International Paramedic Practice最新文献_第4页

Vein cannulation success rates by German paramedics: a single-centre study 德国护理人员静脉插管成功率:一项单中心研究

International Paramedic Practice Pub Date : 2021-06-24 DOI: 10.12968/ippr.2021.11.2.35

Paulina Naklicka, L. Möckel, T. Hofmann

{"title":"Vein cannulation success rates by German paramedics: a single-centre study","authors":"Paulina Naklicka, L. Möckel, T. Hofmann","doi":"10.12968/ippr.2021.11.2.35","DOIUrl":"https://doi.org/10.12968/ippr.2021.11.2.35","url":null,"abstract":"Gaining intravenous (IV) access is vulnerable to errors and failure, and this study analysed IV procedures by paramedics in the federal state of Hesse in Germany to examine these. This was a single-centre, observational, pilot study survey on gaining vascular access. As well as identifying the success and failure rate of IV attempts, factors associated with a higher risk of failure were analysed using logistic regression, Χ2 or Fisher's exact test. A total of 207 vascular access attempts were included in the analysis, of which 90.34% were successful. Significantly associated with higher risk of failure were patients' age (OR 1.05; 95% (CI 1.02–1.10); p=0.041), or when two (OR 3.94; 95% CI (2.39–6.20); p≤0.001) or more than three attempts (OR: 3.26 [95% CI: 1.35; 5.17]; p=0.003) were needed rather than one. In contrast, risk of failure was significantly lower when patients indicate a good (OR 0.02; 95% CI (0.00–0.15); p≤0.001) or moderate (OR 0.04 (95% CI 0.01–0.17); p≤0.001) vein status compared to a bad vein status. Failure rates were higher when paramedics were working a night shift (OR 0.06; 95% CI (0.00–0.98); p=0.005) rather then during the day. A proportion of IV access attempts by paramedics are unsuccessful and, if paramedics are to provide invasive interventions, non-IV options for drug administration should be available.","PeriodicalId":158722,"journal":{"name":"International Paramedic Practice","volume":"60 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123155594","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: 1

Language and care 语言与关怀

International Paramedic Practice Pub Date : 2021-06-02 DOI: 10.12968/ippr.2021.11.2.34

J. Pearce

引用次数: 0

Focused ultrasound in out-of-hospital cardiac arrest by advanced paramedics 聚焦超声在院外心脏骤停中的应用

International Paramedic Practice Pub Date : 2021-06-02 DOI: 10.12968/JPAR.2021.13.6.232

N. Brown, R. Fothergill, I. McIntyre, M. Faulkner, T. Quinn

{"title":"Focused ultrasound in out-of-hospital cardiac arrest by advanced paramedics","authors":"N. Brown, R. Fothergill, I. McIntyre, M. Faulkner, T. Quinn","doi":"10.12968/JPAR.2021.13.6.232","DOIUrl":"https://doi.org/10.12968/JPAR.2021.13.6.232","url":null,"abstract":"This study describes and evaluates advanced paramedic practitioner (APP) use of focused cardiac ultrasound (FoCUS) in out-of-hospital cardiac arrest (OHCA), and relates ultrasound findings with decisions to terminate resuscitation. The authors report characteristics of patients who do/do not undergo a FoCUS examination by APPs, ultrasound probe positions used and whether FoCUS findings were associated with decisions to terminate resuscitation or to convey patients to an emergency department (ED) with ongoing resuscitation. A retrospective, observational cohort study of all adult medical OHCA patients attended by APPs in Greater London during 2018 was carried out using data from EMS and APP databases. Twenty-eight APPs attended 1444 OHCA patients in 2018, of whom 744 underwent FoCUS. The subcostal probe position was used most frequently (74%), followed by the parasternal long axis (19%), with significantly smaller use of the parasternal short axis and apical windows. Absence of spontaneous cardiac motion (SCM) was associated with resuscitation being terminated (333 out of 391; 85%) and the presence of SCM was associated with conveyance to the emergency department (213 out of 264 patients; 80%). All decisions to terminate resuscitation were within the APP scope of practice. The authors believe this is the largest prehospital study involving FoCUS in OHCA. An association between FoCUS findings and decisions made to either convey patients to hospital or terminate resuscitation was found. The SC window was most used and ROLE decisions were deemed to be in accordance with local guidance and practice.","PeriodicalId":158722,"journal":{"name":"International Paramedic Practice","volume":"271 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121426550","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

