Evaluation of Agricultural Rescue Course by Providers

1996 ◽  
Vol 11 (3) ◽  
pp. 234-238 ◽  
Author(s):  
Dean T. Stueland ◽  
John E. McCarty ◽  
Peter Stamas ◽  
Paul D. Gunderson
Keyword(s):  
Prehospital Care ◽  
Emergency Medical Technicians ◽  
Study Objective ◽  
Education Practice ◽  
Agricultural Injuries ◽  
Emergency Medical ◽  
The Subject ◽  
Level Of Training ◽  
Enclosed Space ◽  
Tractor Overturn

AbstractStudy objective:To assess the characteristics of rural emergency medical services providers involved in the prehospital care of victims of agricultural injuries and determine which aspects of an agricultural rescue course were perceived as most useful.Design:A questionnaire was sent to participants of a course designed for agricultural prehospital providers who had attended a farm accident rescue course between 1986 and 1993.Setting:A rural referral center in central Wisconsin.Participants:The questionnaire was sent to all persons who had participated in the course. Respondents to the questionnaire characterized their service experience and rated the topic areas in usefulness and whether the subject should be included in future courses.Results:A total of 459 surveys (44% of potential respondents) was returned. Of the respondents, 316 (74.4%) were men, and the mean age was 39.4 years. There were 247 (60.8%) who were volunteers, and an additional 126 (31%) were paid, on-call workers. There were 232 (56.4%) basic providers, and 365 (87.5%) were from a rural area. Many (n = 149; 36.9%) had not responded to farm accidents during the past year. Training course topics rated most useful were machinery extrication, tractor overturn, and enclosed-space rescue.Conclusions:Respondents to an evaluation of an agricultural rescue course primarily were rural, basic providers. Future development of courses for emergency medical technicians involved in agriculture rescue must account for this level of training. Such courses should be short and modular with an emphasis on continuing education, practice, and focus on the identified needs of the participants.

Are we ready for terrorism? Emergency medical technicians' and paramedics' training and self-perceived competence since September 11

2007 ◽  
Vol 2 (1) ◽  
pp. 26-32 ◽  
Author(s):  
Art Clawson, MS ◽  
Nir Menachemi, PhD, MPH ◽  
Unho Kim, MPH ◽  
Robert G. Brooks, MD, MBA
Keyword(s):  
Early Response ◽  
September 11 ◽  
Perceived Competence ◽  
Emergency Medical Technicians ◽  
Specific Training ◽  
Emergency Personnel ◽  
Emergency Medical ◽  
The Us ◽  
Level Of Training ◽  
Insight Into

The US continues to be a target for terrorist activities that threaten the lives of the populace. Training on preparedness and response for emergency medical technicians (EMTs) and paramedics is critical to the success of an early response to any such attack. Previous surveys have suggested that terrorism-specif-ic training has been modest at best since September 11. In order to gain further insight into emergency personnel’s level of training and competence, we sent surveys to 4,000 EMTs and paramedics in the state of Florida in late 2005 and early 2006. Results show a much higher level of training than previously reported from other states and suggest a direct correlation between the amount and type of training and self-reported competence. Our results suggest that most emergency personnel are receiving terrorism-specific training, but gaps in competencies exist and require the attention of educators and policymakers.

scholarly journals The Knowledge of Emergency Medical Technicians of Prehospital Care Intensity Index of Spinal Cord Trauma in Ilam Province, Iran

2021 ◽  
Vol 6 (3) ◽  
pp. 139-146
Author(s):  
Mehran Mozafari ◽  
◽  
Sima Zohari Anboohi ◽  
Erfan Ghasemi ◽  
Hamid Safarpour ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Prehospital Care ◽  
Knowledge Score ◽  
Cross Sectional Study ◽  
Study Data ◽  
Emergency Medical Technicians ◽  
Spinal Cord Trauma ◽  
Cross Sectional ◽  
Intensity Index ◽  
Emergency Medical

Background: The knowledge of Emergency Medical Technicians (EMTs) plays a crucial role in the outcomes of traumatic patients. This study aimed to assess the knowledge of EMTs about the prehospital care intensity index of spinal cord trauma in Ilam Province, Iran. Materials and Methods: This cross-sectional study was conducted on 98 EMTs chosen by the census sampling method. The study data were collected using a researcher-made questionnaire on the prehospital care intensity index of spinal cord trauma and were analyzed with SPSS 16. Results: The knowledge of the prehospital care intensity index of spinal cord trauma was at the advanced level in 87.7% of EMTs and the intermediate level in 15.3% of EMTs. There was a significant relationship between the technician’s knowledge score and variables such as age, work record, overtime hours, and the number of missions (P˂0.05). Conclusion: EMTs needed more specialized information on spinal trauma. It was recommended to hold in-service training programs more precisely and consider the training of necessary skills that most EMTs require.

