International Paramedic Practice最新文献_第3页

Identifying cardiac activity using focused ultrasound in non-shockable arrests 用聚焦超声在非休克性骤停中识别心脏活动

International Paramedic Practice Pub Date : 2022-07-02 DOI: 10.12968/ippr.2022.12.2.29

E. Sanders, Enrico Dippenaar

{"title":"Identifying cardiac activity using focused ultrasound in non-shockable arrests","authors":"E. Sanders, Enrico Dippenaar","doi":"10.12968/ippr.2022.12.2.29","DOIUrl":"https://doi.org/10.12968/ippr.2022.12.2.29","url":null,"abstract":"Each year, around 60 000 people in the UK experience an out-of-hospital cardiac arrest. The introduction of additional diagnostic tools such as focused cardiac ultrasound (FoCUS) aids assessment and management of patients at the point of care. The Resuscitation Council guidance recommends its use where possible. A systematic literature search was undertaken of two databases, PubMed and Science Direct primarily to identify literature relevant to the use of ultrasound in medical cardiac arrests where the prevailing cardiac rhythm was non-shockable. A total of 10 papers were included in the review out of 242 identified from the search. Across all papers, three themes were identified: prognostication, identification of reversible causes and true pulseless electrical activity (PEA) versus pseudo PEA. The evidence shows there is an association between cardiac activity identified with FoCUS and an increase in return of spontaneous circulation (ROSC) rates. The effect of FoCUS for improving survival is not statistically significant; however, there is a higher likelihood of survival because of its ability to aid decision making. Patients with cardiac motion identified by FoCUS had higher ROSC rates than those without. Although the data suggest that the presence of cardiac activity is highly associated with ROSC, there is little literature surrounding long-term outcomes of patients, so the ability of FoCUS to determine survival cannot be confirmed.","PeriodicalId":158722,"journal":{"name":"International Paramedic Practice","volume":"17 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125251803","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

Paramedics Connecting Through Applied Research (Paramedics CARe) Conference Canada 2021 护理人员通过应用研究连接(护理人员护理)会议2021加拿大

International Paramedic Practice Pub Date : 2022-03-02 DOI: 10.12968/ippr.2022.12.1.2

P. Morita, Arlene Oetomo, Ron Bowles

引用次数: 0

Pharmaceutical and therapeutic interventions for anxiety in terminal illness 晚期疾病焦虑的药物和治疗干预

International Paramedic Practice Pub Date : 2022-03-02 DOI: 10.12968/ippr.2022.12.1.8

C. Williams, Enrico Dippenaar

{"title":"Pharmaceutical and therapeutic interventions for anxiety in terminal illness","authors":"C. Williams, Enrico Dippenaar","doi":"10.12968/ippr.2022.12.1.8","DOIUrl":"https://doi.org/10.12968/ippr.2022.12.1.8","url":null,"abstract":"Anxiety is a sensation where the human body reacts to a range of emotions in an adverse way, leading to symptoms of nervousness, anxiousness and excessive fear. Anxiety disorders arise in patients who are receiving end-of-life care for multiple reasons, including confronting mortality and having to accept a change in lifestyle. Therefore, a vital part of managing the symptoms of patients who are terminally ill is ensuring they receive the most appropriate intervention for these disorders, whether that be pharmaceutical or a non-pharmaceutical therapy. A rapid literature search was conducted between 20 February 2021 and 3 March 2021 through two main online databases (CINAHL Plus and PsycInfo). A total of 848 entries matched the search criteria and, after screening, seven papers were collated and used within this review. All pharmacological interventions were shown to reduce anxiety-related symptoms in patients receiving end-of-life care. Most non-pharmaceutical therapeutic interventions showed some effects, including significant reductions in symptoms when evaluated against the Hospital Anxiety and Depression Scale or individual disclosure of improvements in quality of life. While none of the studies in this review directly compared pharmacological with non-pharmacological therapeutic interventions, both can improve end-of-life care for terminally ill patients. When treating patients diagnosed with a terminal illness who are receiving palliative care, their prognosis, time frame and personal wishes are key aspects to consider when deciding on the most appropriate management strategy for anxiety disorders.","PeriodicalId":158722,"journal":{"name":"International Paramedic Practice","volume":" 17","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-03-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"120831250","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

Preparation for traumatic events prior to exposure for service personnel 服务人员在暴露前为创伤性事件做准备

International Paramedic Practice Pub Date : 2022-03-02 DOI: 10.12968/ippr.2022.12.1.17

