Dynamic psychosocial risk and protective factors associated with mental health in Emergency Medical Service (EMS) personnel

2021 ◽  
Vol 282 ◽  
pp. 9-17
Author(s):  
Bryce Hruska ◽  
Marley S. Barduhn
Keyword(s):  
Mental Health ◽  
Protective Factors ◽  
Emergency Medical Service ◽  
Medical Service ◽  
Risk And Protective Factors ◽  
Psychosocial Risk ◽  
Factors Associated ◽  
Emergency Medical

Factors associated with Emergency Medical Service reattendance in low acuity patients not transported by ambulance

2020 ◽  
pp. 1-15
Author(s):  
Verity F. Todd ◽  
Andy Swain ◽  
Graham Howie ◽  
Bronwyn Tunnage ◽  
Tony Smith ◽  
...  
Keyword(s):  
Emergency Medical Service ◽  
Medical Service ◽  
Factors Associated ◽  
Emergency Medical

Factors Associated with Failure of Non-invasive Positive Pressure Ventilation in a Critical Care Helicopter Emergency Medical Service

2015 ◽  
Vol 30 (3) ◽  
pp. 239-243 ◽  
Author(s):  
James S. Lee ◽  
Domhnall O’Dochartaigh ◽  
Mark MacKenzie ◽  
Darren Hudson ◽  
Stephanie Couperthwaite ◽  
...  
Keyword(s):  
Critical Care ◽  
Emergency Medical Service ◽  
Medical Service ◽  
Positive Pressure Ventilation ◽  
Helicopter Emergency Medical Service ◽  
Positive Pressure ◽  
Factors Associated ◽  
Non Invasive ◽  
Emergency Medical ◽  
The Impact

AbstractIntroductionNon-invasive positive pressure ventilation (NIPPV) is used to treat severe acute respiratory distress. Prehospital NIPPV has been associated with a reduction in both in-hospital mortality and the need for invasive ventilation.Hypothesis/ProblemThe authors of this study examined factors associated with NIPPV failure and evaluated the impact of NIPPV on scene times in a critical care helicopter Emergency Medical Service (HEMS). Non-invasive positive pressure ventilation failure was defined as the need for airway intervention or alternative means of ventilatory support.MethodsA retrospective chart review of consecutive patients where NIPPV was completed in a critical care HEMS was conducted. Factors associated with NIPPV failure in univariate analyses and from published literature were included in a multivariable, logistic regression model.ResultsFrom a total of 44 patients, NIPPV failed in 14 (32%); a Glasgow Coma Scale (GCS) <15 at HEMS arrival was associated independently with NIPPV failure (adjusted odds ratio 13.9; 95% CI, 2.4-80.3; P=.003). Mean scene times were significantly longer in patients who failed NIPPV when compared with patients in whom NIPPV was successful (95 minutes vs 51 minutes; 39.4 minutes longer; 95% CI, 16.2-62.5; P=.001).ConclusionPatients with a decreased level of consciousness were more likely to fail NIPPV. Furthermore, patients who failed NIPPV had significantly longer scene times. The benefits of NIPPV should be balanced against risks of long scene times by HEMS providers. Knowing risk factors of NIPPV failure could assist HEMS providers to make the safest decision for patients on whether to initiate NIPPV or proceed directly to endotracheal intubation prior to transport.LeeJS, O’DochartaighD, MacKenzieM, HudsonD, CouperthwaiteS, Villa-RoelC, RoweBH. Factors associated with failure of non-invasive positive pressure ventilation in a critical care helicopter Emergency Medical Service. Prehosp Disaster Med2015; 30(2): 1–5

scholarly journals Prevalence of pain, analgesic self-medication and mental health in German pre-hospital emergency medical service personnel: a nationwide survey pilot-study

