首页 > 最新文献

South African Journal of Pre-hospital Emergency Care最新文献

英文 中文
SAJPEC: A new dawn for pre-hospital emergency care in South Africa SAJPEC:南非院前急救的新曙光
Pub Date : 2020-07-03 DOI: 10.24213/1-1-4167
Simpiwe Sobuwa
The South African pre-hospital setting has made remarkable progress since the development of emergency care short courses more than three decades ago. The profession has moved from boxtype ambulances staffed with ambulance drivers to well-equipped emergency response vehicles and ambulance aircraft staffed with paramedics with professional degrees.1 Paramedics are now in a position to enroll for a Doctoral degree in emergency medical care or equivalent, a first for the African continent.1 Having paramedics with postgraduate qualifications means that there is an opportunity for research output emanating from their research projects. It is against this backdrop that a working group of the Emergency Care Society of South Africa conceptualized the idea of the South African Journal of Pre-hospital Emergency Care (SAJPEC).
自三十多年前开设短期急救课程以来,南非院前环境取得了显著进展。这个职业已经从配备救护车司机的箱型救护车转变为装备精良的应急车辆和配备有专业学位的护理人员的救护飞机护理人员现在可以报名攻读急诊医疗或同等专业的博士学位,这在非洲大陆尚属首次拥有研究生资格的护理人员意味着有机会从他们的研究项目中产生研究成果。正是在这种背景下,南非急救协会的一个工作组将《南非院前急救杂志》(SAJPEC)的想法概念化。
{"title":"SAJPEC: A new dawn for pre-hospital emergency care in South Africa","authors":"Simpiwe Sobuwa","doi":"10.24213/1-1-4167","DOIUrl":"https://doi.org/10.24213/1-1-4167","url":null,"abstract":"The South African pre-hospital setting has made remarkable progress since the development of emergency care short courses more than three decades ago. The profession has moved from boxtype ambulances staffed with ambulance drivers to well-equipped emergency response vehicles and ambulance aircraft staffed with paramedics with professional degrees.1 Paramedics are now in a position to enroll for a Doctoral degree in emergency medical care or equivalent, a first for the African continent.1 Having paramedics with postgraduate qualifications means that there is an opportunity for research output emanating from their research projects. It is against this backdrop that a working group of the Emergency Care Society of South Africa conceptualized the idea of the South African Journal of Pre-hospital Emergency Care (SAJPEC).","PeriodicalId":393807,"journal":{"name":"South African Journal of Pre-hospital Emergency Care","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117299532","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Something new, again 又有新的东西了
Pub Date : 2020-07-03 DOI: 10.24213/1-1-4171
C. Stein
In March 2011, I wrote the first editorial for a new publication by the Emergency Care Society of South Africa. The publication, which was not peerreviewed and more in the style of a quarterly magazine, was called Sanguine. In writing that editorial I quoted the Roman author and natural philosopher Pliny the Elder who said ‘ex Africa semper aliquid novi’ – there is always something new out of Africa. The Society continued to publish Sanguine for the next five years, and then made a decision to move in the direction of a peer-reviewed scientific journal as my colleague Simpiwe Sobuwa alludes to on page 2 of this issue. And so, almost a decade after the start of something new, here we are again.
