Application of three airway devices during emergency medical training by health care providers—a manikin study

2008 ◽  
Vol 26 (7) ◽  
pp. 783-788 ◽  
Author(s):  
Benedikt Trabold ◽  
Christoph Schmidt ◽  
Barbara Schneider ◽  
Derya Akyol ◽  
Marc Gutsche
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Medical Training ◽  
Care Providers ◽  
Manikin Study ◽  
Emergency Medical ◽  
Airway Devices

scholarly journals Start making sense: Art informing health psychology

2018 ◽  
Vol 5 (1) ◽  
pp. 205510291876004 ◽  
Author(s):  
Ad A Kaptein ◽  
Brian M Hughes ◽  
Michael Murray ◽  
Joshua M Smyth
Keyword(s):  
Health Psychology ◽  
Health Care ◽  
Health Care Providers ◽  
Health Care Professionals ◽  
Expressive Writing ◽  
Medical Training ◽  
Self Regulation ◽  
Potential Contribution ◽  
Care Providers ◽  
Positive Effects

Growing evidence suggests that the arts may be useful in health care and in the training of health care professionals. Four art genres – novels, films, paintings and music – are examined for their potential contribution to enhancing patient health and/or making better health care providers. Based on a narrative literature review, we examine the effects of passive (e.g. reading, watching, viewing and listening) and active (e.g. writing, producing, painting and performing) exposure to the four art genres, by both patients and health care providers. Overall, an emerging body of empirical evidence indicates positive effects on psychological and physiological outcome measures in patients and some benefits to medical training. Expressive writing/emotional disclosure, psychoneuroimmunology, Theory of Mind and the Common Sense Model of Self-Regulation are considered as possible theoretical frameworks to help incorporate art genres as sources of inspiration for the further development of health psychology research and clinical applications.

1st Attempt Success Rate of Ultrasound-Guided Peripheral IV Access of Emergency Medical Services Health Care Providers on the Pre-Hospital Simulation Model

2021 ◽  
Vol 104 (Suppl. 1) ◽  
pp. S35-S39
Keyword(s):  
Health Care ◽  
Simulation Model ◽  
Emergency Medical Services ◽  
Success Rate ◽  
Health Care Providers ◽  
Work Experience ◽  
Medical Services ◽  
Care Providers ◽  
Ultrasound Guided ◽  
Emergency Medical

Background: Ultrasound guided peripheral intravenous access (USGPIV) has derived benefits for the Emergency and Pre-hospital Management. However, no studies have yet been conducted that have focused upon Emergency Medical Services (EMS) personnel in Thailand. Objective: To introduce USGPIV cannulation to the health care providers of Emergency Medical Services and to examine the success rates of the first attempts at PIV cannulation. Materials and Methods: This prospective observational study was conducted with 49 EMS providers in August 2020. All respondents had been participants in a USGPIV workshop. Afterwards, the participants’ skills were evaluated in a Pre-hospital simulation model, which was conducted in a moving ambulance. The data, which was recorded, noted the number of attempts required to successfully obtain USGPIV access, as well as the participants’ opinions about using ultrasound in this procedure. Results: Among the 49 participants, the first attempt success rate was found to be at 57.14%. The participants’ genders, their years of work experience, their experience of performing PIV with real patients, and the categories of the Emergency Medical Services health care providers were determined not to be factors that had contributed to the success rate of the first attempts at USGPIV. Our study demonstrated a “High” level of satisfaction with regard to performing USGPIV with this ultrasound device (4 out of 5). However, the participants noted that some elements of the environment in the ambulance may have affected the success rate of performing this procedure. Conclusion: In this study, the success rate of the first attempts was found to be lower than in other studies. However, in regard to this simulation, implementing this procedure represents the first step towards assisting Thai EMS personnel to perform ultrasound procedures. Keywords: Ultrasound, Peripheral IV cannulation, Emergency medicine, Emergency medical services, Emergency medical personnel

Preclinical Lectures in Medical Formation: Professionalism, Ethics and Responsibility

2021 ◽  
Vol 66 (Special Issue) ◽  
pp. 118-118
Author(s):  
Cristian Cezar Login ◽  
◽  
Simona Clichici ◽  
◽  
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Medical Training ◽  
Teaching Experience ◽  
Scientific Data ◽  
Professional Values ◽  
Easy Access ◽  
Care Providers ◽  
Ethical Attitudes ◽  
Starting Point

