Paramedics, health care workers who assess and manage health concerns in the prehospital setting, are increasingly providing psychosocial care in response to a rise in mental health call volume. Observers have construed this fact as "misuse" of paramedic services, and proposed as solutions better triaging of patients, better mental health training of paramedics, and a greater number of communit...

BACKGROUND AND PURPOSE The enrollment yield and reasons for screen failure in prehospital stroke trials have not been well delineated. METHODS The Field Administration of Stroke Therapy-Magnesium (FAST-MAG) trial identified patients for enrollment using a 2 stage screening process-paramedics in person followed by physician-investigators by cell phone. Outcomes of consecutive screening calls f...

OBJECTIVE To determine the short-term outcome of patients refusing transport after emergency medical services (EMS) evaluation at an international airport. METHODS This was a prospective, descriptive, observational study of patients who refused transport after evaluation by Philadelphia Fire Department paramedics at Philadelphia International Airport from July 2003 through March 2004. Paramed...

OBJECTIVES The recent introduction of a disposable laryngeal mask airway has provided paramedics with an alternative to endotracheal intubation. Time taken to secure the airway with each device was compared in patients undergoing elective surgery. METHODS Patients undergoing general anaesthesia were studied. Paramedics trained in laryngeal mask use and endotracheal intubation participated in ...

Purpose: This study aimed to assess exposure traumatic events, knowledge and attitudes concerning post-traumatic stress disorder (PTSD) the level of resilience among nurses paramedics working in emergency departments. Methods: Data were collected from May 22 June 12, 2022, using a self-administered survey questionnaire. The participants comprised 135 80 data analyzed with descriptive statistics...

OBJECTIVES We conducted a program of research to derive and test the reliability of a clinical prediction rule to identify high-risk older adults using paramedics' observations. METHODS We developed the Paramedics assessing Elders at Risk of Independence Loss (PERIL) checklist of 43 yes or no questions, including the Identifying Seniors at Risk (ISAR) tool items. We trained 1,185 paramedics f...

BACKGROUND This survey was conducted to provide national incidence rates and risk factors for exposure to blood among paramedics. The present analysis assesses reporting of exposures to employers. METHODS A questionnaire was mailed in 2002-2003 to a national sample of paramedics selected using a two-stage design. Information on exposure reporting was obtained on the two most recent exposures ...

This study estimated the recurrent cost implications of adopting Integrated Management of Childhood Illness (IMCI) at the first-level healthcare facilities in Bangladesh. Data on illnesses of children who sought care either from community health workers (CHWs) or from paramedics over a four-month period were collected in a rural community. A total of 5,505 children sought care. About 75% of sym...

STUDY OBJECTIVE This usability study evaluates the user interface of 2 common monitor-defibrillators, the Lifepak10 and Lifepak12, to identify use-related hazards. METHODS Fourteen paramedics familiar with both devices completed 4 EMS simulator scenarios using each device. The scenarios involved "quick look" and monitoring, defibrillation, synchronized cardioversion, and replacing paper. Qual...