2011年3月,我为南非急救协会(Emergency Care Society of South Africa)的一份新出版物撰写了第一篇社论。这份刊物没有经过同行评议,更像是季刊的风格,名为《乐观》。在写那篇社论时,我引用了罗马作家和自然哲学家老普林尼的话,他说“ex Africa semper liquid novi”——非洲总是有新的东西。该学会在接下来的五年里继续出版《乐观》,然后决定向同行评议的科学期刊方向发展,正如我的同事Simpiwe Sobuwa在本期第2页所暗示的那样。因此,在新事物开始近十年后,我们又来到了这里。
{"title":"Something new, again","authors":"C. Stein","doi":"10.24213/1-1-4171","DOIUrl":"https://doi.org/10.24213/1-1-4171","url":null,"abstract":"In March 2011, I wrote the first editorial for a new publication by the Emergency Care Society of South Africa. The publication, which was not peerreviewed and more in the style of a quarterly magazine, was called Sanguine. In writing that editorial I quoted the Roman author and natural philosopher Pliny the Elder who said ‘ex Africa semper aliquid novi’ – there is always something new out of Africa. The Society continued to publish Sanguine for the next five years, and then made a decision to move in the direction of a peer-reviewed scientific journal as my colleague Simpiwe Sobuwa alludes to on page 2 of this issue. And so, almost a decade after the start of something new, here we are again.","PeriodicalId":393807,"journal":{"name":"South African Journal of Pre-hospital Emergency Care","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115589803","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Simulated clinical scenarios: The experiences of Emergency Care Practitioner students 模拟临床情景:急诊护理从业学生的经验
Pub Date : 1900-01-01 DOI: 10.24213/3-1-4964
H. Slabber, K. Henrico
Background: Simulation education as a strategy is used extensively in Emergency Medical Care Departments. The literature in this field strongly suggests positive effects on patient safety and student-readiness. Simulation education strategies often fail to address the student experiences in the classroom. The aim of this study was to explore how Emergency Care Practitioner (ECP) students experience simulated clinical scenarios. Methods: This study was conducted at a South African University in the Gauteng province. Data was collected through semi-structured interviews. Convenience sampling was used to recruit participation. Data saturation occurred after six interviews. Open coding was used to code the transcripts. Results: ECP students experienced simulated clinical scenarios to be a highly beneficial teaching and learning experience, but experienced simulation as a nerve-racking assessment tool that requires excellent debriefing and feedback to improve its effectiveness. High-fidelity simulation scenarios, that are built on real-life context, are received most favourably by students. Conclusions: ECP Students find simulated clinical scenarios to be valuable in their education. To achieve a favourable simulation experience for ECP students excellent debriefing and feedback protocols need to be implemented. Availability of time to practise in the simulation laboratory is limited and students feel limited by this.
背景:模拟教学作为一种策略在急诊科得到了广泛的应用。该领域的文献强烈建议对患者安全和学生准备的积极影响。模拟教育策略往往不能解决学生在课堂上的经验。本研究的目的是探讨急诊医师(ECP)学生如何体验模拟临床情景。方法:本研究在豪登省的一所南非大学进行。数据是通过半结构化访谈收集的。采用方便抽样方法招募参与者。6次访谈后数据饱和。开放编码用于对转录本进行编码。结果:ECP学生体验模拟临床情景是一种非常有益的教学体验,但体验模拟作为一种伤脑筋的评估工具,需要出色的汇报和反馈来提高其有效性。建立在现实生活背景上的高保真模拟场景最受学生欢迎。结论:ECP学生发现模拟临床场景在他们的教育中是有价值的。为了使ECP学生获得良好的模拟体验,需要实施优秀的汇报和反馈协议。在模拟实验室练习的时间是有限的,学生们因此感到受到限制。
{"title":"Simulated clinical scenarios: The experiences of Emergency Care Practitioner students","authors":"H. Slabber, K. Henrico","doi":"10.24213/3-1-4964","DOIUrl":"https://doi.org/10.24213/3-1-4964","url":null,"abstract":"Background: Simulation education as a strategy is used extensively in Emergency Medical Care Departments. The literature in this field strongly suggests positive effects on patient safety and student-readiness. Simulation education strategies often fail to address the student experiences in the classroom. The aim of this study was to explore how Emergency Care Practitioner (ECP) students experience simulated clinical scenarios. Methods: This study was conducted at a South African University in the Gauteng province. Data was collected through semi-structured interviews. Convenience sampling was used to recruit participation. Data saturation occurred after six interviews. Open coding was used to code the transcripts. Results: ECP students experienced simulated clinical scenarios to be a highly beneficial teaching and learning experience, but experienced simulation as a nerve-racking assessment tool that requires excellent debriefing and feedback to improve its effectiveness. High-fidelity simulation scenarios, that are built on real-life context, are received most favourably by students. Conclusions: ECP Students find simulated clinical scenarios to be valuable in their education. To achieve a favourable simulation experience for ECP students excellent debriefing and feedback protocols need to be implemented. Availability of time to practise in the simulation laboratory is limited and students feel limited by this.","PeriodicalId":393807,"journal":{"name":"South African Journal of Pre-hospital Emergency Care","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125087960","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Pre-hospital emergency care research in South Africa: where are we now as a profession? 南非院前急救研究:作为一个专业,我们现在在哪里?
