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Irish Journal of Paramedicine最新文献

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Clinical presentations and practitioner levels appropriate for the introduction of ‘Treat and Referral’ into the Irish Emergency Medical Service: A survey of Consultants in emergency medicine. 适合在爱尔兰紧急医疗服务中引入"治疗和转诊"的临床表现和从业人员水平:对急诊医学顾问的调查。
Irish Journal of Paramedicine Pub Date : 2020-12-11 DOI: 10.32378/ijp.v5i1.233
B. Power, J. Ryan, G. Bury
{"title":"Clinical presentations and practitioner levels appropriate for the introduction of ‘Treat and Referral’ into the Irish Emergency Medical Service: A survey of Consultants in emergency medicine.","authors":"B. Power, J. Ryan, G. Bury","doi":"10.32378/ijp.v5i1.233","DOIUrl":"https://doi.org/10.32378/ijp.v5i1.233","url":null,"abstract":"Objectives: Overcrowding in emergency departments (EDs) is an international issue and ambulance bypass is seen as one element of the solution to a complex problem. Irish EDs are not immune to this healthcare crisis, which, together with increased off-load delays for ambulances, is one catalyst for the introduction of Treat and Referral (paramedic non-ED disposition decision).  The confidence of consultants in emergency medicine in paramedics and advanced paramedics offering Treat and Referral to patients presenting with hypoglycaemia or seizure was explored.  Other specific clinical presentations were also investigated for suitability for Treat and Referral and a consensus was sought on an upper age limit for such patients.    Methods: Public-sector consultants in emergency medicine in Ireland at the time of the study, were invited to complete an online survey.  A 62% response was received from the targeted population. Results: Confidence was expressed in advanced paramedics offering Treat and Referral to patients with hypoglycaemia or seizure by the majority (78%) of respondents. However, confidence was reduced for paramedics (53%). Six of the twelve specific clinical presentations received clear support as suitable for Treat and Referral, with the remaining receiving reducing support and ‘falls in the elderly (without injury)’ was opposed.  There was no consensus on an upper age limit for patients being offered Treat and Referral. Conclusions: Support for the highest level of EMS practitioner in Ireland, advanced paramedic, to expand their scope of practice to include Treat and Referral was identified.  Clinical presentations have been identified that would be conducive to a Treat and Referral clinical care pathway.  A trial implementation period may be essential to build confidence in the programme before a universal roll out.","PeriodicalId":367364,"journal":{"name":"Irish Journal of Paramedicine","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-12-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129579503","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
Wellbeing series: Meditation for paramedics 健康系列:护理人员冥想
Irish Journal of Paramedicine Pub Date : 2019-09-10 DOI: 10.32378/ijp.v4i2.212
Marc Colbeck
{"title":"Wellbeing series: Meditation for paramedics","authors":"Marc Colbeck","doi":"10.32378/ijp.v4i2.212","DOIUrl":"https://doi.org/10.32378/ijp.v4i2.212","url":null,"abstract":"In this wellbeing series we present practical advice for prehospital care providers, responders, and other shift workers. These articles are produced by experts in their field. Many of these topics were presented at the Irish College of Paramedics Wellbeing Symposium in University College Cork in May 2019.","PeriodicalId":367364,"journal":{"name":"Irish Journal of Paramedicine","volume":"30 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133510083","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
Wellbeing series: Empathy and paramedic wellbeing 健康系列:同理心和护理人员的健康
Irish Journal of Paramedicine Pub Date : 2019-09-09 DOI: 10.32378/ijp.v4i2.210
A. Batt
{"title":"Wellbeing series: Empathy and paramedic wellbeing","authors":"A. Batt","doi":"10.32378/ijp.v4i2.210","DOIUrl":"https://doi.org/10.32378/ijp.v4i2.210","url":null,"abstract":"In this wellbeing series we present practical advice for prehospital care providers, responders, and other shift workers. These articles are produced by experts in their field. Many of these topics were presented at the Irish College of Paramedics Wellbeing Symposium in University College Cork in May 2019. ","PeriodicalId":367364,"journal":{"name":"Irish Journal of Paramedicine","volume":"42 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128621766","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
