{"title":"Paramedicine Literature Search: December 2022-February 2023","authors":"Brenda Morrissey, Shaughn Maxwell","doi":"10.56068/cbgb4423","DOIUrl":"https://doi.org/10.56068/cbgb4423","url":null,"abstract":"","PeriodicalId":73465,"journal":{"name":"International journal of paramedicine","volume":"45 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83657884","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}
Brenda Morrissey, Shaughn Maxwell, Michael Gunderson
{"title":"Paramedicine Literature Search: September-November 2022","authors":"Brenda Morrissey, Shaughn Maxwell, Michael Gunderson","doi":"10.56068/xojn5496","DOIUrl":"https://doi.org/10.56068/xojn5496","url":null,"abstract":"","PeriodicalId":73465,"journal":{"name":"International journal of paramedicine","volume":"27 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91338266","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}
{"title":"Resource for Paramedicine Leaders","authors":"Sean M Caffrey","doi":"10.56068/yezl6411","DOIUrl":"https://doi.org/10.56068/yezl6411","url":null,"abstract":"","PeriodicalId":73465,"journal":{"name":"International journal of paramedicine","volume":"42 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82877215","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}
Pub Date : 2023-01-01Epub Date: 2023-01-09DOI: 10.56068/ampo6844
Daniel Berger, John Wong-Castillo, Ryan Seymour, Christopher Colwell, Andrea Tenner, John Brown, Mary Mercer
Background: Anticipating an increased utilization of healthcare facilities during the COVID-19 surge, the San Francisco Department of Public Health developed a plan to deploy neighborhood-based Field Care Clinics (FCCs) that would decompress emergency departments by serving patients with low acuity complaints. These clinics would receive patients directly from the Emergency Medical Services (EMS) system. Transports were initiated by a paramedic-driven protocol, originally by EMS crews and later by the Centralized Ambulance Destination Determination (CADDiE) System. In this study, we evaluated the outcomes of EMS patients who were transported to the FCC, specifically as to whether they required subsequent transfer to the emergency department.
Methods: We performed a retrospective study of all patients transported to the Bayview-Hunters Point (BHP) neighborhood FCC by EMS between April 11th, 2020, and December 16th, 2020. Descriptive statistics and Chi-Square Tests were used to analyze patient data.
Results: In total, 35 patients (20 men, 15 women, average age of 50.9 years) were transported to the FCC. Of these, 16 were Black/African American, 7 were White, 3 were Asian, with 9 identifying as of other races and 9 of Hispanic ethnicity. Twenty-three of these transports resulted from a CADDiE recommendation. Approximately half (n=20) of calls originated within the BHP neighborhood. The most frequent patient complaint was "Pain." Of patients transported to the FCC, 23 were treated and discharged. The 12 remaining patients required hospital transfer, with 3 being discharged after receiving treatment in the emergency department and 9 requiring hospital admission, psychiatric, or sobering services. The likelihood of hospital transfer did not significantly vary by sex (p=0.41), 9-1-1 call origination relative to BHP neighborhood (p=0.92), or CADDiE recommendation (p=0.51).
Conclusion: Three-fourths of patients who required subsequent hospital transfer were admitted or required specialized services, suggesting that the FCC was viable for managing low acuity conditions. However, the underutilization of the FCC by EMS as a transport destination and a high hospital transfer rate indicates training and protocol refinement opportunities. Despite the small cohort size, this study demonstrates that an FCC alternative care site can act as a viable source for urgent and emergency care during a pandemic.
{"title":"FEASIBILITY AND SAFETY OF A FIELD CARE CLINIC AS AN ALTERNATIVE AMBULANCE DESTINATION DURING THE COVID-19 PANDEMIC.","authors":"Daniel Berger, John Wong-Castillo, Ryan Seymour, Christopher Colwell, Andrea Tenner, John Brown, Mary Mercer","doi":"10.56068/ampo6844","DOIUrl":"10.56068/ampo6844","url":null,"abstract":"<p><strong>Background: </strong>Anticipating an increased utilization of healthcare facilities during the COVID-19 surge, the San Francisco Department of Public Health developed a plan to deploy neighborhood-based Field Care Clinics (FCCs) that would decompress emergency departments by serving patients with low acuity complaints. These clinics would receive patients directly from the Emergency Medical Services (EMS) system. Transports were initiated by a paramedic-driven protocol, originally by EMS crews and later by the Centralized Ambulance Destination Determination (CADDiE) System. In this study, we evaluated the outcomes of EMS patients who were transported to the FCC, specifically as to whether they required subsequent transfer to the emergency department.</p><p><strong>Methods: </strong>We performed a retrospective study of all patients transported to the Bayview-Hunters Point (BHP) neighborhood FCC by EMS between April 11<sup>th</sup>, 2020, and December 16<sup>th</sup>, 2020. Descriptive statistics and Chi-Square Tests were used to analyze patient data.</p><p><strong>Results: </strong>In total, 35 patients (20 men, 15 women, average age of 50.9 years) were transported to the FCC. Of these, 16 were Black/African American, 7 were White, 3 were Asian, with 9 identifying as of other races and 9 of Hispanic ethnicity. Twenty-three of these transports resulted from a CADDiE recommendation. Approximately half (n=20) of calls originated within the BHP neighborhood. The most frequent patient complaint was \"Pain.