Pub Date : 1900-01-01 DOI: 10.24213/2-2-4983
Enrico Dippenaar
The expansion of knowledge is perhaps one of the greatest achievements of humankind. Through the centuries we have gathered information, both structured and not, that shapes our view of the world and the way we interact with each other and our surroundings. The scientific method came about as a structured approach to help us focus on specific problems and answer unique questions. This has led to our knowledge of medicine greatly increasing over time, allowing us to extend life by caring for the ill and injured. Clinical practice has improved greatly because of persistent knowledge acquisition, which forms the basis of modern evidence-based and informed medicine.
知识的扩展也许是人类最伟大的成就之一。几个世纪以来,我们收集的信息,既有结构化的,也有非结构化的,塑造了我们对世界的看法,以及我们与他人和周围环境互动的方式。科学方法是一种结构化的方法,帮助我们专注于特定的问题,并回答独特的问题。这使得我们的医学知识随着时间的推移大大增加,使我们能够通过照顾病人和伤者来延长生命。由于坚持不懈的知识获取,临床实践得到了极大的改善,这构成了现代循证医学和知情医学的基础。
{"title":"Pre-hospital emergency care research in South Africa: where are we now as a profession?","authors":"Enrico Dippenaar","doi":"10.24213/2-2-4983","DOIUrl":"https://doi.org/10.24213/2-2-4983","url":null,"abstract":"The expansion of knowledge is perhaps one of the greatest achievements of humankind. Through the centuries we have gathered information, both structured and not, that shapes our view of the world and the way we interact with each other and our surroundings. The scientific method came about as a structured approach to help us focus on specific problems and answer unique questions. This has led to our knowledge of medicine greatly increasing over time, allowing us to extend life by caring for the ill and injured. Clinical practice has improved greatly because of persistent knowledge acquisition, which forms the basis of modern evidence-based and informed medicine.","PeriodicalId":393807,"journal":{"name":"South African Journal of Pre-hospital Emergency Care","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121416092","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The accuracy of Bloemfontein-based Emergency Medical Services providers in recognising sepsis 布隆方丹紧急医疗服务提供者识别败血症的准确性
Pub Date : 1900-01-01 DOI: 10.24213/2-2-4265
M. Lewis, Wayne Jooste, Roderick Campbell, W. Stassen
Background: Sepsis is considered a severe life-threatening medical emergency and globally carries a high mortality. Research suggests early recognition of sepsis can lead to early initiation of treatment and effective communication of this condition to the receiving facility by pre-hospital emergency care (PEC) providers. Depending on system operations, this has been shown to improve patient outcomes. However, sepsis often presents non-specifically, and in the absence of validated pre-hospital sepsis screening tools, less than half of sepsis patients seen by PEC providers are recognised. This study aimed to determine the accuracy with which Bloemfontein-based PEC providers recognise sepsis in a series of patient vignettes. Methods: A series of seven case vignettes were presented to a convenient sample of advanced life support (ALS) and intermediate life support (ILS) PEC providers. The PEC providers were asked to review each vignette and indicate whether the patient described had sepsis or not. The vignettes consisted of a clinical case description with signs and symptoms of patients presenting with or without sepsis, and images were shown where relevant. Elements of the Robson Prehospital Severe Sepsis Screening (RPSS) tool were used to populate the sepsis vignettes. Results: A total of 27 ILS and ALS PEC providers in the Bloemfontein area partook in the research study. Thus, a total of 189 vignettes were evaluated for sepsis. PEC providers, both ILS and ALS, recognised sepsis with a sensitivity of 69.63% and a specificity of 37.04% (PPV 73.44%, NPV 32.79%), indicating an accuracy of 60.32%. Although all participants mentioned some motivations for their answers, none of the participants gave specific cut-off value ranges at which point they would suspect sepsis. Conclusion: This vignette-based study found that PEC providers can recognise sepsis with modest accuracy, echoing previous work on this topic. In addition, the study provides a platform for similar studies, which, in turn, could aid in the development of a validated, pre-hospital sepsis screening tool.
