International Paramedic Practice最新文献

{"title":"American education","authors":"Scott A. Lancaster","doi":"10.12968/ippr.2019.9.4.75","DOIUrl":"https://doi.org/10.12968/ippr.2019.9.4.75","url":null,"abstract":"","PeriodicalId":158722,"journal":{"name":"International Paramedic Practice","volume":"36 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123171592","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":"Acceptability and effectiveness of a 3D virtual reality cardiovascular lesson","authors":"D. Kelly, M. O'Neill, B. Salaja, K. O'Mahony, M. Dixon","doi":"10.12968/ippr.2019.9.3.67","DOIUrl":"https://doi.org/10.12968/ippr.2019.9.3.67","url":null,"abstract":"The aim is to describe a preliminary pilot incorporating 3D virtual reality (VR) into a cardiovascular problem-based learning (PBL) lesson. A paramedic cohort of students (n=19) took part in a 12-lesson anatomy and physiology module. Multiple choice question results from the cardiovascular PBL lesson were compared with the multiple choice question results from other organ system PBL lessons. In addition, a questionnaire was answered by 15 students assessing acceptability of the lesson. The authors found that when students used VR materials, they achieved significantly better results compared with the non-VR lessons. Over 80% of students thought that VR-based PBL exercises brought the cardiovascular anatomy to life and was a useful learning tool. The use of VR in a PBL learning environment has a significant positive effect on the performance of the students and is valued by students as useful. It may therefore be beneficial to integrate VR-based learning into emergency medicine training.","PeriodicalId":158722,"journal":{"name":"International Paramedic Practice","volume":"37 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133986160","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":"Improving the quality and transparency of prehospital case reports using CARE","authors":"James Pearce, Paul Simpson","doi":"10.12968/ippr.2019.9.3.57","DOIUrl":"https://doi.org/10.12968/ippr.2019.9.3.57","url":null,"abstract":"Clinical case reports play an important role in supporting evidence-based paramedicine. When research on a topic is limited and there is no robust evidence, a case report may be the best available, especially for rare or unusual presentations or in novel clinical practice. Case reports in paramedicine journals are common. However, adherence to the published consensus-based reporting guideline is rare, which may weaken the evidence arising from this body of case report literature. There is a need for greater awareness of the structured reporting guideline for case reports, and for the development of a paramedicine-specific extension. The objectives of this paper are to: describe the current state of case reports in paramedicine; promote the adoption of an internationally accepted, consensus-based reporting guideline; and propose an extension to that guideline, adapted to the unique characteristics of prehospital practice.","PeriodicalId":158722,"journal":{"name":"International Paramedic Practice","volume":"33 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125547347","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":"Moral injury in paramedicine","authors":"Murray Esther","doi":"10.12968/ippr.2019.9.3.54","DOIUrl":"https://doi.org/10.12968/ippr.2019.9.3.54","url":null,"abstract":"World Mental Health Day took place on 10th October 2019. In this issue's comment, Esther Murray discusses the concept of moral injury and why it is becoming increasingly relevant to the modern-day paramedic.","PeriodicalId":158722,"journal":{"name":"International Paramedic Practice","volume":"23 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126727237","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":"Triage systems around the world: a historical evolution","authors":"Enrico Dippenaar","doi":"10.12968/IPPR.2019.9.3.61","DOIUrl":"https://doi.org/10.12968/IPPR.2019.9.3.61","url":null,"abstract":"The process of triaging patients has come a long way. Stemming from the battlefield, it is the ability to sort casualties on the severity of their injuries that has improved the allocation of resources. In modern emergency centres, there is a constant struggle to balance limited resources against the ever-growing patient need. Since the late 1980s, when triage became the mainstream standard for sorting patients, many different systems have developed throughout the world. There was a rise in triage system design as emergency centres became more streamlined and resource-conscious. Countries around the world sought to develop triage systems that would be most effective in their given setting—giving rise to multiple variations of the triage process. This narrative review will explore the evolution of triage systems around the world by presenting: a historical perspective, how and where modern systems developed, what the main characteristics are of different systems, and a discussion of the current state of triage system evolution.","PeriodicalId":158722,"journal":{"name":"International Paramedic Practice","volume":"10 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127466474","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":"Explore and evolve","authors":"A. Batt","doi":"10.12968/ippr.2019.9.3.53","DOIUrl":"https://doi.org/10.12968/ippr.2019.9.3.53","url":null,"abstract":"","PeriodicalId":158722,"journal":{"name":"International Paramedic Practice","volume":"55 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131092974","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":"A description of a unique paramedic role in a Canadian emergency department","authors":"Benjamin Clarke, S. Campbell, P. Froese, K. Mann","doi":"10.12968/IPPR.2019.9.2.28","DOIUrl":"https://doi.org/10.12968/IPPR.2019.9.2.28","url":null,"abstract":"Paramedics are known for their role in prehospital