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Accreditor and employer experiences of emergency care CPD provision 提供紧急护理CPD的认证机构和雇主经验
International Paramedic Practice Pub Date : 2023-08-02 DOI: 10.12968/ippr.2023.13.3.42
Bradley Paul Sookram, R. Botha, Navindra Naidoo
{"title":"Accreditor and employer experiences of emergency care CPD provision","authors":"Bradley Paul Sookram, R. Botha, Navindra Naidoo","doi":"10.12968/ippr.2023.13.3.42","DOIUrl":"https://doi.org/10.12968/ippr.2023.13.3.42","url":null,"abstract":"Continuous professional development (CPD) accreditors and emergency care (EC) employers are indispensable in designing learning opportunities. However, there is a paucity of research about how they can contribute to and enhance CPD. This study explored accreditors and employers’ experiences of CPD provision and how it could be improved. Semi-structured interviews were conducted with accreditor and employer stakeholders. Data were subject to thematic analysis. Employers wanted to be more engaged in CPD decision-making and collaborate with the regulator. CPD lacked quality control mechanisms, accountability and responsibility. CPD formats, topics and types should be relevant and link theory to practice. Accreditors indicated that CPD guidelines should be revised and be specific to the Professional Board of Emergency Care, and the regulator should provide online CPD activities. CPD requires a multi-layered, multi-modal approach. To be effective and relevant, CPD requires collaboration between EC stakeholders, including accreditors, the employers, the regulator and practitioners over its the format and content.","PeriodicalId":158722,"journal":{"name":"International Paramedic Practice","volume":"38 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132958844","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
Out-of-hospital care for postpartum haemorrhage: a scoping review protocol 产后出血的院外护理:范围审查方案
International Paramedic Practice Pub Date : 2023-08-02 DOI: 10.12968/ippr.2023.13.3.51
Rachel Soh, Lucymarie Silvestri, A. Pearce, James Pearce
{"title":"Out-of-hospital care for postpartum haemorrhage: a scoping review protocol","authors":"Rachel Soh, Lucymarie Silvestri, A. Pearce, James Pearce","doi":"10.12968/ippr.2023.13.3.51","DOIUrl":"https://doi.org/10.12968/ippr.2023.13.3.51","url":null,"abstract":"Postpartum haemorrhage is an obstetric emergency with potential for rapid deterioration. It is one of the leading causes of maternal mortality worldwide. This risk is magnified in the resource-limited out-of-hospital setting, yet there is little knowledge regarding its management in these circumstances. The JBI scoping review methodology will be used. A comprehensive search strategy will be adopted to identify sources of literature that fit the inclusion criteria. Data will be extracted and reported in accordance with current best practice standards. This protocol will provide the framework to guide the review in identifying the scope, depth and key concepts in the topic of interest, as well as to identify gaps in knowledge regarding out-of-hospital care of the patient with postpartum haemorrhage. Information gathered can help inform clinical practitioners and the development of clinical practice guidelines. Gaps identified can be used to guide and facilitate further research.","PeriodicalId":158722,"journal":{"name":"International Paramedic Practice","volume":"53 ","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"113993422","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
On the move 在移动中
International Paramedic Practice Pub Date : 2023-08-02 DOI: 10.12968/ippr.2023.13.3.41
Guillaume Alinier
{"title":"On the move","authors":"Guillaume Alinier","doi":"10.12968/ippr.2023.13.3.41","DOIUrl":"https://doi.org/10.12968/ippr.2023.13.3.41","url":null,"abstract":"","PeriodicalId":158722,"journal":{"name":"International Paramedic Practice","volume":"36 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135065403","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
Technology commitment of emergency medical service practitioners and dispatchers 紧急医疗服务从业人员和调度员的技术承诺
International Paramedic Practice Pub Date : 2023-08-02 DOI: 10.12968/ippr.2023.13.3.59
Christian Elsenbast, V. Hagemann
{"title":"Technology commitment of emergency medical service practitioners and dispatchers","authors":"Christian Elsenbast, V. Hagemann","doi":"10.12968/ippr.2023.13.3.59","DOIUrl":"https://doi.org/10.12968/ippr.2023.13.3.59","url":null,"abstract":"Digitalization and artificial intelligence (AI) have entered the emergency medical service (EMS). Successful use of them depends on employees’ personal attitudes towards modern technology and its use. This study explored the technology commitment of EMS professionals, dispatchers and emergency physicians, including towards AI systems. To assess attitudes in the context of AI systems in EMS, employees were asked to answer an online questionnaire between October 2021 and March 2022. A total of 510 participants, including 184 EMS professionals, 199 dispatchers and 68 emergency physicians, participated. These professionals had moderate to high technology commitment values with minor differences. Technology commitment correlated negatively with age. Gender had no effect. The EMS provides fertile ground for AI systems. It is important to keep in mind that people with uncertainties and reservations need support. The scales in the questionnaire proved to be reliable and valid.","PeriodicalId":158722,"journal":{"name":"International Paramedic Practice","volume":"188 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121055703","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