背景:脓毒症被认为是一种严重危及生命的医疗紧急情况,在全球范围内具有很高的死亡率。研究表明,早期识别败血症可以导致早期开始治疗,并通过院前急救(PEC)提供者将这种情况有效地传达给接收机构。根据系统操作,这已被证明可以改善患者的预后。然而,脓毒症通常表现为非特异性,并且在缺乏有效的院前脓毒症筛查工具的情况下,PEC提供者所见的脓毒症患者中不到一半被识别出来。本研究旨在确定布隆方丹的PEC提供者在一系列患者影像中识别败血症的准确性。方法:提供一系列7个病例的小片段,以方便地抽样高级生命支持(ALS)和中级生命支持(ILS) PEC提供者。PEC提供者被要求审查每个小插曲,并指出所描述的患者是否患有败血症。这些小插曲包括临床病例描述,患者的症状和体征有或没有脓毒症,并在相关的地方显示图像。罗布森院前严重脓毒症筛查(RPSS)工具的元素被用来填充脓毒症小插曲。结果:布隆方丹地区共有27家ILS和ALS PEC提供者参与了研究。因此,共有189个小插曲被评估败血症。PEC提供者(ILS和ALS)识别脓毒症的敏感性为69.63%,特异性为37.04% (PPV 73.44%, NPV 32.79%),准确性为60.32%。尽管所有参与者都提到了他们的答案的一些动机,但没有一个参与者给出了具体的临界值范围,在这个临界值范围内,他们会怀疑是脓毒症。结论:这项基于小片段的研究发现,PEC提供者能够以适度的准确性识别脓毒症,这与之前关于该主题的工作相呼应。此外,该研究为类似的研究提供了一个平台,这反过来又有助于开发一种经过验证的院前败血症筛查工具。
{"title":"The accuracy of Bloemfontein-based Emergency Medical Services providers in recognising sepsis","authors":"M. Lewis, Wayne Jooste, Roderick Campbell, W. Stassen","doi":"10.24213/2-2-4265","DOIUrl":"https://doi.org/10.24213/2-2-4265","url":null,"abstract":"Background: Sepsis is considered a severe life-threatening medical emergency and globally carries a high mortality. Research suggests early recognition of sepsis can lead to early initiation of treatment and effective communication of this condition to the receiving facility by pre-hospital emergency care (PEC) providers. Depending on system operations, this has been shown to improve patient outcomes. However, sepsis often presents non-specifically, and in the absence of validated pre-hospital sepsis screening tools, less than half of sepsis patients seen by PEC providers are recognised. This study aimed to determine the accuracy with which Bloemfontein-based PEC providers recognise sepsis in a series of patient vignettes. Methods: A series of seven case vignettes were presented to a convenient sample of advanced life support (ALS) and intermediate life support (ILS) PEC providers. The PEC providers were asked to review each vignette and indicate whether the patient described had sepsis or not. The vignettes consisted of a clinical case description with signs and symptoms of patients presenting with or without sepsis, and images were shown where relevant. Elements of the Robson Prehospital Severe Sepsis Screening (RPSS) tool were used to populate the sepsis vignettes. Results: A total of 27 ILS and ALS PEC providers in the Bloemfontein area partook in the research study. Thus, a total of 189 vignettes were evaluated for sepsis. PEC providers, both ILS and ALS, recognised sepsis with a sensitivity of 69.63% and a specificity of 37.04% (PPV 73.44%, NPV 32.79%), indicating an accuracy of 60.32%. Although all participants mentioned some motivations for their answers, none of the participants gave specific cut-off value ranges at which point they would suspect sepsis. Conclusion: This vignette-based study found that PEC providers can recognise sepsis with modest accuracy, echoing previous work on this topic. In addition, the study provides a platform for similar studies, which, in turn, could aid in the development of a validated, pre-hospital sepsis screening tool.","PeriodicalId":393807,"journal":{"name":"South African Journal of Pre-hospital Emergency Care","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126726580","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A number of firsts 创造了许多“第一”
Pub Date : 1900-01-01 DOI: 10.24213/3-1-5368
Christopher Stein
In this issue of the journal, we publish our first case report which focuses on airway management of a traumatic brain injury case.1 While perhaps not traditionally enjoying the recognition of original research, case reports comprise an important component of the content mix in this journal reminding us that of the all-important link between scholarly activities and clinical practice. The case reported in this issue originates from a clinical context outside of South Africa, but where many South African emergency care providers currently work. We welcome reports of interesting or unique cases from any locale with characteristics similar to those in South Africa (whether this be with regard to burden of disease, scope of practice or qualifications) but we also urge local colleagues to send us their own case reports for consideration.