A review of cases received by the Nepal Ambulance Service over one year 对尼泊尔救护车服务一年来收到的案件的审查

International Paramedic Practice Pub Date : 2021-06-02 DOI: 10.12968/ippr.2021.11.2.40

Anna Rebekah Peskett, Jonathan Williams, K. Thapa

引用次数: 1

Physiological and psychological components of paramedic wellbeing 护理人员健康的生理和心理组成部分

International Paramedic Practice Pub Date : 2020-06-02 DOI: 10.12968/ippr.2020.10.2.33

B. Wheeler, Enrico Dippenaar

引用次数: 1

Closing the gaps: #AllLivesMatter 缩小差距:#所有生命都很重要

International Paramedic Practice Pub Date : 2020-06-02 DOI: 10.12968/ippr.2020.10.2.21

Aysha Mendes

引用次数: 1

Local socioeconomic status and paramedic students' academic performance 当地社会经济地位与护理学生的学习成绩

International Paramedic Practice Pub Date : 2020-06-02 DOI: 10.12968/ippr.2020.10.2.25

Lydia Hamel, Ashley Procum, J. Hunter, D. Gridley, K. O'Connor, Thomas Fentress, Christopher Goenner, S. Khalsa, A. Batt

{"title":"Local socioeconomic status and paramedic students' academic performance","authors":"Lydia Hamel, Ashley Procum, J. Hunter, D. Gridley, K. O'Connor, Thomas Fentress, Christopher Goenner, S. Khalsa, A. Batt","doi":"10.12968/ippr.2020.10.2.25","DOIUrl":"https://doi.org/10.12968/ippr.2020.10.2.25","url":null,"abstract":"Research indicates that students of lower socioeconomic status are educationally disadvantaged. This study sought to examine differences in paramedic students' academic performance from counties with varied socioeconomic status in the United States of America. Student performance data and socioeconomic status data were combined for counties within the states of California, Mississippi, Louisiana, Texas and Virginia. Linear multiple regression modelling was performed to determine the relationship between income, high school graduation rate, poverty and food insecurity, with first-attempt scores on the Fisdap Paramedic Readiness Exam versions 3 and 4. Linear regression models indicated that there was a significant relationship between county-level income, poverty, graduation rate, food insecurity, and paramedic student academic performance. It remains unclear what type of relationship exists between individual socioeconomic status and individual academic performance of paramedic students. These findings support the future collection of individual student socioeconomic data to identify issues and mitigate impact on academic performance.","PeriodicalId":158722,"journal":{"name":"International Paramedic Practice","volume":"138 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133173313","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

Orthostatic hypotension: the last 20 years 直立性低血压:近20年

International Paramedic Practice Pub Date : 2020-04-02 DOI: 10.12968/bjca.2020.0032

H. Cowan

引用次数: 0

Sir Roger Bannister: pioneer of the cardiovascular autonomic nervous system 罗杰·班尼斯特爵士:心血管自主神经系统的先驱

International Paramedic Practice Pub Date : 2020-01-02 DOI: 10.12968/bjca.2019.0136

H. Cowan

引用次数: 0

Thank you to our 2019 peer review panel 感谢我们2019年的同行评审小组

International Paramedic Practice Pub Date : 2019-12-02 DOI: 10.12968/ippr.2019.9.4.90

引用次数: 0