"Future doctors are the result of the present-day medical education and they bear the professional and attitudinal imprint of their mentors and instructors. The academic interaction between students and professors represents a key element in the scientific and professional training of future health care providers. Preclinical disciplines represent the foundation of the medical training system, on which the student will develop and integrate clinical skills. Therefore, preclinical topics have to offer accurate and updated information, working paradigms, and approaches to the development of professional values and ethical attitudes. Taking as starting point the teaching experience of the authors, we focused on the analysis of the interaction between three key concepts – professionalism, ethics and responsibility – concerning both the instructor and the student. These interrelated concepts will be approached from the viewpoint of all participants, instructors and students, in the contemporary context of the enormous volume of ever-changing scientific information and of the easy access to it. In order to select accurate data needed today and equally oriented towards future, information should always be filtered. The instructor is responsible not only to provide students with scientific data but also to stimulate and to develop flexibility, openness and critical thinking, while respecting ethical values. Through the offered scientific content, approaches, professional values and ethical attitudes, instructors transmit to the students a model of integrity in profession, ethics and responsibility, which will have consequences on the way they will choose to practice health care and medical research professions. "

“Home Burial” and “Dead Baby”: Poetic Perspectives in Medical Education

1991 ◽  
Vol 23 (3) ◽  
pp. 241-247 ◽  
Author(s):  
Lois LaCivita Nixon ◽  
Delese Wear
Keyword(s):  
Health Care ◽  
Medical Education ◽  
Health Care Providers ◽  
Medical Training ◽  
William Carlos Williams ◽  
Robert Frost ◽  
Care Providers ◽  
Good Care ◽  
Care Giving ◽  
Child's Death

This article illustrates the use and value of literature in increasing one's sensitivity and compassion in areas extending beyond the prescribed boundaries of medical training and practice. “Home Burial” by Robert Frost and “Dead Baby” by William Carlos Williams portray in different ways the anguish and despair of parents after a child's death. If anatomy, biochemistry, and micro-biology prepare health care providers for the clinical dimensions of their work, these poems attend to other attributes of good care giving.

Survey of State EMS-DNR Laws and Protocols

1999 ◽  
Vol 27 (4) ◽  
pp. 297-315 ◽  
Author(s):  
Charles P. Sabatino
Keyword(s):  
Health Care ◽  
Emergency Medical Services ◽  
Health Care Providers ◽  
National Survey ◽  
Medical Services ◽  
Care Providers ◽  
Emergency Medical ◽  
Laws And Policies ◽  
Comparative Information ◽  
Dnr Orders

This article details the results of a national survey conducted in 1999 of statewide laws and protocols providing for the creation and recognition of donot- resuscitate (DNR) orders effective in nonhospital settings. Applicable primarily to emergency medical services (EMS) personnel, most of these laws and protocols have been in existence for less than ten years, and there is little current comparative information on them. Such policies are commonly called out-of-hospital or prehospital DNR orders, although one state-Virginia-recently amended its DNR law to establish a durable DNR order applicable to all health care providers and all settings. I will refer to the laws and policies examined here interchangeably as out-of hospital DNR protocols or EMS-DNR protocols. The survey produced a descriptive snapshot of such laws and protocols in effect on a statewide basis as of March 1999.

scholarly journals Simulated workplace protection factors for respirators with N95 or higher filters for health care providers in an emergency medical centre: A randomized crossover study

2017 ◽  
Vol 24 (6) ◽  
pp. 282-289 ◽  
Author(s):  
Sanghyun Lee ◽  
Hongjung Kim ◽  
Taeho Lim ◽  
Jaehoon Oh ◽  
Hyunggoo Kang ◽  
...  
Keyword(s):  
Health Care ◽  
Crossover Study ◽  
Health Care Providers ◽  
Medical Procedures ◽  
Care Providers ◽  
Emergency Medical ◽  
Fold Type ◽  
Protective Performance ◽  
Randomized Crossover Study ◽  
Normal Respiration

Introduction: Health care providers in emergency medical centres often encounter infected sources during medical procedures; these sources can generate droplets. Wearing respirators could help to protect against infection risk. However, to the best of our knowledge, no previous study has reported the efficacy of N95 or higher respirators for health care providers in emergency medical centres. Methods: A randomized, crossover study of 26 health care providers was conducted to examine the protective performance of respirators. Quantitative fit tests with three types of respirators (cup type, fold type without valve and fold type with valve) were performed using seven exercises. Primary outcomes were the fit factors. Secondary outcomes included the percentage of fit factors above 100 and respirator preference. Results: After excluding one participant, data for 25 participants were analysed. The fit factors and the percentage of fit factors above 100 were higher when participants wore a fold-type respirator (200 fit factors [38.6–200], 100% [0–100]) relative to those for the cup-type respirator (114.0 fit factors [16.0–185.2], 60% [0–100]) and valve-type respirator (84.9 fit factors [14.2–170.8], 23.8 % [0–100]) in normal respiration. There was no clear preference regarding the type of respirator. Conclusion: The type of respirator could influence protective performance for health care providers. Health care providers in emergency medical centres should be aware of and wear the type of respirator that is well-fitted for them in advance.