在这一期的杂志上,我们发表了我们的第一份病例报告,重点是创伤性脑损伤病例的气道管理虽然可能传统上不享受原始研究的认可,但病例报告构成了该杂志内容组合的重要组成部分,提醒我们学术活动和临床实践之间的所有重要联系。本刊报道的病例起源于南非以外的临床情况,但目前有许多南非紧急护理提供者在那里工作。我们欢迎来自任何地方的有趣的或独特的病例报告,这些病例的特点与南非的情况相似(无论是在疾病负担、执业范围还是资格方面),但我们也敦促当地同事向我们提交他们自己的病例报告,供我们审议。
{"title":"A number of firsts","authors":"Christopher Stein","doi":"10.24213/3-1-5368","DOIUrl":"https://doi.org/10.24213/3-1-5368","url":null,"abstract":"In this issue of the journal, we publish our first case report which focuses on airway management of a traumatic brain injury case.1 While perhaps not traditionally enjoying the recognition of original research, case reports comprise an important component of the content mix in this journal reminding us that of the all-important link between scholarly activities and clinical practice. The case reported in this issue originates from a clinical context outside of South Africa, but where many South African emergency care providers currently work. We welcome reports of interesting or unique cases from any locale with characteristics similar to those in South Africa (whether this be with regard to burden of disease, scope of practice or qualifications) but we also urge local colleagues to send us their own case reports for consideration.","PeriodicalId":393807,"journal":{"name":"South African Journal of Pre-hospital Emergency Care","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130658507","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
An Investigation into employees’ motivation during the COVID-19 pandemic, at a single private Emergency Medical Services provider in Gauteng 对豪登省一家私营紧急医疗服务提供商在COVID-19大流行期间员工动机的调查
Pub Date : 1900-01-01 DOI: 10.24213/3-1-5121
Jared McDowall
Background: Employee motivation has been identified as pivotal in every organisation, as it assists in the realisation of organisations’ vision and/or mission. The COVID-19 pandemic has had an unprecedented effect across the globe, which extended into personal and professional realms. It may be argued, though, that it had a compounding effect on healthcare providers. Despite healthcare organisations having a COVID-19 disaster response plan in place, the relationship between employees’ motivation and organisational performance has been poorly described. The aim of this research was to investigate and describe factors of motivation amongst emergency operations centre (EOC) employees during the COVID-19 pandemic at a single private emergency medical services (EMS) provider in Gauteng. Methods: The sample included 110 EOC employees, and a probabilistic stratified sampling methodology was utilised. An electronic survey instrument was used to collect data. All recorded data were stored on Google® forms and extracted into an electronic data spreadsheet for analysis (Microsoft® Excel®). Results: A total of 87 participants responded, yielding a 95% confidence interval. The majority of participants were between 25-35 years old (n=53), female (n=53), single (n=43), and had a higher certificate as their highest formal qualification (n=60). It was found that organisational reputation (87.4%), the sense of making a difference (87.4%), and job security (85.1%) were amongst the most prevalent motivational factors amongst EOC employees during the pandemic. Conclusion: The results outline the importance of motivation in a disaster response plan. Employees’ motivation should be prioritised and adequately managed in times of crisis. Based on the link between motivation and organisational performance, a failure to do so may have a negative impact on performance. Organisational reputation, the sense of making a difference, and job security were identified as key motivational factors.