2021 ◽  
Author(s):  
Luis Möckel ◽  
Angela Gerhard ◽  
Mara Mohr ◽  
Christoph Immanuel Armbrust ◽  
Christina Möckel
Keyword(s):  
Mental Health ◽  
Emergency Medical Service ◽  
Online Survey ◽  
Medical Service ◽  
Short Version ◽  
Recurrent Pain ◽  
Hospital Emergency ◽  
Emergency Medical Service Personnel ◽  
Emergency Medical ◽  
Prevalence Of Pain

Abstract Purpose The aim of this study was to estimate the prevalence of pain, the extent of analgesics intake and the mental health status of German pre-hospital emergency medical service (EMS) personnel. Methods We conducted a nationwide online survey, which consisted of sociodemographic and job-related items, questions on pain and analgesics intake and the short-version of the validated Depression–Anxiety–Stress Scale (DASS-21). Results A total of 774 EMS personnel with a mean age of 33.03 (standard error [SE] 0.37) years were included into the final analysis of which 23.77% were female. Pain was reported by 58.64% (454 of 774) of the study participants with 10.72% (95% confidence interval [CI] 8.54%; 13.29%) suffering from chronic, 1.68% (95% CI 0.89%; 2.87%) from acute and 46.25% (95% CI 41.49%; 51.30%) from recurrent pain, respectively. Most frequent location of pain was lumbar spine. Analgesics were used by 52.76% (239 of 454) of pre-hospital EMS personnel with pain (acute 76.92% / chronic 69.88% / recurrent 47.90%). Moreover, participants with chronic and recurrent pain indicated significantly higher depression (p ≤ 0.001), anxiety (p ≤ 0.001), and stress (p ≤ 0.001) levels compared to those without pain, respectively. Conclusion This study indicates a high prevalence of pain and analgesics usage in participating German pre-hospital EMS personnel and a poorer mental health in those with chronic and recurrent pain. Therefore, disease prevention and health promotion measures are needed to preserve health of pre-hospital EMS personnel.

scholarly journals Postpartum change in common mental disorders among rural Vietnamese women: Incidence, recovery and risk and protective factors

2015 ◽  
Vol 206 (2) ◽  
pp. 110-115 ◽  
Author(s):  
Trang Thu Nguyen ◽  
Thach Duc Tran ◽  
Tuan Tran ◽  
Buoi La ◽  
Hau Nguyen ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Disorders ◽  
Protective Factors ◽  
Common Mental Disorders ◽  
Risk And Protective Factors ◽  
Perinatal Period ◽  
Intimate Partner ◽  
Factors Associated ◽  
Vietnamese Women

BackgroundIn low- and middle-income countries little is known about changes in women's mental health status from the perinatal period to 15 months postpartum or the factors associated with different trajectories.AimsTo determine the incidence and rates of recovery from common mental disorders (CMD) among rural Vietnamese women and the risk and protective factors associated with these outcomes from the perinatal period to 15 months after giving birth.MethodIn a population-based prospective study, a systematically recruited cohort of women completed baseline assessments in either the last trimester of pregnancy or 4–6 weeks after giving birth and were followed up 15 months later. The common mental disorders of major depression, generalised anxiety and panic disorder were assessed by psychiatrist-administered Structured Clinical Interview for DSM-IV Disorders at both baseline and follow-up.ResultsA total of 211 women provided complete data in this study. The incidence rate of CMD in the first postpartum year was 13% (95% CI 8–19), and 70% (95% CI 59–80) of women who had perinatal CMD recovered within the first postpartum year. Incidence was associated with having experienced childhood maltreatment, experiencing the intimate partner as providing little care, sensitivity, kindness or affection, and the chronic stress of household poverty. Recovery was associated with higher quality of a woman's relationships with her intimate partner and her own mother, longer period of mandated rest following birth, and sharing of domestic tasks and infant care.ConclusionsModifiable social factors, in particular the quality of a woman's closest relationships with her partner and her own mother, and participation by family members in domestic work and infant care, are closely related to women's mental health in the first year after giving birth in resource-constrained settings.

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