Toxicology and Management of Novel Psychoactive Drugs

2014 ◽  
Vol 28 (1) ◽  
pp. 50-65 ◽  
Author(s):  
Brian P. Kersten ◽  
Megan E. McLaughlin
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Drugs Of Abuse ◽  
Medical Community ◽  
Published Data ◽  
Psychoactive Drugs ◽  
Care Providers ◽  
Perceived Safety ◽  
Emergency Medical ◽  
Number Of Patients

Health care providers are seeing an increased number of patients under the influence of several new psychoactive drug classes. Synthetic cannabinoids, cathinones, and piperazines are sought by users for their psychoactive effects, perceived safety profile, minimal legal regulations, and lack of detection on routine urine drug screening. However, these drugs are beginning to be recognized by the medical community for their toxic effects. The neuropsychiatric and cardiovascular toxicities are among the most common reasons for emergency medical treatment, which in some cases, can be severe and even life-threatening. Management strategies are often limited to supportive and symptomatic care due to the limited published data on alternative treatment approaches. The purpose of this article is to offer health care providers, emergency medical personnel in particular, an awareness and understanding of the dangers related to some of the new psychoactive drugs of abuse. The background, pharmacology, toxicity, management, detection, and legal status of each class will be discussed.

scholarly journals Workplace violence among emergency medical services workers in Riyadh, Saudi Arabia

2017 ◽  
Vol 6 (3) ◽  
pp. 26 ◽  
Author(s):  
Nesrin Alharthy ◽  
Mohammed Al Mutairi ◽  
Abdullah Alsahli ◽  
Ahmed Alshehri ◽  
Abdullah Almatrafi ◽  
...  
Keyword(s):  
Health Care ◽  
Emergency Medical Services ◽  
Health Care Providers ◽  
Workplace Violence ◽  
Verbal Abuse ◽  
World Health ◽  
Medical Services ◽  
Care Providers ◽  
Emergency Medical ◽  
Violent Acts

Background: Globally, workplace violence toward health care providers is an area of concern. The impact of workplace violence on health care providers is significant.Objectives: The study was conducted to evaluate the prevalence of workplace violence (physical and verbal) among emergency medical services (EMS) workers in Riyadh.Methods: The study used a cross-sectional design that employed a self-administered confidential questionnaire, which was distributed to all emergency medical personnel. A well-structured and validated questionnaire on workplace violence was adopted from the World Health Organization for use in the study.Results: A total of 370 EMS workers responded to the questionnaire. Workplace violence was experienced by 65% of the respondents. Verbal abuse (61%) was the most common type of violence reported. The majority of the attackers were patients’ relatives (80%) followed by patients themselves (51%). Respondents younger than 30 reported a higher percentage of violent acts than did older respondents (p = .001, Odds ratio [OR] = 2.5, 95% Confidence Interval [CI] = (1.6, 3.9)). Similarly, those who had fewer years of work experience (≤ 10 years) reported a significantly higher percentage of violent incidents than those who had 10 or more years of experience (p = .001, OR = 3.5, 95% CI = 2.1, 5.6). Only 10% of the victims reported the incident to a higher authority. Common reasons for not reporting the violent acts included feeling that it was useless (56%) and that it was not important (52%).Discussion: The study demonstrates prevalent workplace violence among EMS workers, predominantly in the form of verbal abuse. The rate of workplace violence among EMS personnel is comparable with international figures. Less than half of EMS personnel exhibit knowledge regarding the process of violence reporting. However, workers tend not to report the incidents because they often believe that reporting is useless and/or not important.Recommendation: With a high reported rate of workplace violence among EMS personnel, we recommend national preventive measures and encouragement to professionals to report violent events. We also recommend awareness programs for the identified vulnerable group.

Implementation of the Recommendations of the Institute of Medicine Report, Emergency Medical Services for Chi: Registered Nurses

PEDIATRICS ◽  
1995 ◽  
Vol 96 (1) ◽  
pp. 194-199
Author(s):  
Deborah Parkman Henderson ◽  
June D. Thompson
Keyword(s):  
Health Care ◽  
Registered Nurses ◽  
Emergency Medical Services ◽  
Health Care Providers ◽  
Nursing Care ◽  
The United States ◽  
Medical Services ◽  
Institute Of Medicine ◽  
Care Providers ◽  
Emergency Medical

Registered nurses are the single largest group of health care providers in the United States. Their role in emergency medical services for chi and approaches to implementation of the Institute of Medicine recommendations as they relate to nursing care are discussed.

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