{"title":"Placement expectations","authors":"Ellie Workman","doi":"10.12968/jpar.2024.16.4.170","DOIUrl":"https://doi.org/10.12968/jpar.2024.16.4.170","url":null,"abstract":"Now in her second year, Ellie Workman reflects back on her first placement and how exposed she felt, as well as how far she's come and what she has learned along the way","PeriodicalId":136781,"journal":{"name":"Journal of Paramedic Practice","volume":"25 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140753641","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":"Support from advanced practitioners in critical care for ankle fracture dislocation","authors":"Craig Morrison, Linda Renfrew, Ryan McHenry","doi":"10.12968/jpar.2024.16.4.140","DOIUrl":"https://doi.org/10.12968/jpar.2024.16.4.140","url":null,"abstract":"Analgesic imitations, under-recognition of injury severity and delayed restoration of neutral alignment are common problems around ankle fracture dislocation (AFD). Optimal prehospital management improves long-term outcomes. This study aimed to explore ambulance clinicians' experiences of AFD incidents when supported by advanced practitioners in critical care (APCCs). Semi-structured online interviews were conducted. Data sets were coded and grouped to identify themes via thematic content analysis. Six clinicians agreed to take part (response rate 42%). AFDs were encountered infrequently (once per year). Four themes were identified: clinicians' confidence in managing AFD; value-added role of APCCs; prehospital challenges; and reflections on the incident. Benefits of the APCC role include enhanced technical skills, including in ankle reduction and analgesia, and in non-technical skills, such as leadership and decision-making. Improvements in clinician recognition and management of AFD and better awareness of the APCC role are recommended, as is research on optimal prehospital AFD management.","PeriodicalId":136781,"journal":{"name":"Journal of Paramedic Practice","volume":"62 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140751694","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":"Perceptions of establishing advanced life support for out-of-hospital cardiac arrest","authors":"Craig Wilkins","doi":"10.12968/jpar.2024.16.4.148","DOIUrl":"https://doi.org/10.12968/jpar.2024.16.4.148","url":null,"abstract":"Establishing advanced life support (ALS) in out-of-hospital cardiac arrest (OHCA) is a demanding part of the paramedic role. While aspects of these patients' care have been well researched, examination of how the full ALS bundle is completed is lacking. This study aims to explore paramedics' experience of establishing ALS in OHCA through individual semi-structured interviews to identify potential themes and transferable learning. Findings in the areas of dispatch, en-route planning and on-scene care as well as around training were identified through thematic analysis. There are several issues on which individuals and organisations can critically reflect to improve practice.","PeriodicalId":136781,"journal":{"name":"Journal of Paramedic Practice","volume":"26 13","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140753918","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":"Settling into a new pace","authors":"Jennifer Green","doi":"10.12968/jpar.2024.16.4.172","DOIUrl":"https://doi.org/10.12968/jpar.2024.16.4.172","url":null,"abstract":"As more paramedics transition across various roles, Band 6 paramedic, Jennifer Green shares her journey in a monthly column, as she navigates the ups and downs of attempting to make her way from the comfort of the ambulance setting into general practice","PeriodicalId":136781,"journal":{"name":"Journal of Paramedic Practice","volume":"20 19","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140753823","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":"ECG case series for paramedics: April 2024","authors":"Charles Bloe","doi":"10.12968/jpar.2024.16.4.138","DOIUrl":"https://doi.org/10.12968/jpar.2024.16.4.138","url":null,"abstract":"","PeriodicalId":136781,"journal":{"name":"Journal of Paramedic Practice","volume":"117 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140754975","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":"Prepping for practice","authors":"Alice Cochrane","doi":"10.12968/jpar.2024.16.4.171","DOIUrl":"https://doi.org/10.12968/jpar.2024.16.4.171","url":null,"abstract":"In her second column, Alice Cochrane is preparing to put on her paramedic epaulettes","PeriodicalId":136781,"journal":{"name":"Journal of Paramedic Practice","volume":"2 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140754860","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":"Classroom to escape room: an innovative experience to prepare and test students","authors":"Rebecca Colthup, Amanda Ross","doi":"10.12968/jpar.2024.16.1.26","DOIUrl":"https://doi.org/10.12968/jpar.2024.16.1.26","url":null,"abstract":"Paramedicine is a rapidly evolving profession and teaching strategies need to be creative and forward thinking to meet the ever-changing demands of the role. Educational escape rooms incorporate a variety of learning environments in which students participate in a range of simulation-based activities based on solving puzzles and retrieving codes, which result in finding a prize. A mixed methods action research study was undertaken to ascertain whether an escape room approach can increase engagement and attainment in year-one paramedic science degree students at a UK university. The results showed that 100% (n=52) stated they would recommend this activity, 100% (n=52) agreed it helped them to review their teamwork skills and 98% (n=51) said that it improved their communication techniques. Non-technical skills enable the development of technical skills and knowledge within the workplace and are an overarching factor in providing good practice and reducing errors. An escape room approach is arguably an effective teaching method when the activities are based on learning outcomes.","PeriodicalId":136781,"journal":{"name":"Journal of Paramedic Practice","volume":"83 9","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139390514","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}