Wellbeing Series: Sleep practices for shift worker 健康系列:轮班工人的睡眠练习
Irish Journal of Paramedicine Pub Date : 2019-09-07 DOI: 10.32378/ijp.v4i2.204
M. Varghese
{"title":"Wellbeing Series: Sleep practices for shift worker","authors":"M. Varghese","doi":"10.32378/ijp.v4i2.204","DOIUrl":"https://doi.org/10.32378/ijp.v4i2.204","url":null,"abstract":"In this wellbeing series we present practical advice for prehospital care providers, responders, and all shift workers. These articles are produced by experts in their field. Many of these topics were presented at the Irish College of Paramedics Wellbeing Symposium in University College Cork in May 2019.","PeriodicalId":367364,"journal":{"name":"Irish Journal of Paramedicine","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-09-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124135376","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
Wellbeing Series: Shifting the Focus to Nutrition 健康系列:将焦点转向营养
Irish Journal of Paramedicine Pub Date : 2019-09-07 DOI: 10.32378/ijp.v4i2.200
G. Kent
{"title":"Wellbeing Series: Shifting the Focus to Nutrition","authors":"G. Kent","doi":"10.32378/ijp.v4i2.200","DOIUrl":"https://doi.org/10.32378/ijp.v4i2.200","url":null,"abstract":"In this wellbeing series we present practical advice for prehospital care providers, responders, and other shift workers. These articles are produced by experts in their field. Many of these topics were presented at the Irish College of Paramedics Wellbeing Symposium in University College Cork in May 2019.","PeriodicalId":367364,"journal":{"name":"Irish Journal of Paramedicine","volume":"125 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-09-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115753700","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
Wellbeing Series: Building Mental Health Resilience for Emergency Personnel 健康系列:建立应急人员的心理健康应变能力
Irish Journal of Paramedicine Pub Date : 2019-09-07 DOI: 10.32378/ijp.v4i2.202
S. Gallagher
{"title":"Wellbeing Series: Building Mental Health Resilience for Emergency Personnel","authors":"S. Gallagher","doi":"10.32378/ijp.v4i2.202","DOIUrl":"https://doi.org/10.32378/ijp.v4i2.202","url":null,"abstract":"In this wellbeing series we present practical advice for prehospital care providers, responders, and other shift workers. These articles are produced by experts in their field. Many of these topics were presented at the Irish College of Paramedics Wellbeing Symposium in University College Cork in May 2019","PeriodicalId":367364,"journal":{"name":"Irish Journal of Paramedicine","volume":"87 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-09-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121154263","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
Wellbeing Series: Compassion Fatigue. 健康系列:同情疲劳。
Irish Journal of Paramedicine Pub Date : 2019-09-07 DOI: 10.32378/ijp.v4i2.206
J. Reidy
{"title":"Wellbeing Series: Compassion Fatigue.","authors":"J. Reidy","doi":"10.32378/ijp.v4i2.206","DOIUrl":"https://doi.org/10.32378/ijp.v4i2.206","url":null,"abstract":"In this wellbeing series we present practical advice for prehospital care providers, responders, and other shift workers. These articles are produced by experts in their field. Many of these topics were presented at the Irish College of Paramedics Wellbeing Symposium in University College Cork in May 2019.","PeriodicalId":367364,"journal":{"name":"Irish Journal of Paramedicine","volume":"517 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-09-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123098588","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
Wellbeing Series: The patient is ready for you…but are you ready for the patient? The health status of paramedics and its effect on job performance. 健康系列:病人为你做好了准备，但你为病人做好准备了吗?护理人员健康状况及其对工作绩效的影响。
Irish Journal of Paramedicine Pub Date : 2019-09-05 DOI: 10.32378/ijp.v4i2.208
A. MacQuarrie
{"title":"Wellbeing Series: The patient is ready for you…but are you ready for the patient? The health status of paramedics and its effect on job performance.","authors":"A. MacQuarrie","doi":"10.32378/ijp.v4i2.208","DOIUrl":"https://doi.org/10.32378/ijp.v4i2.208","url":null,"abstract":"In this wellbeing series we present practical advice for prehospital care providers, responders, and other shift workers. These articles are produced by experts in their field. Many of these topics were presented at the Irish College of Paramedics Wellbeing Symposium in University College Cork in May 2019.","PeriodicalId":367364,"journal":{"name":"Irish Journal of Paramedicine","volume":"92 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134433614","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
