scholarly journals Data quality of Glasgow Coma Scale and Systolic Blood Pressure in scientific studies involving physician‐staffed emergency medical services: Systematic review

2020 ◽  
Vol 64 (7) ◽  
pp. 888-909 ◽  
Author(s):  
Kristin Tønsager ◽  
Andreas J. Krüger ◽  
Kjetil G. Ringdal ◽  
Marius Rehn
Keyword(s):  
Systematic Review ◽  
Blood Pressure ◽  
Glasgow Coma Scale ◽  
Systolic Blood Pressure ◽  
Data Quality ◽  
Emergency Medical Services ◽  
Medical Services ◽  
Coma Scale ◽  
Emergency Medical

Impact of shift work on blood pressure among emergency medical services clinicians and related shift workers: A systematic review and meta-analysis

Sleep Health ◽  
2020 ◽  
Vol 6 (3) ◽  
pp. 387-398 ◽  
Author(s):  
P. Daniel Patterson ◽  
Kristina A. Mountz ◽  
Caitlin T. Budd ◽  
Jenna L. Bubb ◽  
Austin U. Hsin ◽  
...  
Keyword(s):  
Systematic Review ◽  
Blood Pressure ◽  
Emergency Medical Services ◽  
Shift Work ◽  
Meta Analysis ◽  
Medical Services ◽  
Shift Workers ◽  
Emergency Medical

scholarly journals What is known about the quality of out-of-hospital emergency medical services in the Arabian Gulf States? A systematic review

PLoS ONE ◽  
2019 ◽  
Vol 14 (12) ◽  
pp. e0226230 ◽  
Author(s):  
H. N. Moafa ◽  
S. M. J. van Kuijk ◽  
G. H. L. M. Franssen ◽  
M. E. Moukhyer ◽  
H. R. Haak
Keyword(s):  
Systematic Review ◽  
Emergency Medical Services ◽  
Arabian Gulf ◽  
Medical Services ◽  
Hospital Emergency ◽  
Emergency Medical ◽  
Gulf States

The effect of quality circles on job satisfaction and quality of work-life of staff in emergency medical services

2013 ◽  
Vol 21 (4) ◽  
pp. 264-270 ◽  
Author(s):  
Reza Hosseinabadi ◽  
Arezou Karampourian ◽  
Shoorangiz Beiranvand ◽  
Yadollah Pournia
Keyword(s):  
Job Satisfaction ◽  
Emergency Medical Services ◽  
Work Life ◽  
Quality Of Work Life ◽  
Medical Services ◽  
Quality Circles ◽  
Quality Of Work ◽  
Emergency Medical

scholarly journals Effect of Acute Exposure to Altitude on the Quality of Chest Compression‐Only Cardiopulmonary Resuscitation in Helicopter Emergency Medical Services Personnel: A Randomized, Controlled, Single‐Blind Crossover Trial

2021 ◽  
Author(s):  
Anna Vögele ◽  
Michiel Jan van Veelen ◽  
Tomas Dal Cappello ◽  
Marika Falla ◽  
Giada Nicoletto ◽  
...  
Keyword(s):  
Emergency Medical Services ◽  
Chest Compression ◽  
Acute Exposure ◽  
Medical Services ◽  
Compression Depth ◽  
Helicopter Emergency Medical Services ◽  
Emergency Medical ◽  
Emergency Medical Services Personnel ◽  
Cpr Quality

Background Helicopter emergency medical services personnel operating in mountainous terrain are frequently exposed to rapid ascents and provide cardiopulmonary resuscitation (CPR) in the field. The aim of the present trial was to investigate the quality of chest compression only (CCO)‐CPR after acute exposure to altitude under repeatable and standardized conditions. Methods and Results Forty‐eight helicopter emergency medical services personnel were divided into 12 groups of 4 participants; each group was assigned to perform 5 minutes of CCO‐CPR on manikins at 2 of 3 altitudes in a randomized controlled single‐blind crossover design (200, 3000, and 5000 m) in a hypobaric chamber. Physiological parameters were continuously monitored; participants rated their performance and effort on visual analog scales. Generalized estimating equations were performed for variables of CPR quality (depth, rate, recoil, and effective chest compressions) and effects of time, altitude, carryover, altitude sequence, sex, qualification, weight, preacclimatization, and interactions were analyzed. Our trial showed a time‐dependent decrease in chest compression depth ( P =0.036) after 20 minutes at altitude; chest compression depth was below the recommended minimum of 50 mm after 60 to 90 seconds (49 [95% CI, 46–52] mm) of CCO‐CPR. Conclusions This trial showed a time‐dependent decrease in CCO‐CPR quality provided by helicopter emergency medical services personnel during acute exposure to altitude, which was not perceived by the providers. Our findings suggest a reevaluation of the CPR guidelines for providers practicing at altitudes of 3000 m and higher. Mechanical CPR devices could be of help in overcoming CCO‐CPR quality decrease in helicopter emergency medical services missions. Registration URL: https://www.clinicaltrials.gov ; Unique identifier: NCT04138446.