Kristin A Griffith, F. Lewis, Zainab Alzawad

{"title":"Preparation for traumatic events prior to exposure for service personnel","authors":"Kristin A Griffith, F. Lewis, Zainab Alzawad","doi":"10.12968/ippr.2022.12.1.17","DOIUrl":"https://doi.org/10.12968/ippr.2022.12.1.17","url":null,"abstract":"Military personnel, first responders and health professionals on the front line of service are at risk of being exposed to non-mutable traumatic events. However, their professional education and training do not typically include ways to minimise their distress caused by witnessing a future trauma. The purpose of this scoping systematic review is to analyse the impact of intervention studies on measures of psychobehavioural adjustment to exposure to a future traumatic event. A systematic search was conducted using PubMed, CINAHL, PsycINFO and the Cochrane Library plus a hand search of five journals, including Military Medicine and Journal of Trauma. A total of 100 articles from an initial pool of 15 306 were assessed for inclusion on criteria and 10 manuscripts meeting the inclusion criteria were evaluated. Interventions focused on combating stress, relaxation techniques, resilience training, psychological skills training, preventing psychological morbidity or post-traumatic stress disorder, and stress management skills. Only 50% of the interventions significantly changed any outcomes. Studies had multiple methodological limitations including a limited number of training hours, trial bias, statistically underpowered designs, short follow-up periods and using inconsistent methods and measures to assessed impact. The paucity of preparatory intervention studies shows there is an urgent need for future research.","PeriodicalId":158722,"journal":{"name":"International Paramedic Practice","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-03-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131059813","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

Case reports 案例报告

International Paramedic Practice Pub Date : 2022-03-02 DOI: 10.12968/ippr.2022.12.1.1

J. Pearce

引用次数: 0

Emergency practitioners' motivations and acceptance of COVID-19 vaccination 急诊医生对COVID-19疫苗接种的动机和接受程度

International Paramedic Practice Pub Date : 2021-12-02 DOI: 10.12968/ippr.2021.11.4.90

Nate Andrews, Jackson D Déziel

引用次数: 0

Considerations on out-of-hospital pain assessment of a diverse population 院外疼痛评估对不同人群的影响

International Paramedic Practice Pub Date : 2021-12-02 DOI: 10.12968/ippr.2021.11.4.99

Guillaume Alinier, Enrico Dippenaar, P. Gangaram

引用次数: 0

Trauma education and training for healthcare providers: a scoping review 医疗保健提供者的创伤教育和培训:范围审查

International Paramedic Practice Pub Date : 2021-12-02 DOI: 10.12968/ippr.2021.11.4.103

Abdullah Alshamrani, Talal AlShammari, B. Williams

{"title":"Trauma education and training for healthcare providers: a scoping review","authors":"Abdullah Alshamrani, Talal AlShammari, B. Williams","doi":"10.12968/ippr.2021.11.4.103","DOIUrl":"https://doi.org/10.12968/ippr.2021.11.4.103","url":null,"abstract":"Every six seconds, someone in the world dies because of injury. Trauma is a major public health problem and leads to significant mortality and morbidity worldwide. Healthcare provider training can affect patient outcomes; therefore, it is useful to examine the efficacy of trauma training programmes. This scoping review aimed to determine the impact of trauma training or education on healthcare providers' confidence. Ovid MEDLINE, Ovid Embase, Ovid Emcare, CINAHL, Scopus, Google Scholar and Trove were systematically searched on 7 August 2021, and a methodology adopted to ensure the scoping review was comprehensive. A total of 749 articles were retrieved, of which 15 were eligible for the scoping review. After the articles were analysed, two themes—knowledge and experience—were identified. Knowledge improved from attending courses. However, knowledge retention fell over time. Participants reported that their confidence improved after attending courses, but an inverted correlation was observed between experience and knowledge. Trauma training courses improve the confidence of healthcare providers. However, these courses should be conducted regularly and trainees observed to assess their confidence. Further studies should be conducted to evaluate the effect of these courses on practitioner confidence.","PeriodicalId":158722,"journal":{"name":"International Paramedic Practice","volume":"488 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133046260","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

Equity in care 护理公平

International Paramedic Practice Pub Date : 2021-09-02 DOI: 10.12968/ippr.2021.11.3.59

Aysha Mendes

引用次数: 0

Cardiac syncope: lessons learned from Sir Roger Bannister's textbook 心脏性晕厥:从罗杰·班尼斯特爵士的教科书中学到的教训

International Paramedic Practice Pub Date : 2021-09-02 DOI: 10.12968/ippr.2021.11.3.86

H. Cowan

引用次数: 0