introduction: the present research studies the evaluation of drug prescriptions for under-5-year-old children and their effective factors carried out by junior paramedics at rey city. materials and methods: in this study 28 health houses, medical family files of 589 patients/children, 55 junior paramedics for their drug prescription to children under 5 years old, and their regular follow-ups we...

INTRODUCTION This article identifies trends in the evolving practice of rural paramedics and describes key characteristics, roles and expected outcomes for a Rural Expanded Scope of Practice (RESP) model. METHODS A multiple case study methodology was employed to examine the evolution of rural paramedic practice. Paramedics, volunteer ambulance officers and other health professionals were inte...

BACKGROUND AND PURPOSE Timely referral of appropriate patients to acute stroke units is necessary for effective provision of skilled care. We compared the characteristics of referrals with suspected stroke to an academic acute stroke unit via 3 primary referral routes: ambulance paramedics using a rapid ambulance protocol and stroke recognition instrument, the Face Arm Speech Test; primary care...

The current verbal patient transfer between nurses and paramedics lacks communication, which leads to loss of information. During this operation, handwritten protocols are used to document the patient’s personal data and the treatment given at several intervals. In order to encourage teamwork between the two parties (i.e. nurses and paramedics), the challenge is to present the patient informati...

BACKGROUND This case report discusses an ethical communication dilemma in prehospital patient interaction, involving a patient who was about to board a plane at a busy airport. The article argues that the situation raised dilemmas about communication, patient autonomy and paternalism. Paramedics should be able to find good solutions to these dilemmas, but they have not received much attention i...

BACKGROUND AND PURPOSE Early and accurate diagnosis of stroke by emergency medical service (EMS) paramedics is critical for reducing pre-hospital delays. The Los Angeles pre-hospital stroke screen (LAPSS) has been widely used as a validated screening tool for early identifying stroke patients by EMS paramedics. However, validation of LAPSS has never been performed in Chinese stroke population. ...

Objective: To examine the accuracy of theoretical triage decision making among emergency prehospital health care professionals, using a multiple casualty paper exercise. Methods: A standardised 20 casualty paper exercise requiring each casualty to be prioritised for treatment was given to 100 doctors, 59 nurses, and 74 ambulance paramedics who could potentially be involved at the scene of a mul...

More than 20% of U.S. paramedics are exposed to blood each year. Little is known about the circumstances that lead to these exposures. The objective of this study was to describe blood exposure events among U.S. paramedics. A mail survey was conducted in 2002-2003 among a nationally representative sample of licensed paramedics. Eighty percent of needle/lancet sticks involved non-safety devices....

Background Paramedics, arriving on emergency cases first, have to make end-of-life decisions almost on a daily basis. Faith shapes attitudes toward the meaning and worth of life itself and therefore influences decision-making. Objective The objective of this study was to detect whether or not religious and spiritual beliefs influence paramedics in their workday life concerning end-of-life dec...