CPR-induced consciousness (CPR-IC) out-of-hospital care: a scoping review protocol 院外护理:一项范围审查方案
International Paramedic Practice Pub Date : 2023-05-02 DOI: 10.12968/ippr.2023.13.2.27
Lucymarie Silvestri, Rachel Soh, Alexander Newton, James Pearce
{"title":"CPR-induced consciousness (CPR-IC) out-of-hospital care: a scoping review protocol","authors":"Lucymarie Silvestri, Rachel Soh, Alexander Newton, James Pearce","doi":"10.12968/ippr.2023.13.2.27","DOIUrl":"https://doi.org/10.12968/ippr.2023.13.2.27","url":null,"abstract":"Cardiopulmonary resuscitation-induced consciousness (CPR-IC) is an increasing phenomenon where patients in cardiac arrest receive sufficient brain perfusion to display signs of awareness during resuscitation. This is likely due to improvements in CPR, such as high-performance resuscitation and mechanical devices. CPR-IC has been shown to interfere with rescue efforts and may lead to psychological trauma in both patients and clinicians. It is often witnessed in the out-of-hospital environment, so is significant for practitioners working in this setting. While the phenomenon of CPR-IC has been recognised for several decades, there are many gaps in the literature and no consensus has been reached over its definition or management. The JBI scoping review methodology will be used to map the existing literature and identify the extent of clinical knowledge and any gaps regarding the management of CPR-IC in out-of-hospital cardiac arrest globally. A comprehensive electronic search strategy will be employed to source works that meet to the study’s inclusion criteria. Relevant data will then be extracted and presented in tabular form with narrative descriptions. CPR-IC is being seen more frequently and, because of its effects on resuscitation, more knowledge is required about appropriate management. This protocol provides the framework for a scoping review which will outline the extent of knowledge and identify areas requiring more research regarding out-of-hospital care of the patient with CPR-IC.","PeriodicalId":158722,"journal":{"name":"International Paramedic Practice","volume":"47 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134061403","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
CPR-induced consciousness (CPR-IC) out-of-hospital care: a scoping review protocol 院外护理:一项范围审查方案
International Paramedic Practice Pub Date : 2023-05-02 DOI: 10.12968/ippr.2023.13.2.8
Lucymarie Silvestri, Rachel Soh, Alexander Newton, James Pearce
{"title":"CPR-induced consciousness (CPR-IC) out-of-hospital care: a scoping review protocol","authors":"Lucymarie Silvestri, Rachel Soh, Alexander Newton, James Pearce","doi":"10.12968/ippr.2023.13.2.8","DOIUrl":"https://doi.org/10.12968/ippr.2023.13.2.8","url":null,"abstract":"Introduction: Cardiopulmonary resuscitation-induced consciousness (CPR-IC) is an increasing phenomenon where patients in cardiac arrest receive sufficient brain perfusion to display signs of awareness during resuscitation. This is likely due to improvements in CPR, such as high-performance resuscitation and mechanical devices. CPR-IC has been shown to interfere with rescue efforts and may lead to psychological trauma in both patients and clinicians. It is often witnessed in the out-of-hospital environment, so is significant for practitioners working in this setting. While the phenomenon of CPR-IC has been recognised for several decades, there are many gaps in the literature and no consensus has been reached over its definition or management. Methods: The JBI scoping review methodology will be used to map the existing literature and identify the extent of clinical knowledge and any gaps regarding the management of CPR-IC in out-of-hospital cardiac arrest globally. A comprehensive electronic search strategy will be employed to source works that meet to the study's inclusion criteria. Relevant data will then be extracted and presented in tabular form with narrative descriptions. Discussion: CPR-IC is being seen more frequently and, because of its effects on resuscitation, more knowledge is required about appropriate management. This protocol provides the framework for a scoping review which will outline the extent of knowledge and identify areas requiring more research regarding out-of-hospital care of the patient with CPR-IC.","PeriodicalId":158722,"journal":{"name":"International Paramedic Practice","volume":"156 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135270563","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
