton. "Exploring paramedic professional identity." British Paramedic Journal 8, no. 3 (2023): 42–51. http://dx.doi.org/10.29045/14784726.2023.12.8.3.42.

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The notion of a paramedic (as a title protected in law) has recently entered its third decade, but the history of the paramedic is considerably older than that. Who are we as a profession? What does it mean to be a paramedic? What makes us who we are? These intriguing and yet seldom asked philosophical questions are at the heart of this article, which is intended to provoke discussion and serve as a foundation for further inquiry into questions of identity and philosophy in paramedicine.Literature pertaining to paramedic professional identity was explored and contextualised within current para

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Jensen, J. L., A. Bienkowski, A. H. Travers, et al. "A Survey to Determine Decision-Making Styles of Working Paramedics and Student Paramedics." CJEM 18, no. 3 (2016): 213–22. http://dx.doi.org/10.1017/cem.2015.95.

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AbstractObjectiveTwo major processes underlie human decision-making: experiential (intuitive) and rational (conscious) thinking. The predominant thinking process used by working paramedics and student paramedics to make clinical decisions is unknown.MethodsA survey was administered to ground ambulance paramedics and to primary care paramedic students. The survey included demographic questions and the Rational Experiential Inventory-40, a validated psychometric tool involving 40 questions. Twenty questions evaluated each thinking style: 10 assessed preference and 10 assessed ability to use that

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O’Meara, Peter, Gary Wingrove, and Michael Nolan. "Clinical leadership in paramedic services: a narrative synthesis." International Journal of Health Governance 22, no. 4 (2017): 251–68. http://dx.doi.org/10.1108/ijhg-03-2017-0014.

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Purpose In North America, delegated practice “medical direction” models are often used as a proxy for clinical quality and safety in paramedic services. Other developed countries favor a combination of professional regulatory boards and clinical governance frameworks that feature paramedics taking lead clinician roles. The purpose of this paper is to bring together the evidence for medical direction and clinical governance in paramedic services through the prism of paramedic self-regulation. Design/methodology/approach This narrative synthesis critically examines the long-established North Ame

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Kelton, D., S. Doran, M. Davis, K. Van Aarsen, and J. Momic. "P093: Evaluating factors related to effective interpersonal communication during mandatory paramedic patches." CJEM 22, S1 (2020): S98. http://dx.doi.org/10.1017/cem.2020.299.

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Introduction: Delegation of controlled medical acts by physicians to paramedics is an important component of the prehospital care framework. Where directives indicate that physician input is needed before proceeding with certain interventions, online medical control (a “patch”) exists to facilitate communication between a paramedic and a Base Hospital Physician (BHP) to request an order to proceed with that intervention. Many factors contribute to success or failure of effective interpersonal communication during a patch call. The aim of this study was to examine areas of potential improvement

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Armour, Richard, Jennie Helmer, and John Tallon. "Paramedic-delivered teleconsultations: a grounded theory study." Canadian Journal of Emergency Medicine 24, no. 2 (2021): 167–73. http://dx.doi.org/10.1007/s43678-021-00224-6.

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Abstract Objective Progression in Anglo-American models of out-of-hospital care has resulted in the development of alternative roles for paramedics, including advanced paramedics providing teleconsultations to frontline paramedics. Traditionally provided by physicians, little is known about how paramedics perceive peer-to-peer teleconsultations. This research aimed to explore paramedic perceptions of paramedic-delivered teleconsultations. Methods This investigation employed a constructivist grounded theory methodology. Six focus groups were conducted with purposive and theoretical sampling and

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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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Egnatovich, Jeffrey P., and Joanne Jasmine. "Soft skills and the perceived necessity of a college degree for the paramedic profession." Journal of Paramedic Practice 17, no. 2 (2025): 68–76. https://doi.org/10.12968/jpar.2024.0034.

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Using the views of paramedics and paramedic employers in the United States, this mixed-methodology study explored the perceived necessity for a college degree in the paramedic profession – specifically, the soft skills attained through studying for one. The researchers surveyed more than 3900 paramedics and over 400 employers. The surveys included personal, professional and educational demographic information, as well as Likert-style statements regarding degrees and soft skills commonly used in paramedicine. In addition, an open-ended survey was used to gain a better understanding of how takin

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Egnatovich, Jeffrey P., and Joanne Jasmine. "Soft skills and the perceived necessity of a college degree for the paramedic profession." International Paramedic Practice 15, no. 1 (2025): 2–10. https://doi.org/10.12968/ippr.2024.0007.