Survey of Emergency Medical Technicians' Ability to Cope with the Deaths of Patients During Prehospital Care

1992 ◽  
Vol 7 (3) ◽  
pp. 235-242 ◽  
Author(s):  
Robert L. Norton ◽  
Edward A. Bartkus ◽  
Terri A. Schmidt ◽  
Jan D. Paquette ◽  
John C. Moorhead ◽  
...  
Keyword(s):  
Random Sample ◽  
Prehospital Care ◽  
Emergency Medical Technicians ◽  
Formal Training ◽  
Emotional Difficulty ◽  
Hours Worked ◽  
The Family ◽  
Hospital Deaths ◽  
On Line ◽  
Level Of Training

AbstractHypothesis:Emergency medical technicians (EMTs) find that the death of patients in their care is stressful.Population:Random sample of certified EMTs in one state (Levels I–IV).Methods:A blinded, self-administered survey was sent to a random sample of 2,500 EMTs. Demographic data obtained were: level of training; hours worked each month; population of area served; age; gender; number of deaths per year; training for coping prehospital deaths; and availability of protocols and on-line medical advice for out-of-hospital deaths. A five-point, Likert scale was used to rate the frequency of perceived stress experienced by EMTs in specific situations and the routine practice for notification of survivors. Univariable analysis was performed using Spearman's Rank correlation, Kruskal-Wallis test, and Mann-Whitney U-test. Multivariable correlations were performed using forward and backward step-wise logistic regression analysis. A significance level of 0.05 was used throughout.Results:There were 654 respondents with a mean age of 35.5±8.3 yr; 83% were men. Their highest level of training was: 4% EMT-I, 43% EMT-II, 18% EMT-III, 33% EMT-IV. They saw an average of 9.6 deaths/year and spent an average of 20±17 minutes with survivors. 62 % found treatment of a patient that was dying or died in their care was commonly a stressful experience. Factors that made notification of the family about the prehospital death emotionally difficult included: fewer hours worked/month; working in a smaller community; lower level of EMT training; female gender; and fewer deaths seen during the previous year. The same factors were associated with general emotional difficulty in treatment of a patient who died during prehospital care. Online [direct] medical direction by physicians was common (73%), but did not lessen the difficulty of notification. It did reduce the emotional difficulty for specific clinical situations. Written protocols for not attempting resuscitation were common (66%), but only 44% had protocols for termination of resuscitation. Resuscitation of the clearly dead for the benefit of the family (10%) or for the EMT (5%) was practiced infrequently. Most (67%) respondents had some formal training in dealing with death and the dying patient. Such training did not correlate with less difficulty in notification of survivors or in coping with the deaths of patients in their care.Conclusion:EMTs perceive they have emotional difficulty when prehospital deaths occur and survivors must be notified. Less experience and a lower level of EMT training correlate with more difficulty in coping with patient death. Protocols and on-line [direct] medical control can provide support for the EMT in coping with out-of-hospital deaths. Most notification of survivors is handled by EMTs with formal training to cope with patients that are dying or who die during prehospital care.

Patient Selection for Advanced Prehospital Care in a Two-Level Emergency Medical System

1989 ◽  
Vol 4 (1) ◽  
pp. 36-38 ◽  
Author(s):  
David Applebaum
Keyword(s):  
Life Support ◽  
Prehospital Care ◽  
Advanced Life Support ◽  
First Aid ◽  
Emergency Medical Technicians ◽  
Emergency Medical ◽  
Dispatch System ◽  
The Impact ◽  
Selection Of Patients ◽  
Selection Of

In Jerusalem, the Emergency Medical Service is the sole prehospital provider for a population of 450,000 residents. Ambulances are dispatched from a centrally located first-aid center. Separate basic and advanced life support (MICU) ambulances are provided. Basic life support units are staffed by Emergency Medical Technicians (EMTs) trained to provide first aid and cardiopulmonary resuscitation (CPR). These units are dispatched to service persons in whom advanced life support (ALS) services are not likely to be required. The MICU is staffed by paramedical personnel plus a qualified physician. In order to maximize the efficiency of the service an attempt was made to use the MICU only for patients who may benefit from ALS interventions.Selection of patients for whom the ALS unit may be required is accomplished by switchboard operators. These personnel routinely dispatch the MICU for definite emergencies such as unconsciousness or absence of breathing. All other cases have been reported first to an on-call physician who ultimately decides whether or not to dispatch the MICU. This method of determining priority for dispatch is called the Consultation-Dispatch System (CDS). This method of determining priority seemed inefficient, so an alternative system was implemented that did not require prior physician consultation. This brief report details the impact of this change on system operation and MICU activity.