Factors associated with asthma and allergies in prehospital practitioners 院前从业人员哮喘和过敏相关因素
International Paramedic Practice Pub Date : 2023-05-02 DOI: 10.12968/ippr.2023.13.2.33
Luis Möckel, C. Arnold, Tobias May, L. Maass, Thomas Hofmann, C. Möckel
{"title":"Factors associated with asthma and allergies in prehospital practitioners","authors":"Luis Möckel, C. Arnold, Tobias May, L. Maass, Thomas Hofmann, C. Möckel","doi":"10.12968/ippr.2023.13.2.33","DOIUrl":"https://doi.org/10.12968/ippr.2023.13.2.33","url":null,"abstract":"This analysis was carried out to identify factors associated with asthma and allergies in prehospital emergency medical services staff in Germany over a 12-month period. Multivariable logistic regression analysis was applied and adjusted odds ratios (AOR) with corresponding 95% confidence intervals (95% CI) were calculated. In total, 2313 prehospital emergency medical services staff from Germany were included into the analysis. Women had the highest prevalence of asthma (12.28%) and allergies (40.61%). Asthma was significantly associated with gender, with lower odds for male (AOR 0.60; 95% CI [0.45-0.81]) than female practitioners. Allergies were significantly associated with: gender (male: AOR: 0.57; 95% CI (0.47-0.70)); smoking status (smokers: AOR: 0.79 (95% CI (0.62-0.99)); and role (trainees: AOR 1.37; 95% CI (1.06-1.78)). There is a high 12-month prevalence of asthma and allergies in certain groups of prehospital emergency practitioners in Germany and this is associated with several factors.","PeriodicalId":158722,"journal":{"name":"International Paramedic Practice","volume":"18 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125048513","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
Is a fever always a fever? Early assessment of malaria for the remote paramedic 发烧总是发烧吗?为远程护理人员提供疟疾的早期评估
International Paramedic Practice Pub Date : 2023-05-02 DOI: 10.12968/ippr.2023.13.2.39
Aebhric O'Kelly
{"title":"Is a fever always a fever? Early assessment of malaria for the remote paramedic","authors":"Aebhric O'Kelly","doi":"10.12968/ippr.2023.13.2.39","DOIUrl":"https://doi.org/10.12968/ippr.2023.13.2.39","url":null,"abstract":"For the paramedic working in malaria-endemic regions, it is imperative to remain aware of the latest assessment, treatment, management and vaccine options for the casualty suffering from malaria. In this first Remote and Offshore column, Aebhric O'Kelly brings readers up to date.","PeriodicalId":158722,"journal":{"name":"International Paramedic Practice","volume":"10 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114978705","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
Remote paramedics 远程护理人员
International Paramedic Practice Pub Date : 2023-05-02 DOI: 10.12968/ippr.2023.13.2.26
Aebhric O'Kelly
{"title":"Remote paramedics","authors":"Aebhric O'Kelly","doi":"10.12968/ippr.2023.13.2.26","DOIUrl":"https://doi.org/10.12968/ippr.2023.13.2.26","url":null,"abstract":"","PeriodicalId":158722,"journal":{"name":"International Paramedic Practice","volume":"9 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130894238","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
Paramedic education in Qatar as seen by academics from Turkey 从土耳其学者的角度看卡塔尔的护理教育
International Paramedic Practice Pub Date : 2023-02-02 DOI: 10.12968/ippr.2023.13.1.2
Songül Demir, Zahide Tunçbilek, Vernon Naidoo, Timothy Morris, Guillaume Alinier
{"title":"Paramedic education in Qatar as seen by academics from Turkey","authors":"Songül Demir, Zahide Tunçbilek, Vernon Naidoo, Timothy Morris, Guillaume Alinier","doi":"10.12968/ippr.2023.13.1.2","DOIUrl":"https://doi.org/10.12968/ippr.2023.13.1.2","url":null,"abstract":"Prehospital emergency health services play an important role in reducing mortality and morbidity by providing the necessary medical interventions at the scene and during patient transportation to hospital. The effectiveness of prehospital health services depends greatly on having a sufficient number of an appropriately trained professional workforce and vehicles always ready to rapidly respond to any medical and trauma-related emergency. Most countries around the world have some form of prehospital system employing paramedics in the broad sense of the term, but their required level of education and resources available to them varies greatly. In this article, we will present our observations from a visit conducted in January 2020 to Hamad Medical Corporation Ambulance Service and the then called College of the North Atlantic Qatar, with a focus on paramedic education and describe how it compares to Turkey.","PeriodicalId":158722,"journal":{"name":"International Paramedic Practice","volume":"13 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-02-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126536384","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
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