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Using the views of paramedics and paramedic employers in the United States, this mixed-methodology study explored the perceived necessity for a college degree in the paramedic profession – specifically, the soft skills attained through studying for one. The researchers surveyed more than 3900 paramedics and over 400 employers. The surveys included personal, professional and educational demographic information, as well as Likertstyle statements regarding degrees and soft skills commonly used in paramedicine. In addition, an open-ended survey was used to gain a better understanding of how taking

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O’Meara, Peter, Gary Wingrove, and Michael McKeage. "Self-regulation and medical direction." International Journal of Health Governance 23, no. 3 (2018): 233–42. http://dx.doi.org/10.1108/ijhg-02-2018-0006.

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Purpose The purpose of this paper is to describe and analyse two approaches to paramedic service clinical governance and quality management from the perspective of two groups of paramedics and paramedic managers working in North America. Design/methodology/approach A case study approach was utilised to describe and analyse paramedic service medical direction in North America and contrast this with the professional self-governance and clinical governance systems operating in other high-income countries. Researchers interviewed participants at two remote North American sites, then completed tran

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Smith, Erin, Frederick M. Burkle, Kristine Gebbie, David Ford, and Cécile Bensimon. "Acceptable Limitations on Paramedic Duty to Treat During Disaster: A Qualitative Exploration." Prehospital and Disaster Medicine 33, no. 5 (2018): 466–70. http://dx.doi.org/10.1017/s1049023x18000857.

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AbstractIntroductionThe Australian prehospital profession has not yet facilitated a comprehensive discussion regarding paramedic role and responsibility during disasters. Whether paramedics have a duty to treat under extreme conditions and what acceptable limitations may be placed on such a duty require urgent consideration. The purpose of this research is to encourage discussion within the paramedic profession and broader community on this important ethical and legal issue.MethodsThe authors employed qualitative methods to gather paramedic and community member perspectives in Victoria, Austra

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Williams, Brett, Mal Boyle, and Tracy Earl. "Measurement of Empathy Levels in Undergraduate Paramedic Students." Prehospital and Disaster Medicine 28, no. 2 (2013): 145–49. http://dx.doi.org/10.1017/s1049023x1300006x.

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AbstractIntroductionParamedics rely on establishing a health provider-patient relationship with patients that promotes two-way communication, patient satisfaction, and facilitates appropriate patient assessment and treatment. Paramedics also must have an ability to empathize with patients and their family members in order to develop a successful health provider-patient relationship. The objective of this study was to assess paramedics’ empathy and attitudes toward patients with specific conditions.MethodsThis was a cross-sectional study using a convenience sample of first-, second-, and third-

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Shannon, Brendan, Sascha Baldry, Peter O’Meara, et al. "The definition of a community paramedic: An international consensus." Paramedicine 20, no. 1 (2023): 4–22. http://dx.doi.org/10.1177/27536386221148993.

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Community paramedicine is a globally evolving model of care where paramedics provide community-based, preventative and primary healthcare services. With increased global interest and adaptation of the community paramedicine model, there is a lack of a clear definition of the role of a community paramedic. This study sought to come to an international consensus on the definition of a community paramedic. A four-phase Delphi methodology was utilised to achieve a global consensus on the definition of a community paramedic. A systematic approach to expert identification was performed and reported

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O'Meara, Peter F., Susan Furness, and Ray Gleeson. "Educating Paramedics for the Future: A Holistic Approach." Journal of Health and Human Services Administration 40, no. 2 (2017): 219–51. http://dx.doi.org/10.1177/107937391704000204.

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The education and training of paramedics largely remains focused on an emergency medicine dominated curricula with limited attempts made to expand paramedic education to include primary care and public health topics that might better address the contemporary needs of practicing paramedics. In developed countries, paramedic roles and scopes of practice are changing in response to aging populations and the attendant prevalence of chronic conditions, advances in technology, changes in community expectations and broader health system challenges. The emergence of paramedic practitioner roles in a n

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Pavoni, Katie, and Louise Phillips. "‘Giving a piece of you’: the lecturer experience of aiding student wellbeing." Journal of Paramedic Practice 14, no. 5 (2022): 188–96. http://dx.doi.org/10.12968/jpar.2022.14.5.188.