emergency medical services. In response to healthcare system overcrowding, and increased demands on emergency departments, roles for paramedics have emerged in hospitals. The authors describe a well established paramedic role in the emergency department of a busy regional referral centre, highlighting the successes and challenges of the programme. In this phenomenological study, six paramedics employed at the Charles V. Keating Emergency and Trauma Centre were interviewed. Interviews were analysed using thematic content analysis. Paramedics at the centre are involved in resuscitation, trauma, critical care transport, airway management, and procedural sedation. Performing procedural sedation is an important part of the role and is perhaps where paramedics have had their greatest impact within the department. The diverse scope of practice paramedics maintain at this centre allows them to work where the need is highest within the department, ultimately improving department flow.","PeriodicalId":158722,"journal":{"name":"International Paramedic Practice","volume":"41 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-06-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116606266","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":"A novel approach to problem-based learning in a paramedicine programme","authors":"Nicole Mitchell, Phillip Ebbs, Samantha Burbidge","doi":"10.12968/IPPR.2019.9.2.34","DOIUrl":"https://doi.org/10.12968/IPPR.2019.9.2.34","url":null,"abstract":"Many paramedicine, nursing and medicine programmes use problem-based learning (PBL) to help bridge the gap between clinical theory and real-world practice. This paper describes a novel approach to PBL that has been used in a large, university-based paramedicine programme. Over a 3-year period, an applied pharmacology tutorial was progressively redesigned by a cross-disciplinary team of practising paramedic, pharmacy and educational design academics. A multi-space approach to PBL is described in six stages. The pedagogical basis of the approach is examined. Strategies used within this subject are recommended for further evaluation and consideration.","PeriodicalId":158722,"journal":{"name":"International Paramedic Practice","volume":"17 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-06-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127984091","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":"Fit for duty: shedding light on paramedics' health via research methodologies","authors":"A. MacQuarrie, S. Whitfield","doi":"10.12968/IPPR.2019.9.2.47","DOIUrl":"https://doi.org/10.12968/IPPR.2019.9.2.47","url":null,"abstract":"An increase in capability and community expectation coupled with an increase in demand has placed both external and internal pressures on paramedics with discernible similarities between Australia and the UK (Armitage, 2010; Mahtani et al, 2018). Where paramedic performance is measured, paramedic wellbeing has been less considered (Gayton and Lovell, 2012). Ongoing caseloads, daily exposure to human suffering and continual shift extensions or missed meals can cause a physical and emotional toll \u0000(Armitage, 2010; Gayton and Lovell, 2012; Mahtani et al, 2018). \u0000A recent review of paramedicine personnel determined that paramedic stress and burnout \u0000are among the highest within the emergency service network when compared with police \u0000and fire (Maguire et al, 2014; Varker et al, 2018). Further data conclude that ongoing exposure to traumatic events coupled with broken rest can lead to psychological impairment (Bradford, 2002; McFarlane, 2010). \u0000Although resilience in paramedic staff is a testament to the profession’s character, the increasing operational demand, lack of apparent regard for operational fatigue management, and ongoing traumatic exposure will likely negatively impact paramedics’ capacity to respond with ideal performance (O’Meara and Boyle, 2008; Scully, 2011; Woollard, 2015). The question arises of how to measure these intrinsic factors in paramedics, which might be contributing to fatigue, decreased resilience, and burnout. \u0000The demands of paramedic job performance \u0000are influenced by a multitude of factors, many which have not received extensive attention in \u0000the literature. What is known is that the demands of this role can be physical, emotional (Blau et \u0000al, 2012) and cognitive (LeBlanc et al, 2005), with high rates of injury and many markers of poor health present in paramedics (Sterud et al, 2006; Studnek et al, 2010; Maguire et al, 2014). An as \u0000yet underexplored area are the links between job performance, physiological response and resilience. There is also growing evidence that paramedics risk developing work-related health problems such as post-traumatic stress disorder (PTSD) (Sterud et al, 2006; LeBlanc et al, 2011; Halpern et al, 2012) and may not have longevity in their career compared with other health occupations (Rodgers, 1998a; 1998b). This was the impetus for the ‘Fit for Duty’ research project recently completed by the lead author (SM) studying New South Wales (NSW) Ambulance paramedics in this region of Australia.","PeriodicalId":158722,"journal":{"name":"International Paramedic Practice","volume":"35 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-06-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125697748","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":"Second Emergency Medicine Congress in Byblos, Lebanon","authors":"N. Souaiby, Guillaume Alinier, C. Tawil","doi":"10.12968/IPPR.2019.9.2.50","DOIUrl":"https://doi.org/10.12968/IPPR.2019.9.2.50","url":null,"abstract":"","PeriodicalId":158722,"journal":{"name":"International Paramedic Practice","volume":"14 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-06-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115592349","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}