背景:员工动机在每个组织中都被认为是关键的,因为它有助于实现组织的愿景和/或使命。2019冠状病毒病大流行在全球范围内产生了前所未有的影响,并蔓延到个人和职业领域。不过,有人可能会说,这对医疗服务提供者产生了复合效应。尽管医疗保健组织制定了COVID-19灾难应对计划,但员工动机与组织绩效之间的关系却没有得到很好的描述。本研究的目的是调查和描述豪登省一家私营紧急医疗服务(EMS)提供商在COVID-19大流行期间紧急行动中心(EOC)员工的动机因素。方法:采用概率分层抽样方法对110名EOC员工进行调查。使用电子测量仪收集数据。所有记录的数据都存储在Google®表格中,并提取到电子数据表格中进行分析(Microsoft®Excel®)。结果:共有87名参与者回应,产生95%的置信区间。大多数参与者年龄在25-35岁之间(n=53),女性(n=53),单身(n=43),拥有更高的证书作为他们的最高正式资格(n=60)。研究发现,在疫情期间,组织声誉(87.4%)、有所作为的意识(87.4%)和工作保障(85.1%)是EOC员工最普遍的激励因素。结论:结果概述了动机在灾难响应计划中的重要性。在危机时刻,应该优先考虑员工的动机,并对其进行适当管理。基于动机与组织绩效之间的联系,未能做到这一点可能会对绩效产生负面影响。组织声誉、有所作为的感觉和工作保障被认为是关键的激励因素。
{"title":"An Investigation into employees’ motivation during the COVID-19 pandemic, at a single private Emergency Medical Services provider in Gauteng","authors":"Jared McDowall","doi":"10.24213/3-1-5121","DOIUrl":"https://doi.org/10.24213/3-1-5121","url":null,"abstract":"Background: Employee motivation has been identified as pivotal in every organisation, as it assists in the realisation of organisations’ vision and/or mission. The COVID-19 pandemic has had an unprecedented effect across the globe, which extended into personal and professional realms. It may be argued, though, that it had a compounding effect on healthcare providers. Despite healthcare organisations having a COVID-19 disaster response plan in place, the relationship between employees’ motivation and organisational performance has been poorly described. The aim of this research was to investigate and describe factors of motivation amongst emergency operations centre (EOC) employees during the COVID-19 pandemic at a single private emergency medical services (EMS) provider in Gauteng. Methods: The sample included 110 EOC employees, and a probabilistic stratified sampling methodology was utilised. An electronic survey instrument was used to collect data. All recorded data were stored on Google® forms and extracted into an electronic data spreadsheet for analysis (Microsoft® Excel®). Results: A total of 87 participants responded, yielding a 95% confidence interval. The majority of participants were between 25-35 years old (n=53), female (n=53), single (n=43), and had a higher certificate as their highest formal qualification (n=60). It was found that organisational reputation (87.4%), the sense of making a difference (87.4%), and job security (85.1%) were amongst the most prevalent motivational factors amongst EOC employees during the pandemic. Conclusion: The results outline the importance of motivation in a disaster response plan. Employees’ motivation should be prioritised and adequately managed in times of crisis. Based on the link between motivation and organisational performance, a failure to do so may have a negative impact on performance. Organisational reputation, the sense of making a difference, and job security were identified as key motivational factors.","PeriodicalId":393807,"journal":{"name":"South African Journal of Pre-hospital Emergency Care","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123720271","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Blind bougie first pass success endotracheal intubation process: An out-of-hospital case report 盲布基气管插管第一次成功:院外一例报告
Pub Date : 1900-01-01 DOI: 10.24213/3-1-4912
Gangaram Padarath, Rajeev Debipershad Ballaram, Y. Pillay, B. Pillay, Guillaume Alinier
The blind bougie technique is performed when the epiglottis is visible to the intubator, but the vocal cords cannot be seen (Grade III Cormack-Lehane view). The blind bougie technique for endotracheal intubation is not routinely performed by Critical Care Paramedics for a failed intubation in the prehospital setting. However, at Hamad Medical Corporation Ambulance Service in the State of Qatar, the blind bougie technique is included in their failed airway clinical practice guidelines. This case report aims to describe the rapid sequence induction for intubation process and endotracheal tube placement in an adult trauma patient, presenting with a difficult airway, using the blind bougie technique in the out-of-hospital setting. A 35-year-old male patient was ejected from an all-terrain vehicle following a high-speed accident in the desert. The patient sustained an isolated head injury. Based on the patient’s clinical presentation, he required immediate endotracheal intubation for maintenance and protection of his airway prior to rapid transport to definitive care. Predictors of difficult airway were calculated. Using the blind bougie technique, endotracheal intubation was performed with first pass success. It is recommended that emergency medical services include the blind bougie technique of endotracheal intubation among their difficult airway procedures.
