How confident are Queensland paramedics with seizure recognition, differentiation, and management? A pilot study

IF 2.1 4区医学 Q2 EMERGENCY MEDICINE

Australasian Emergency Care Pub Date : 2025-01-29 DOI:10.1016/j.auec.2025.01.002

Jordan J. Hill , Brooke L. Hill , Brett Williams

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引用次数: 0

Abstract

Background

Paramedics in Australia present as the opportune medical personnel to initiate medical intervention of seizure presentations and perform a fundamental role in the prevention of seizure associated morbidity and mortality. Despite being well equipped to manage seizures, no literature exists regarding their confidence to recognise, differentiate, or manage seizures.

Methods

An online cross-sectional survey was undertaken by 168 paramedics practicing clinically for the Queensland Ambulance Service in Australia. The survey assessed paramedic perceived self-confidence surrounding seizure presentations. Non-parametric Kruskal-Wallis H-Test and post hoc pairwise comparisons were conducted to assess between group differences in relation to practicing qualifications, and years of service.

Results

Paramedics were confident in generalised convulsive seizure recognition and management, however, displayed less confidence surrounding non-convulsive, focal, and psychogenic seizure classifications. Critical care paramedics reported higher confidence than advanced care and graduate paramedics across various seizure presentation elements (p < 0.05). Paramedics with greater than 10 years of service reported higher confidence than those with fewer years of service, particularly less than two years.

Conclusion

Future education and professional development opportunities for paramedics require a greater focus on the development of self-confidence, with mechanisms implemented to increase paramedics’ exposure to the broad spectrum of seizure presentations.

查看原文本刊更多论文

昆士兰护理人员对癫痫的识别、鉴别和管理有多自信？一项初步研究。

背景：护理人员在澳大利亚目前作为适当的医务人员，以启动医疗干预癫痫的介绍，并执行在预防癫痫相关的发病率和死亡率的基本作用。尽管有很好的装备来管理癫痫发作，没有文献存在关于他们的信心来识别，区分，或管理癫痫发作。方法：对澳大利亚昆士兰救护车服务的168名临床护理人员进行了在线横断面调查。该调查评估了护理人员在癫痫发作时的自信心。进行非参数Kruskal-Wallis h检验和事后两两比较，以评估与执业资格和服务年限相关的组间差异。结果：护理人员对全面性惊厥发作的识别和管理有信心，然而，对非惊厥、局灶性和心因性发作分类的信心较低。在各种癫痫发作表现要素中，重症护理护理人员比高级护理护理人员和研究生护理人员报告的自信心更高(p 结论：护理人员未来的教育和专业发展机会需要更加关注自信心的发展，并实施机制来增加护理人员接触广泛的癫痫发作表现。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Australasian Emergency Care Nursing-Emergency Nursing

CiteScore

3.30

自引率

5.60%

发文量

审稿时长

37 days

期刊介绍： Australasian Emergency Care is an international peer-reviewed journal dedicated to supporting emergency nurses, physicians, paramedics and other professionals in advancing the science and practice of emergency care, wherever it is delivered. As the official journal of the College of Emergency Nursing Australasia (CENA), Australasian Emergency Care is a conduit for clinical, applied, and theoretical research and knowledge that advances the science and practice of emergency care in original, innovative and challenging ways. The journal serves as a leading voice for the emergency care community, reflecting its inter-professional diversity, and the importance of collaboration and shared decision-making to achieve quality patient outcomes. It is strongly focussed on advancing the patient experience and quality of care across the emergency care continuum, spanning the pre-hospital, hospital and post-hospital settings within Australasia and beyond.