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Background: The mental health of ambulance clinicians is a national priority. For student paramedics, the risk and inherent vulnerability to poor mental wellbeing are significant. However, evidence exploring support in universities for paramedic students and the role of academic faculty in this within paramedic preregistration programmes is limited. Aims: To explore the experiences and perceptions of university lecturers towards supporting student paramedic wellbeing. Methods: A qualitative research design was adopted to explore the experiences of six paramedic senior lecturers from three urba

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Betts, Chloe, Alannah Stoneley, Judith Anderson, and Clare Sutton. "Understanding the Occupational Factors that Influence Paramedic Health and Wellbeing." International Journal of Paramedicine, no. 6 (April 3, 2024): 132–51. http://dx.doi.org/10.56068/mnrg8307.

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Introduction: Health and wellbeing is essential to perform professionally and personally. The demanding workload and high-pressure nature of the paramedic profession, undoubtably has an influence on the paramedic’s health and wellbeing however the individual variance and factors associated is poorly understood. The objective of this review is to identify what is known about the occupational factors that influence paramedic health and wellbeing to make recommendations in improving working conditions and thus health and wellbeing of the workforce. Methods: The JBI approach was used to perf

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Dixon, Matt. "Non-medical prescribing for paramedics in primary care." Journal of Paramedic Practice 13, no. 4 (2021): 140–43. http://dx.doi.org/10.12968/jpar.2021.13.4.140.

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As paramedic roles continue to grow and diversity, the number of paramedics working in primary care is on the rise. Knowledge of non-medical prescribing specifically for paramedics in these settings is necessary, as are new frameworks for medicines management beyond the ambulance services and for general practice in particuar. This instalment in the Prescribing Paramedic series discusses prescribing in primary care settings including some of the more practical aspects of relevance to paramedics.

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Somers, Anna. "Are paramedic graduates effectively prepared for death? A scoping review." Journal of Paramedic Practice 13, no. 10 (2021): 408–13. http://dx.doi.org/10.12968/jpar.2021.13.10.408.

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Paramedics often come across death because of the nature of their work. Attending an incident involving the death of a patient could affect a paramedic's mental health. A scoping literature review surrounding the readiness and education regarding death in the prehospital setting for paramedic students was carried out. Given the potential impact upon practitioner mental health, the review aimed to determine the quality and extent of new research regarding education in death for paramedics. Four themes arose from the review: inadequate preparation; methods of death education; improved confidence

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Somers, Anna. "Are paramedic graduates effectively prepared for death? A scoping review." Journal of Paramedic Practice 13, no. 10 (2021): 408–13. http://dx.doi.org/10.12968/jpar.2021.13.10.408.

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Paramedics often come across death because of the nature of their work. Attending an incident involving the death of a patient could affect a paramedic's mental health. A scoping literature review surrounding the readiness and education regarding death in the prehospital setting for paramedic students was carried out. Given the potential impact upon practitioner mental health, the review aimed to determine the quality and extent of new research regarding education in death for paramedics. Four themes arose from the review: inadequate preparation; methods of death education; improved confidence

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Best, Pete, and Vanessa Taylor. "Paramedic prescribing: implementation in practice." Journal of Paramedic Practice 13, no. 1 (2021): 14–23. http://dx.doi.org/10.12968/jpar.2021.13.1.14.

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Background: In April 2018, legislation was changed to allow paramedics to prescribe independently. There is limited research regarding how paramedics are implementing their prescribing qualification. Policy papers and other literature were largely written before April 2018 and therefore document expectations regarding prescribing paramedics within the healthcare system. Aim: To explore if paramedic prescribing is being practised as expected. This article reports part of a larger study that explored how paramedics are implementing their prescribing qualification in practice more broadly. Method

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Best, Pete, and Vanessa Taylor. "Paramedic prescribing: implementation in practice." Journal of Paramedic Practice 13, no. 1 (2021): 14–23. http://dx.doi.org/10.12968/jpar.2021.13.1.14.