当插管器可以看到会厌,但无法看到声带时,采用盲弓技术(III级Cormack-Lehane视点)。在院前插管失败时,危重护理护理人员通常不使用盲布基技术进行气管插管。然而,在卡塔尔国的哈马德医疗救护服务公司,盲眼支架技术被列入他们失败的气道临床实践指南。本病例报告旨在描述在院外使用盲弓技术快速序列诱导气管插管过程和气管内管放置在一个成人创伤患者,表现为气道困难。一名35岁的男性患者在沙漠发生高速事故后从一辆全地形车中弹出。病人头部受到孤立性损伤。根据患者的临床表现,他需要立即气管插管来维持和保护他的气道,然后迅速转移到最终治疗。计算气道困难的预测因子。采用盲弓技术,首次气管插管成功。建议紧急医疗服务包括盲布基技术的气管插管在他们的困难气道手术。
{"title":"Blind bougie first pass success endotracheal intubation process: An out-of-hospital case report","authors":"Gangaram Padarath, Rajeev Debipershad Ballaram, Y. Pillay, B. Pillay, Guillaume Alinier","doi":"10.24213/3-1-4912","DOIUrl":"https://doi.org/10.24213/3-1-4912","url":null,"abstract":"The blind bougie technique is performed when the epiglottis is visible to the intubator, but the vocal cords cannot be seen (Grade III Cormack-Lehane view). The blind bougie technique for endotracheal intubation is not routinely performed by Critical Care Paramedics for a failed intubation in the prehospital setting. However, at Hamad Medical Corporation Ambulance Service in the State of Qatar, the blind bougie technique is included in their failed airway clinical practice guidelines. This case report aims to describe the rapid sequence induction for intubation process and endotracheal tube placement in an adult trauma patient, presenting with a difficult airway, using the blind bougie technique in the out-of-hospital setting. A 35-year-old male patient was ejected from an all-terrain vehicle following a high-speed accident in the desert. The patient sustained an isolated head injury. Based on the patient’s clinical presentation, he required immediate endotracheal intubation for maintenance and protection of his airway prior to rapid transport to definitive care. Predictors of difficult airway were calculated. Using the blind bougie technique, endotracheal intubation was performed with first pass success. It is recommended that emergency medical services include the blind bougie technique of endotracheal intubation among their difficult airway procedures.","PeriodicalId":393807,"journal":{"name":"South African Journal of Pre-hospital Emergency Care","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115175811","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Emergency care practitioners’ views on the use of ultrasound in pre-hospital acute care settings 急诊护理从业员对院前急症护理使用超声的意见
Pub Date : 1900-01-01 DOI: 10.24213/3-2-5522
C. Vincent-Lambert, Ernest Marx, B. van Nugteren
Background: Ultrasound may assist in the detection of life-threatening conditions and evolving pathologies. South African emergency care practitioners (ECPs) working in pre-hospital contexts have historically not used ultrasound to diagnose and treat patients. However, recently published clinical practice guidelines from the Health Professions Council of South Africa (HPCSA) suggest that ultrasound be considered as an adjunct in the provision of pre-hospital emergency care. Our study investigated ECPs’ views and perceptions of introducing ultrasound to their scope of practice.