\" Of patients transported to the FCC, 23 were treated and discharged. The 12 remaining patients required hospital transfer, with 3 being discharged after receiving treatment in the emergency department and 9 requiring hospital admission, psychiatric, or sobering services. The likelihood of hospital transfer did not significantly vary by sex (p=0.41), 9-1-1 call origination relative to BHP neighborhood (p=0.92), or CADDiE recommendation (<i>p</i>=0.51).</p><p><strong>Conclusion: </strong>Three-fourths of patients who required subsequent hospital transfer were admitted or required specialized services, suggesting that the FCC was viable for managing low acuity conditions. However, the underutilization of the FCC by EMS as a transport destination and a high hospital transfer rate indicates training and protocol refinement opportunities. Despite the small cohort size, this study demonstrates that an FCC alternative care site can act as a viable source for urgent and emergency care during a pandemic.</p>","PeriodicalId":73465,"journal":{"name":"International journal of paramedicine","volume":"1 1","pages":"73-84"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10062198/pdf/nihms-1878858.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9275414","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"New Peer-Reviewed Academic Journal for Paramedicine","authors":"Michael Gunderson, Michael Touchstone","doi":"10.56068/brqm7048","DOIUrl":"https://doi.org/10.56068/brqm7048","url":null,"abstract":"","PeriodicalId":73465,"journal":{"name":"International journal of paramedicine","volume":"351 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-11-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76412835","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}
Objectives: This systematic review (SR) describes how simulation-based training (SBT) is utilized by paramedics and emergency medical technicians (EMTs). Data sources: PubMed, CINAHL, Cochrane CENTRAL, Scopus, Web of Science, and Google Scholar were searched from 2010 to 2021. Review methods: Standard SR methodology was utilized according to PRISMA guidelines. Eligibility criteria included English studies conducted in the United States or Canada published and published between 2010 and 2021. Study designs were somewhat heterogeneous and included quantitative, qualitative, and mixed-methods projects. The specific populations included paramedics and EMTs. Results: 595 articles were initially identified and reviewed, 25 of which met our inclusion criteria. Of them, the most common SBT areas of focus documented in the literature was general assessment and treatment (7 studies) and airway management (7 studies). The majority of the studies were conducted in a mobile simulation lab (6 studies), simulation centers (5 studies), and ambulances (5 studies). Many of the studies report simulations involving using manikins alone and a combination of manikins and simulated patients. Overall, 21 studies documented the use of high-fidelity simulation. 16 studies involved paramedics only, 8 involved both paramedics and EMTs, and one study involved only EMTs. Most of the impact of SBT appeared to be on objective measures such as performance, procedural success, and ability to identify errors, as well as subjective metrics such as perceived improvement in knowledge and skill. The degree of sustained impact of SBT on skill retention was not frequently reported, and direct enhancement in patient outcomes such as length-of-stay, or mortality were not documented in any of the studies. Conclusions: Paramedics and EMTs provide critically important, often lifesaving, prehospital care. However, the opportunities to enhance their skills are limited by several factors; most notably their undergraduate and certificate educational requirements, which are much ... (truncated)
目的:本系统综述(SR)描述了护理人员和紧急医疗技术人员(emt)如何利用基于模拟的培训(SBT)。数据来源:2010 - 2021年检索PubMed, CINAHL, Cochrane CENTRAL, Scopus, Web of Science, Google Scholar。审查方法:根据PRISMA指南使用标准SR方法。入选标准包括2010年至2021年间在美国或加拿大发表的英语研究。研究设计有一定的异质性，包括定量、定性和混合方法项目。具体人群包括护理人员和急救人员。结果:595篇文章被初步识别和审查，其中25篇符合我们的纳入标准。其中，文献中记录的最常见的SBT重点领域是一般评估和治疗(7项研究)和气道管理(7项研究)。大多数研究在移动模拟实验室(6项研究)、模拟中心(5项研究)和救护车(5项研究)中进行。许多研究报告的模拟涉及单独使用人体模型和人体模型与模拟患者的组合。总的来说，有21项研究记录了高保真度模拟的使用。16项研究仅涉及护理人员，8项研究同时涉及护理人员和急救人员，1项研究仅涉及急救人员。SBT的大多数影响似乎是在客观的衡量标准上，如表现、程序成功和识别错误的能力，以及主观的衡量标准，如在知识和技能方面的感知改进。SBT对技能保留的持续影响程度并没有经常被报道，并且在任何研究中都没有记录患者预后(如住院时间或死亡率)的直接增强。结论:护理人员和急救人员提供了至关重要的院前护理，往往是挽救生命的。然而，提高他们技能的机会受到几个因素的限制;最值得注意的是他们的本科和证书教育要求，这是非常……(截断)