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Background: In April 2018, legislation was changed to allow paramedics to prescribe independently. There is limited research regarding how paramedics are implementing their prescribing qualification. Policy papers and other literature were largely written before April 2018 and therefore document expectations regarding prescribing paramedics within the healthcare system. Aim: To explore if paramedic prescribing is being practised as expected. This article reports part of a larger study that explored how paramedics are implementing their prescribing qualification in practice more broadly. Method

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Strum, Ryan P., Shawn Mondoux, Fabrice I. Mowbray, et al. "Quantifying the escalating impact of paramedic transported emergency department visits for opioid-related conditions in Ontario, Canada: A population-based cohort study." PLOS ONE 18, no. 9 (2023): e0291194. http://dx.doi.org/10.1371/journal.pone.0291194.

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Introduction While overdoses comprise the majority of opioid research, the comprehensive impact of the opioid crisis on emergency departments (EDs) and paramedic services has not been reported. We examined temporal changes in population-adjusted incidence rates of ED visits and paramedic transports due to opioid-related conditions. Materials and methods We conducted a population-based cohort study of all ED visits in the National Ambulatory Care Reporting System from January 1, 2009 to December 31, 2019 in Ontario, Canada. We included all patients with a primary diagnosis naming opioids as the

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Smith, Erin, Frederick Burkle, Kristine Gebbie, David Ford, and Cécile Bensimon. "A Qualitative Study of Paramedic Duty to Treat During Disaster Response." Disaster Medicine and Public Health Preparedness 13, no. 02 (2018): 191–96. http://dx.doi.org/10.1017/dmp.2018.15.

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AbstractObjectivesDisasters place unprecedented demands on emergency medical services and can test paramedics personal commitment as health care professionals. Despite this challenge, guidelines and codes of ethics are largely silent on the issue, providing little to no guidance on what is expected of paramedics or how they ought to approach their duty to treat in the face of risk. The objective of this research is to explore how paramedics view their duty to treat during disasters.MethodsThe authors employed qualitative methods to gather Australian paramedic perspectives.ResultsOur findings s

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Edwards, Dale. "Paramedic preceptor: work readiness in graduate paramedics." Clinical Teacher 8, no. 2 (2011): 79–82. http://dx.doi.org/10.1111/j.1743-498x.2011.00435.x.

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Wacht, O., K. Dopelt, N. Davidovitch, D. Schwartz, and A. Goldberg. "(A313) Integrating Paramedics into the Health System — Israel as a Case Study." Prehospital and Disaster Medicine 26, S1 (2011): s88. http://dx.doi.org/10.1017/s1049023x11002974.

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BackgroundSince its development in the 1970s, the paramedic profession has tried to expend its traditional role of providing prehospital emergency care in ambulances into new fields of practice (e.g. community care). Paramedics in Israel are employed almost exclusively in the emergency medical services (EMS). Similar to other countries, the manpower shortage in the Israeli health system forced policy-makers to consider the expansion of traditional roles of various healthcare professions including paramedics.ObjectivesThis presentation seeks to: (1) map the current situation and challenges faci

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Grevin, Francine. "Posttraumatic Stress Disorder, Ego Defense Mechanisms, and Empathy among Urban Paramedics." Psychological Reports 79, no. 2 (1996): 483–95. http://dx.doi.org/10.2466/pr0.1996.79.2.483.

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Although numerous studies have indicated that paramedics experience high occupational stress, there has been a lack of research addressing the mental health implications of this elevated stress on these emergency workers. Related constructs such as the coping mechanisms and personality characteristics of paramedics have also been neglected. Groups of experienced paramedics ( n = 120) and paramedic students ( n = 105) were, therefore, assessed for Posttraumatic Stress Disorder, the extent and mode of ego defense utilization, and empathy. Analyses indicated that 20% of the experienced paramedics

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O'Meara, Peter, Gary Wingrove, and Mary Ahlers. "An International Community Paramedic Career Structure." International Journal of Paramedicine, no. 8 (October 8, 2024): 18–33. http://dx.doi.org/10.56068/slli4700.

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Introduction - Internationally, prehospital workers practice in a wide range of community paramedicine roles. It can be unclear where community paramedics fit within existing paramedicine career structures and their professional capabilities are sometimes ill-defined or misunderstood. This study aimed to clarify some of these questions through the development of a community paramedic career structure and descriptions of their professional capabilities at different levels of practice. Methods - The career structure was developed on the premise that paramedicine is an evolving autonomous health

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McClelland, Graham, Matt Limmer, and Karl Charlton. "The RESearch PARamedic Experience (RESPARE) study: a qualitative study exploring the experiences of research paramedics working in the United Kingdom." British Paramedic Journal 7, no. 4 (2023): 14–22. http://dx.doi.org/10.29045/14784726.2023.3.7.4.14.