Job Stressors and Job Satisfaction in a Major Metropolitan Public EMS Service

1999 ◽  
Vol 14 (4) ◽  
pp. 32-35 ◽  
Author(s):  
J. Shelby Bowron ◽  
Knox H. Todd
Keyword(s):  
Job Satisfaction ◽  
Career Choice ◽  
Emergency Medical Services ◽  
Life Support ◽  
Advanced Life Support ◽  
Emergency Medical Technicians ◽  
Medical Services ◽  
Job Stressors ◽  
Emergency Medical

AbstractIntroduction:Behavioral and social science research suggests that job satisfaction and job performance are positively correlated. It is important that Emergency Medical Services managers identify predictors of job satisfaction in order to maximize job performance among prehospital personnel.Purpose:Identify job stressors that predict the level of job satisfaction among prehospital personnel.Methods:The study was conducted with in a large, urban Emergency Medical Services (Emergency Medical Services) service performing approximately 60,000 Advanced Life Support (Advanced Life Support) responses annually. Using focus groups and informal interviews, potential predictors of global job satisfaction were identified. These factors included: interactions with hospital nurses and physicians; on-line communications; dispatching; training provided by the ambulance service; relationship with supervisors and; standing orders as presently employed by the ambulance service. These factors were incorporated into a 21 item questionnaire including one item measuring global job satisfaction, 14 items measuring potential predictors of satisfaction, and seven questions exploring demographic information such as age, gender, race, years of experience, and years with the company. The survey was administered to all paramedics and Emergency Medical Technicians (Emergency Medical Technicians s) Results of the survey were analyzed using univariate and multivariate techniques to identify predictors of global job satisfaction.Results:Ninety paramedics and Emergency Medical Technicians participated in the study, a response rate of 57.3%. Job satisfaction was cited as extremely satisfying by 11%, very satisfying by 29%, satisfying by 45%, and not satisfying by 15% of respondents. On univariate analysis, only the quality of training, quality of physician interaction, and career choice were associated with global job satisfaction. On multivariate analysis, only career choice (p = 0.005) and quality of physician interaction (p = 0.05) were predictive of global job satisfactionConclusion:Quality of career choice and interactions with physicians are predictive of global job satisfaction within this urban emergency medical service (Emergency Medical Technicians). Future studies should examine specific characteristics of the physician-paramedic interface that influence job satisfaction and attempt to generalize these results to other settings.

scholarly journals Reliability and Validity of Survey Instruments to Measure Work-Related Fatigue in the Emergency Medical Services Setting: A Systematic Review

2018 ◽  
Vol 22 (sup1) ◽  
pp. 17-27 ◽  
Author(s):  
P. Daniel Patterson ◽  
Matthew D. Weaver ◽  
Anthony Fabio ◽  
Ellen M. Teasley ◽  
Megan L. Renn ◽  
...  
Keyword(s):  
Systematic Review ◽  
Emergency Medical Services ◽  
Reliability And Validity ◽  
Medical Services ◽  
Work Related ◽  
Emergency Medical ◽  
Survey Instruments

scholarly journals Derivation and validation of an easy-to-compute trauma score that improves prognostication of mortality or the Trauma Rating Index in Age, Glasgow Coma Scale, Respiratory rate and Systolic blood pressure (TRIAGES) score

Critical Care ◽  
2019 ◽  
Vol 23 (1) ◽  
Author(s):  
Atsushi Shiraishi ◽  
Yasuhiro Otomo ◽  
Shunsuke Yoshikawa ◽  
Koji Morishita ◽  
Ian Roberts ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Glasgow Coma Scale ◽  
Systolic Blood Pressure ◽  
Respiratory Rate ◽  
Validation Cohort ◽  
Hospital Death ◽  
The Novel ◽  
Coma Scale ◽  
Physiological Variables ◽  
Trauma Score

Abstract Background Multiple trauma scores have been developed and validated, including the Revised Trauma Score (RTS) and the Mechanism, Glasgow Coma Scale, Age, and Arterial Pressure (MGAP) score. However, these scores are complex to calculate or have low prognostic abilities for trauma mortality. Therefore, we aimed to develop and validate a trauma score that is easier to calculate and more accurate than the RTS and the MGAP score. Methods The study was a retrospective prognostic study. Data from patients registered in the Japan Trauma Databank (JTDB) were dichotomized into derivation and validation cohorts. Patients’ data from the Clinical Randomisation of an Antifibrinolytic in Significant Haemorrhage-2 (CRASH-2) trial were assigned to another validation cohort. We obtained age and physiological variables at baseline, created ordinal variables from continuous variables, and defined integer weighting coefficients. Score performance to predict all-cause in-hospital death was assessed using the area under the curve in receiver operating characteristics (AUROC) analyses. Results Based on the JTDB derivation cohort (n = 99,867 with 12.5% mortality), the novel score ranged from 0 to 14 points, including 0–2 points for age, 0–6 points for the Glasgow Coma Scale, 0–4 points for systolic blood pressure, and 0–2 points for respiratory rate. The AUROC of the novel score was 0.932 for the JTDB validation cohort (n = 76,762 with 10.1% mortality) and 0.814 for the CRASH-2 cohort (n = 19,740 with 14.6% mortality), which was superior to RTS (0.907 and 0.808, respectively) and MGAP score (0.918 and 0.774, respectively) results. Conclusions We report an easy-to-use trauma score with better prognostication ability for in-hospital mortality compared to the RTS and MGAP score. Further studies to test clinical applicability of the novel score are warranted.

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