The influence of paramedic qualification level on the administration of analgesia in the prehospital setting 院前护理人员资质水平对镇痛给药的影响
Irish Journal of Paramedicine Pub Date : 2019-09-05 DOI: 10.32378/ijp.v4i2.187
B. Lord, Toby Keene, C. Luck
{"title":"The influence of paramedic qualification level on the administration of analgesia in the prehospital setting","authors":"B. Lord, Toby Keene, C. Luck","doi":"10.32378/ijp.v4i2.187","DOIUrl":"https://doi.org/10.32378/ijp.v4i2.187","url":null,"abstract":"BackgroundUndertreatment of pain has been reported in the paramedic literature, and reasons for these disparities are not well understood.AimsAs the qualification level of the paramedic may affect analgesia administration, the primary aim of this study was to determine the impact of paramedic qualification on the provision of any analgesia for patients reporting pain.MethodsRetrospective study of de-identified patient care records from one Australian ambulance service over a period of 6 months. Inclusion criteria were age was > 17 years, initial pain severity score was > 3/10 and Glasgow Coma Score >13. Data were descriptively analysed for analgesia administration and type of analgesic by predictor variables: age, sex, pain score and case nature. Pearson’s chi-square test was used to test for associations between the outcome of interest and predictor variables. Adjusted logged odds of patients receiving analgesia was tested with binomial logistic regression.Findings3173 patient records met the inclusion criteria. ICP treated 86% of the sample population. Of those treated by an AP, 76.2% (n=340) received analgesia, whereas 71.6% (n=1952) of patients treated by an ICP received analgesia (p=0.042). Methoxyflurane was the most frequently administered analgesic, with 39.9% of the patients (n=1,264) receiving this agent; 31.1% of patients (n=988) received morphine, and 14.2% (n=452) received fentanyl. The unadjusted regression model found that AP have higher odds of administering analgesia than ICP paramedics (OR 1.264, p <0.05). However, once other covariates are included in the logistic regression, the significance no longer exists.ConclusionParamedic qualification is not associated with the administration of analgesia in this setting. This study contributes to the gap in knowledge regarding disparities in analgesia for adults experiencing pain and may inform future research that aims to identify and reduce barriers to appropriate pain management in the paramedic practice setting.","PeriodicalId":367364,"journal":{"name":"Irish Journal of Paramedicine","volume":"68 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129694484","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
Interprofessional Role of Cadaver Laboratory Experience in Paramedic Education at Creighton University 尸体实验室经验在克赖顿大学护理教育中的跨专业作用
Irish Journal of Paramedicine Pub Date : 2019-09-05 DOI: 10.32378/ijp.v4i2.179
William J Leggio, Joseph Lippert, I. Kozlowski, A. Meyer, M. L. Miller, E. Ernest
{"title":"Interprofessional Role of Cadaver Laboratory Experience in Paramedic Education at Creighton University","authors":"William J Leggio, Joseph Lippert, I. Kozlowski, A. Meyer, M. L. Miller, E. Ernest","doi":"10.32378/ijp.v4i2.179","DOIUrl":"https://doi.org/10.32378/ijp.v4i2.179","url":null,"abstract":"This brief report introduces and provides a reflection on the interprofessional role of an annual cadaver laboratory experience in the paramedic program at Creighton University, United States. Similar experiences in paramedic education have been noted to be beneficial in increasing paramedic student’s knowledge of anatomy and ability to perform procedures. Learners that participated in this report and reflection reported gains in their education and appreciation of other professions that support previous research on the topic and the value of this distinct experience. ","PeriodicalId":367364,"journal":{"name":"Irish Journal of Paramedicine","volume":"48 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123319153","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
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