{"title":"A Brief Analysis of Trends in Prehospital Care Services and a Vision for the Future","authors":"M. Chilton","doi":"10.33151/ajp.2.1.252","DOIUrl":"https://doi.org/10.33151/ajp.2.1.252","url":null,"abstract":"Introduction William Roush describes an Emergency Medical Service (EMS) system (ambulance service) as consisting of a “communications mechanism to initiate a response, a vehicle with personnel to provide treatment and transport, and a receiving facility to take the patient to.” This definition is one that may be largely valid today but may not be so in the future. Current influences on ambulance services as systems, and the role of the ambulance paramedic as a practitioner, are likely to result in a modification of this definition in this country in the future, based on the concept of the public health model. One such example is the provision of care without transport, or referral to an alternative primary care provider. This paper discusses the application of a framework for identifying and examining these influences.","PeriodicalId":55865,"journal":{"name":"Australasian Journal of Paramedicine","volume":"2 1","pages":"1 - 6"},"PeriodicalIF":0.0,"publicationDate":"2004-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69510681","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":"Biphasic versus Monophasic Shocks for External Defibrillation in the Prehospital Setting","authors":"P. Jennings","doi":"10.33151/ajp.2.3.296","DOIUrl":"https://doi.org/10.33151/ajp.2.3.296","url":null,"abstract":"This article looks at the difference between biphasic and monophasic shocks for external defibrillation in the prehospital setting","PeriodicalId":55865,"journal":{"name":"Australasian Journal of Paramedicine","volume":"2 1","pages":"1 - 3"},"PeriodicalIF":0.0,"publicationDate":"2004-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69510515","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":"Is Prehospital Care Really a Profession?","authors":"L. Reynolds","doi":"10.33151/ajp.2.1.254","DOIUrl":"https://doi.org/10.33151/ajp.2.1.254","url":null,"abstract":"The movement of the ambulance industry toward a professional standing has been gaining momentum for some years. This has been in part due to the education of the paramedics, the formation of the Australian College of Ambulance Professionals and the recognition of interstate qualifications. This paper takes a formal definition of professionalism to evaluate the changes that have taken place over time and further, what changes need to take place. Even so, this article argues that while significant progress has been made further developments are required to meet a formal definition of professionalism. Undertaking such an evaluation may seem a fruitless exercise nonetheless such an evaluation highlights areas that can be addressed with minimal resources.","PeriodicalId":55865,"journal":{"name":"Australasian Journal of Paramedicine","volume":"2 1","pages":"1 - 6"},"PeriodicalIF":0.0,"publicationDate":"2004-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69510690","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":"Clinical Skills and Simulation Conference 04 Waikato Clinical Skills and Simulation Centre 1st — 3rd April 2004","authors":"Brian Fallows","doi":"10.33151/AJP.2.1.255","DOIUrl":"https://doi.org/10.33151/AJP.2.1.255","url":null,"abstract":"The Clinical Skills and Simulation Conference 04 was the first of its type in New Zealand and from the enthusiasm and general consensus of attendees, it is hoped that other centres will consider the benefits of hosting conferences of this type in the future.","PeriodicalId":55865,"journal":{"name":"Australasian Journal of Paramedicine","volume":"2 1","pages":"1 - 3"},"PeriodicalIF":0.0,"publicationDate":"2004-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69510698","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":"Development of professional paramedic education at Flinders University, Adelaide, South Australia","authors":"T. Pointon","doi":"10.33151/AJP.2.1.261","DOIUrl":"https://doi.org/10.33151/AJP.2.1.261","url":null,"abstract":"Partnership between SA Ambulance Service and Flinders University Paramedic education and training in South Australia has been conducted for the past 25 years by the Ambulance Education Unit (AEU), which is a department within SA Ambulance Service","PeriodicalId":55865,"journal":{"name":"Australasian Journal of Paramedicine","volume":"2 1","pages":"1 - 4"},"PeriodicalIF":0.0,"publicationDate":"2004-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69510806","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":"The Australian College of Ambulance Professionals 2004 National Conference Alice Springs, September 9-11","authors":"B. Williams","doi":"10.33151/AJP.2.3.289","DOIUrl":"https://doi.org/10.33151/AJP.2.3.289","url":null,"abstract":"The conference was a two day event, preceded by some pre-conference opportunities for training in qualitative data analysis software programs.","PeriodicalId":55865,"journal":{"name":"Australasian Journal of Paramedicine","volume":"7 1","pages":"1 - 2"},"PeriodicalIF":0.0,"publicationDate":"2004-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69510935","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":"Prophylactic Metoclopramide for Opioid Induced Nausea and Vomiting following Treatment of Acute Pain in the Prehospital Setting","authors":"Erin C. Smith, J. Wasiak, M. Boyle","doi":"10.33151/AJP.2.1.250","DOIUrl":"https://doi.org/10.33151/AJP.2.1.250","url":null,"abstract":"Opioids are highly effective analgesics often administered for the emergency treatment of acute pain. When administered for acute pain, analgesics aide in patient management by improving tolerance of, and compliance with, therapeutic manoeuvres such as extrications from car wreckage, administration of oxygen, and application of splints. Prophylactic administration of metoclopramide for patients receiving opioid pain relief may reduce the incidence of nausea and vomiting in the ambulance.","PeriodicalId":55865,"journal":{"name":"Australasian Journal of Paramedicine","volume":"2 1","pages":"1 - 2"},"PeriodicalIF":0.0,"publicationDate":"2004-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69510658","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 Critical Appraisal of the Revised Trauma Score","authors":"P. Jennings","doi":"10.33151/ajp.2.1.264","DOIUrl":"https://doi.org/10.33151/ajp.2.1.264","url":null,"abstract":"Objectives The trauma score and its later revision were developed as a triage index which could be readily calculated and interpreted in the prehospital environment. This paper aims to critically examine the available literature to determine if the Revised Trauma Score actually measures what it is intended to measure. Methods A thorough Medline literature search was undertaken of the OVID database. All available journal articles which addressed reliability and validity testing of the Revised Trauma Score were reviewed. Each of the instrument's clinimetric properties are described and critically appraised. Conclusion As a predictive instrument, the Revised Trauma Score has been shown to have a moderate to high ability to accurately predict survival. In its secondary role discrimination, it has been shown to have equivocal ‘between-person’ sensitivity.","PeriodicalId":55865,"journal":{"name":"Australasian Journal of Paramedicine","volume":"44 20 1","pages":"1 - 9"},"PeriodicalIF":0.0,"publicationDate":"2004-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69510823","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}