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Background: The research paramedic position is a relatively niche role undertaken by a small number of paramedics who support, deliver and promote research. Research paramedic roles provide opportunities to develop talented researchers who are recognised as vital elements of developing a research culture within ambulance services. The benefits of research-active clinicians have been recognised at a national level. The aim of this study was to explore the experience of people who work, or have worked, as research paramedics.Methods: A generic qualitative approach underpinned by phenomenological

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Leduc, S., G. Wells, V. Thiruganasambandamoorthy, et al. "LO20: The characteristics, clinical course and disposition of long-term care patients treated by paramedics during an emergency call: Exploring the potential impact of community paramedicine." CJEM 22, S1 (2020): S14. http://dx.doi.org/10.1017/cem.2020.76.

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Introduction: An increasing number of Canadian paramedic services are creating Community Paramedic programs targeting treatment of long-term care (LTC) patients on-site. We explored the characteristics, clinical course and disposition of LTC patients cared for by paramedics during an emergency call, and the possible impact of Community Paramedic programs. Methods: We completed a health records review of paramedic call reports and emergency department (ED) records between April 1, 2016 and March 31, 2017. We utilized paramedic dispatch data to identify emergency calls originating from LTC cente

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Barry, Tomás, Alan Batt, Gina Agarwal, Matthew Booker, Mary Casey, and Geoff McCombe. "Potential for Paramedic roles in Irish General Practice: A qualitative study of stakeholder’s perspectives." HRB Open Research 5 (August 12, 2022): 40. http://dx.doi.org/10.12688/hrbopenres.13545.2.

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Background: Irish health policy emphasises the role of Primary Care and General Practice however, there is a growing shortage of General Practitioners (GPs) in Ireland. Paramedics have traditionally focused on emergency care in the community. More recently Paramedics have taken on roles in General Practice in international jurisdictions, but not yet in Ireland. This study aimed to explore key stakeholder perceptions of ‘the potential for Paramedic roles in Irish General Practice’. Methods: We conducted an exploratory, qualitative stakeholder consultation study incorporating in-depth semi struc

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Barry, Tomás, Alan Batt, Gina Agarwal, Matthew Booker, Mary Casey, and Geoff McCombe. "Potential for Paramedic roles in Irish General Practice: A qualitative study of stakeholder’s perspectives." HRB Open Research 5 (May 23, 2022): 40. http://dx.doi.org/10.12688/hrbopenres.13545.1.

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Background: Irish health policy emphasises the role of Primary Care and General Practice however, there is a growing shortage of General Practitioners (GPs) in Ireland. Paramedics have traditionally focused on emergency care in the community. More recently Paramedics have taken on roles in General Practice in international jurisdictions, but not yet in Ireland. This study aimed to explore key stakeholder perceptions of ‘the potential for Paramedic roles in Irish General Practice’. Methods: We conducted an exploratory, qualitative stakeholder consultation study incorporating in-depth semi struc

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Green, Robert S., Andrew H. Travers, Edward Cain, et al. "Paramedic Recognition of Sepsis in the Prehospital Setting: A Prospective Observational Study." Emergency Medicine International 2016 (2016): 1–5. http://dx.doi.org/10.1155/2016/6717261.

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Background. Patients with sepsis benefit from early diagnosis and treatment. Accurate paramedic recognition of sepsis is important to initiate care promptly for patients who arrive by Emergency Medical Services.Methods. Prospective observational study of adult patients (age ≥ 16 years) transported by paramedics to the emergency department (ED) of a Canadian tertiary hospital. Paramedic identification of sepsis was assessed using a novel prehospital sepsis screening tool developed by the study team and compared to blind, independent documentation of ED diagnoses by attending emergency physician

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Nakata, Keiji. "Triage Problem Among the Ambulance Crew (Paramedic) in Japan." Prehospital and Disaster Medicine 34, s1 (2019): s173. http://dx.doi.org/10.1017/s1049023x19003972.