背景:超声可以帮助检测危及生命的疾病和发展中的病理。南非急诊护理从业人员(ECPs)在院前工作历来没有使用超声诊断和治疗病人。然而,南非卫生专业委员会(HPCSA)最近发布的临床实践指南建议,在提供院前急救护理时,应考虑将超声作为辅助手段。我们的研究调查了ECPs对将超声引入其实践范围的看法和看法。
{"title":"Emergency care practitioners’ views on the use of ultrasound in pre-hospital acute care settings","authors":"C. Vincent-Lambert, Ernest Marx, B. van Nugteren","doi":"10.24213/3-2-5522","DOIUrl":"https://doi.org/10.24213/3-2-5522","url":null,"abstract":"Background: Ultrasound may assist in the detection of life-threatening conditions and evolving pathologies. South African emergency care practitioners (ECPs) working in pre-hospital contexts have historically not used ultrasound to diagnose and treat patients. However, recently published clinical practice guidelines from the Health Professions Council of South Africa (HPCSA) suggest that ultrasound be considered as an adjunct in the provision of pre-hospital emergency care. Our study investigated ECPs’ views and perceptions of introducing ultrasound to their scope of practice.","PeriodicalId":393807,"journal":{"name":"South African Journal of Pre-hospital Emergency Care","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"113984945","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Pre-hospital POCUS then and now 以前和现在的院前POCUS
Pub Date : 1900-01-01 DOI: 10.24213/3-2-5716
Christopher Stein
{"title":"Pre-hospital POCUS then and now","authors":"Christopher Stein","doi":"10.24213/3-2-5716","DOIUrl":"https://doi.org/10.24213/3-2-5716","url":null,"abstract":"","PeriodicalId":393807,"journal":{"name":"South African Journal of Pre-hospital Emergency Care","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132144339","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
期刊
South African Journal of Pre-hospital Emergency Care
全部 Acc. Chem. Res. ACS Applied Bio Materials ACS Appl. Electron. Mater. ACS Appl. Energy Mater. ACS Appl. Mater. Interfaces ACS Appl. Nano Mater. ACS Appl. Polym. Mater. ACS BIOMATER-SCI ENG ACS Catal. ACS Cent. Sci. ACS Chem. Biol. ACS Chemical Health & Safety ACS Chem. Neurosci. ACS Comb. Sci. ACS Earth Space Chem. ACS Energy Lett. ACS Infect. Dis. ACS Macro Lett. ACS Mater. Lett. ACS Med. Chem. Lett. ACS Nano ACS Omega ACS Photonics ACS Sens. ACS Sustainable Chem. Eng. ACS Synth. Biol. Anal. Chem. BIOCHEMISTRY-US Bioconjugate Chem. BIOMACROMOLECULES Chem. Res. Toxicol. Chem. Rev. Chem. Mater. CRYST GROWTH DES ENERG FUEL Environ. Sci. Technol. Environ. Sci. Technol. Lett. Eur. J. Inorg. Chem. IND ENG CHEM RES Inorg. Chem. J. Agric. Food. Chem. J. Chem. Eng. Data J. Chem. Educ. J. Chem. Inf. Model. J. Chem. Theory Comput. J. Med. Chem. J. Nat. Prod. J PROTEOME RES J. Am. Chem. Soc. LANGMUIR MACROMOLECULES Mol. Pharmaceutics Nano Lett. Org. Lett. ORG PROCESS RES DEV ORGANOMETALLICS J. Org. Chem. J. Phys. Chem. J. Phys. Chem. A J. Phys. Chem. B J. Phys. Chem. C J. Phys. Chem. Lett. Analyst Anal. Methods Biomater. Sci. Catal. Sci. Technol. Chem. Commun. Chem. Soc. Rev. CHEM EDUC RES PRACT CRYSTENGCOMM Dalton Trans. Energy Environ. Sci. ENVIRON SCI-NANO ENVIRON SCI-PROC IMP ENVIRON SCI-WAT RES Faraday Discuss. Food Funct. Green Chem. Inorg. Chem. Front. Integr. Biol. J. Anal. At. Spectrom. J. Mater. Chem. A J. Mater. Chem. B J. Mater. Chem. C Lab Chip Mater. Chem. Front. Mater. Horiz. MEDCHEMCOMM Metallomics Mol. Biosyst. Mol. Syst. Des. Eng. Nanoscale Nanoscale Horiz. Nat. Prod. Rep. New J. Chem. Org. Biomol. Chem. Org. Chem. Front. PHOTOCH PHOTOBIO SCI PCCP Polym. Chem.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1