scholarly journals Promotion of knowledge, skill, and performance of emergency medical technicians in prehospital care of traumatic patients: An action-research study

2020 ◽  
Vol 9 (2) ◽  
pp. 81
Author(s):  
ZhillaHeydarpoor Damanabad ◽  
Javad Dehghannezhad ◽  
Farzad Rahmani ◽  
RouzbehRajaei Ghafouri ◽  
Hadi Hassankhani ◽  
...  
Keyword(s):  
Action Research ◽  
Research Study ◽  
Prehospital Care ◽  
Emergency Medical Technicians ◽  
Emergency Medical ◽  
Action Research Study ◽  
And Performance

Emergency Medical Services and the Pediatric Patient: Are the Needs Being Met? II. Training and Equipping Emergency Medical Services Providers for Pediatric Emergencies

PEDIATRICS ◽  
1986 ◽  
Vol 78 (5) ◽  
pp. 808-812 ◽  
Author(s):  
James S. Seidel
Keyword(s):  
Emergency Medical Services ◽  
Prehospital Care ◽  
The United States ◽  
Pediatric Emergency ◽  
Emergency Medical Technicians ◽  
Medical Services ◽  
Didactic Training ◽  
Pediatric Emergencies ◽  
Emergency Medical ◽  
Intravenous Catheters

Emergency medical services have been organized to meet the needs of adult patients. A study was undertaken to determine the training in pediatrics offered to paramedics and emergency medical technicians throughout the United States and the equipment carried by prehospital care provider agencies. Most training (50%) takes place at colleges and universities and the remainder at hospitals and emergency medical services agencies. Many programs (40%) have less than ten hours of didactic training in pediatrics and 41% offer ten hours or less of clinical experience. Some programs offer no training in pediatric emergency medicine. The most common deficiencies in pediatric equipment included back-boards, pediatric drugs, resuscitation masks, and small intravenous catheters. More attention to training and equipping prehospital personnel for pediatric emergencies may help to improve outcomes of out-of-hospital resuscitations of infants and children.

scholarly journals Prehospital emergency medical services’ ethical dilemma with do-not-resuscitate orders

CJEM ◽  
2000 ◽  
Vol 2 (04) ◽  
pp. 246-251 ◽  
Author(s):  
Jonathan Sherbino ◽  
Veena Guru ◽  
P. Richard Verbeek ◽  
Laurie J. Morrison
Keyword(s):  
Ethical Dilemma ◽  
Prehospital Care ◽  
Emergency Medical Technicians ◽  
Do Not Resuscitate ◽  
Key Factors ◽  
Emergency Medical ◽  
The Family ◽  
Prehospital Emergency ◽  
Personal Ethics ◽  
Dnr Orders

ABSTRACT Objective: Our primary objectives were to estimate how frequently emergency medical technicians with defibrillation skills (EMT-Ds) are forced to deal with prehospital do-not-resuscitate (DNR) orders, to assess their comfort in doing so, and to describe the prehospital care provided to patients with DNR orders in a system without a prehospital DNR policy (i.e., where resuscitation is mandatory). Methods: Using Dillman methodology, the authors developed a 13-item survey and mailed it to 382 of 764 EMT-Ds in the metropolitan Toronto area. Responses were evaluated using 5-point Likert scales, limited-option and open-ended questions. Narrative responses were categorized. Two authors independently categorized narrative responses from 20 surveys, and kappa values for agreement beyond chance were determined. Results: Among 382 EMT-Ds surveyed, 236 (62%) responded, of whom 221 (94%) answered the questionnaire. Overall, 126 of 219 (58%) indicated that they were called to resuscitate patients with DNR orders “sometimes,” “frequently,” or “all the time.” In such situations, 22 of 207 (11%) stated they would honour the DNR order and 55 of 207 (27%) would honour the order but appear to provide basic resuscitation, in order to adhere to mandatory resuscitation regulations. Willingness to honour a DNR order did not vary by years of emergency medical service. EMT-Ds cited concern for the family and the patient, fear of repercussions and conflict with personal ethics as key factors contributing to this ethical dilemma. If legally allowed to honour DNR orders, 212 of 221 (96%) respondents would be comfortable with a written order and 137 of 220 (62%) with a verbal order. Conclusion: Prehospital DNR orders are common, and a significant number of EMT-Ds disregard current regulations by honouring them. EMT-Ds would be more comfortable with written than verbal DNR orders. An ethical prehospital DNR policy should be developed and applied.

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