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Introduction:At various accidents or disaster sites, rescue, first aid, and transport to hospitals has been provided by ambulance crews (paramedics). In the case of mass casualties, they also need to operate triage for injured people.Aim:To consider and reveal challenges in triage by ambulance crews (paramedics) on-site.Methods:Interviews of seven ambulance crews (paramedics) and their instructors were conducted and their answers were analyzed.Results:(1.) Triage black tags: declaring “deceased: not able to survive” might give a heavy mental burden and psychological responsibility. Legal prote

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King, Shannon C., Amanda L. Rebar, Paul Oliveri, and Robert Stanton. "Australian paramedic students’ mental health literacy and attitudes towards mental health." Journal of Mental Health Training, Education and Practice 17, no. 1 (2021): 61–72. http://dx.doi.org/10.1108/jmhtep-03-2021-0027.

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Purpose Australian paramedics regularly encounter patients experiencing mental illness. However, some paramedics hold negative attitudes towards the use of emergency services in providing care for these patients. Thus, the purpose of the present study was to examine the mental health literacy (MHL) of Australian paramedic students, and the training and experiential factors associated with MHL. Design/methodology/approach A cross-sectional online survey was delivered to paramedic students across Australia. A total of 94 paramedic students completed the survey examining MHL, mental health first

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Boyer, Christopher. "High-fidelity simulation and student performance in the Capstone Field Internship." International Paramedic Practice 9, no. 4 (2019): 84–89. http://dx.doi.org/10.12968/ippr.2019.9.4.84.

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Despite the increased use of high-fidelity simulation in the education of paramedics, little research has been done into its impact on paramedic student performance. The objective of this quasi-experimental quantitative analysis was to investigate differences in the performance of students in the paramedic field internship between those trained using low-fidelity and those trained using high-fidelity simulation practices. Data were derived from the student field internship records from a community college-based paramedic programme in the United States, with students in two groups: a low-fideli

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Sirotkina, O. V., T. N. Ischuk, V. A. Lapotnikov, I. S. Golubeva, E. V. Parmon, and E. V. Shlyakhto. "Qualification characteristic of a bachelor of general medicine." "Arterial’naya Gipertenziya" ("Arterial Hypertension") 26, no. 5 (2020): 598–606. http://dx.doi.org/10.18705/1607-419x-2020-26-5-598-606.

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As defined by the World health organization, a paramedic (from German feldscher) is a medical professional who provides various medical services, limited to emergency treatment and the practice of ambulance. In Russia, on the one hand, the need for a paramedic is minimal and not relevant in big cities, on the other hand, this profession is in demand in remote areas and in rural areas due to the shortage of doctors there. This contradiction can be resolved when training a paramedic in the framework of higher education at the bachelor’s level “General medicine”. The purpose of this work was to s

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Hutchison, Trudy, Carolyn Lees, Robyn Lotto, Alison White, and Ron Harris. "Clinical decision making and the challenges of responding to mental health needs." Journal of Paramedic Practice 11, no. 10 (2019): 434–39. http://dx.doi.org/10.12968/jpar.2019.11.10.434.

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The paramedic service responds to emergency calls for a variety of reasons, many relating to mental health concerns. This qualitative study aims to explore the views and experiences of student paramedics in relation to clinical decision making for mental health calls. Focus groups were used to investigate the participants' perspectives. Thematic analysis was used to organise data and identify key issues. Findings suggested some disparity between what paramedic students were prepared for and the reality of public need. Clinical decision making in relation to those with mental health problems wa

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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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Ginting, Daniel, Nina Fentiana, Tiara Rajagukguk, and Harry Wahyudi. "Gaya Kepemimpinan dan Komitmen Paramedis dalam Implementasi Akreditasi Rumah Sakit Versi SNARS." Jurnal Ilmiah Universitas Batanghari Jambi 19, no. 3 (2019): 504. http://dx.doi.org/10.33087/jiubj.v19i3.642.

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Clause 40 paragraph (1) of Law Number 44 of 2009 concerning Hospitals states that in an effort to improve the quality of hospital services, accreditation must be carried out periodically at least every three years. The leadership design is needed to support the formation of paramedic commitments in the implementation of accreditation. The research aims to identify the leadership style of direct paramedic leaders and paramedic commitment in the implementation of SNARS version accreditation. The study was designed with a cross sectional approach at Delia Hospital with a sample of 79 paramedics a

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