{"title":"Simulation-Based Training and Its Use Amongst Practicing Paramedics and Emergency Medical Technicians: An Evidence-Based Systematic Review","authors":"Jared Bienstock, Albert J Heuer, Yingting Zhang","doi":"10.56068/vwhv8080","DOIUrl":"https://doi.org/10.56068/vwhv8080","url":null,"abstract":"Objectives: This systematic review (SR) describes how simulation-based training (SBT) is utilized by paramedics and emergency medical technicians (EMTs).\u0000Data sources: PubMed, CINAHL, Cochrane CENTRAL, Scopus, Web of Science, and Google Scholar were searched from 2010 to 2021.\u0000Review methods: Standard SR methodology was utilized according to PRISMA guidelines. Eligibility criteria included English studies conducted in the United States or Canada published and published between 2010 and 2021. Study designs were somewhat heterogeneous and included quantitative, qualitative, and mixed-methods projects. The specific populations included paramedics and EMTs.\u0000Results: 595 articles were initially identified and reviewed, 25 of which met our inclusion criteria. Of them, the most common SBT areas of focus documented in the literature was general assessment and treatment (7 studies) and airway management (7 studies). The majority of the studies were conducted in a mobile simulation lab (6 studies), simulation centers (5 studies), and ambulances (5 studies). Many of the studies report simulations involving using manikins alone and a combination of manikins and simulated patients. Overall, 21 studies documented the use of high-fidelity simulation. 16 studies involved paramedics only, 8 involved both paramedics and EMTs, and one study involved only EMTs. Most of the impact of SBT appeared to be on objective measures such as performance, procedural success, and ability to identify errors, as well as subjective metrics such as perceived improvement in knowledge and skill. The degree of sustained impact of SBT on skill retention was not frequently reported, and direct enhancement in patient outcomes such as length-of-stay, or mortality were not documented in any of the studies.\u0000Conclusions: Paramedics and EMTs provide critically important, often lifesaving, prehospital care. However, the opportunities to enhance their skills are limited by several factors; most notably their undergraduate and certificate educational requirements, which are much ... (truncated)","PeriodicalId":73465,"journal":{"name":"International journal of paramedicine","volume":"193 6 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-11-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86755128","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}
{"title":"REFLECTIONS: Accidental Death and Disability","authors":"Committee on Trauma and Committee on Shock","doi":"10.56068/kift5282","DOIUrl":"https://doi.org/10.56068/kift5282","url":null,"abstract":"","PeriodicalId":73465,"journal":{"name":"International journal of paramedicine","volume":"71 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-11-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89890632","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}
{"title":"Invited Commentary: REFLECTIONS: Accidental Death and Disability","authors":"J. Krohmer","doi":"10.56068/ugnz7150","DOIUrl":"https://doi.org/10.56068/ugnz7150","url":null,"abstract":"","PeriodicalId":73465,"journal":{"name":"International journal of paramedicine","volume":"32 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-11-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82918051","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}
Recent communications between counsel for an Emergency Medical Service (EMS) provider in New Jersey and the state Department of Health (DOH), Office of Emergency Medical Services (OEMS) claimed that the DOH was providing illicit access to private health information (PHI) based within the providers electronic patient care report (ePCR). While the response from the DOH indicated that the information sharing was completed in accordance with all state and federal laws, the concerns raised by the law firm are not novel concerns. EMS systems are often trusted by their patients to protect their PHI that is obtained as a necessity in the course of their lifesaving operations. The collection and use of data from EMS systems nationwide is crucial to the improvement of operations, provider safety, and patient care, however there is the competing interest of protecting the privacy of patients and respecting their Constitutionally protected rights. There are important legal and policy perspectives that should guide the prospect of personally identifiable EMS data sharing to law enforcement.
{"title":"Private Health Information Legal Protections in Emergency Medical Services","authors":"R. Houser","doi":"10.56068/jtng9057","DOIUrl":"https://doi.org/10.56068/jtng9057","url":null,"abstract":"Recent communications between counsel for an Emergency Medical Service (EMS) provider in New Jersey and the state Department of Health (DOH), Office of Emergency Medical Services (OEMS) claimed that the DOH was providing illicit access to private health information (PHI) based within the providers electronic patient care report (ePCR). While the response from the DOH indicated that the information sharing was completed in accordance with all state and federal laws, the concerns raised by the law firm are not novel concerns. EMS systems are often trusted by their patients to protect their PHI that is obtained as a necessity in the course of their lifesaving operations. The collection and use of data from EMS systems nationwide is crucial to the improvement of operations, provider safety, and patient care, however there is the competing interest of protecting the privacy of patients and respecting their Constitutionally protected rights. There are important legal and policy perspectives that should guide the prospect of personally identifiable EMS data sharing to law enforcement.","PeriodicalId":73465,"journal":{"name":"International journal of paramedicine","volume":"10 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-11-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73293337","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}
扫码关注我们
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号