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Early Analgesia on Arrival
Published in Kajal Jain, Nidhi Bhatia, Acute Trauma Care in Developing Countries, 2023
The patient is taken through various environments in the emergency department and transferred to and from while waiting for their turn to be seen by a doctor. Complete emergency care of the patient involves paramedics who are well trained for managing acute pain. For instance, in Australia a nurse is employed to implement the pain management. Hence the frontliners need to be well prepared on the management and assessment of pain so as to deliver suitable care.
What Diminishes Joy
Published in Eve Shapiro, Joy in Medicine?, 2020
On the hierarchy, paramedics are above EMTs. EMTs are the first responders. Anything happens, we’re the first ones on the scene to render medical aid. We can’t give medications and we can’t start IVs in my state. So, we call paramedics who are a bit above us, and they can give certain medications and provide advanced life support. If we get to the call and it’s a patient who is bleeding severely or we can’t control their breathing, for example, we’ll call the paramedics and they’ll be able to give patients certain treatments or medications prior to getting to the hospital. Things are evolving in the field of EMS and what EMTS can do in the field—but for now, we still rely on the paramedics for more advanced treatments.
Education and training
Published in Jan de Boer, Marcel Dubouloz, Handbook of Disaster Medicine, 2020
Levels of knowledge and practical skill are def nedfor the following grades:Co-ordinator = medical off~cer in charge of planning and co-ordination at the scene of accident/disaster or in the hospital.Doctor, specialist within the relevant field/topic.Doctor other than (b).Nurse with special training/experience in emergency medicine or anaesthesiology, participating in ‘field teams’.Nurse other than (d).Paramedic = ambulance crew with special training in resuscitation and emergency medicine.Ambulance staff other than (f).
Impact of in-Station Medication Automated Dispensing Systems on Prehospital Pain Medication Administration
Published in Prehospital Emergency Care, 2023
Joshua B. Gaither, Amber D. Rice, Isrealia Jado, Smita Armstrong, Samuel E. Packard, John Clark, Scott Draper, Mike Duncan, Brad Bradley, Daniel W. Spaite
Paramedics utilize critical decision-making skills when providing emergency medical care. Using these skills, paramedics must make risk vs benefit decisions to administer advanced life support (ALS) medications, including pain medications (1,2). Multiple factors might influence the decision to administer a pain medication immediately or to delay medication administration until arrival at an emergency department (ED) (3,4). Some of these factors might include patient presentation, response, the prehospital environment, and the need to optimize EMS system operations. One operational factor that must be considered is how medication administration affects EMS out of service time. In many EMS systems the need to replace medications at a hospital pharmacy, particularly pain medications, can increase an agency’s out-of-service time and has the potential to decrease ALS medication administration (4). In-station medication dispensing systems or in-station Automated Dispensing Systems (ADS) may reduce or eliminate this operational barrier to medication administration.
The Impact of a Novel Operational Readiness Response Model on the Environmental Cleanliness of Emergency Ambulances
Published in Prehospital Emergency Care, 2022
David Morris, Giuseppe Fierravanti, Adam Schrieber, Sarah Johnson, Damien Bartolo, Kate Hipsley, Tanya Somani, Robin Pap, Kingsley Agho, Liz Thyer, Paul M. Simpson
What is known of HAIs is largely in the context of healthcare settings such as hospitals or aged care facilities; HAI in the ‘out-of-hospital’ setting in the environment of paramedic practice is not well described (3). Paramedics working in ambulance services play a significant but frequently unrecognized role in contemporary healthcare systems. While once a trauma based transport service, paramedicine has evolved into a specialization in its own right in which paramedics provide urgent and non-urgent unscheduled care to patients with illness or injury across the spectrum of acuity (4). Although not all paramedics work in ambulance services, the majority do; this sees them responding to these cases and when required transporting patients to hospital, in an ambulance vehicle. Despite common perception, the majority of patient care provided by paramedics happens outside the ambulance vehicle; public spaces, domestic residences, and healthcare facilities are examples of the diverse, unpredictable and generally uncontrolled settings in which paramedics work. While the settings in which paramedics operate change from patient to patient, the environment that remains constant is the interior of the ambulance. As paramedics can provide care to multiple patients in a given shift, the ambulance and the equipment within it may contribute to the carriage and transmission of HAIs if they are not cleaned to an appropriate standard between patients and at the conclusion of a shift (5, 6).
The Safety and Effectiveness of On-Site Paramedic and Allied Health Treatment Interventions Targeting the Reduction of Emergency Department Visits by Long-Term Care Patients: Systematic Review
Published in Prehospital Emergency Care, 2021
Shannon Leduc, Zach Cantor, Peter Kelly, Venkatesh Thiruganasambandamoorthy, George Wells, Christian Vaillancourt
Paramedics have experience providing acute care in an out-of-hospital environment as well as palliative and end-of-life care, and may be able to provide some key treatments that could allow residents to remain in their long-term care home. Paramedics have a unique skill set that may be able to compliment the current care being provided by advanced practice nurses and primary care physicians. In a community paramedic model, paramedics could respond to acute issues in long-term care patients working in collaboration with existing care teams. If paramedics could treat even a portion of patients on site, it could reduce the burden on the ED’s, hospitals and most importantly on patients. Although a standard exists which provides a framework for community paramedicine, (17) there are many questions that still need to be answered regarding community paramedicine in the long-term care setting. These questions include what the best model of care is, what additional training would be required, what scope enhancements are needed and how best paramedics can integrate within care structures ensuring that the care they provide compliments but does not duplicate existing care models.