A Comparison Survey of Paramedic Level of Confidence in Handling Paediatric Versus Adult Patients- Riyadh City
Abstract Background:Emergency Medical Services (EMS) is a national network of prehospital services coordinated to provide aid and medical assistance to pediatric and adult patients. Studies indicate that a paramedic’s level of confidence in handling an adult patient is higher than that in handling a paediatric patient. The study objective is to explore paramedics’ levels of confidence in handling pediatric patients as compared to that in handling adult patients in Riyadh, Saudi Arabia. Method:A cross-sectional study targeted paramedics in different institutions in the city of Riyadh after , a self-administered questionnaire were used to measure level of confidence in handling adult compared to pediatric in different given clinical scenarios using five point Likert scaleResults:A total of 144 participants completed the survey, with a response rate of 90%. Of these, 91.7% were male, 42.4% worked in pre-hospital care, and 43.8% worked in-hospital station. The sample was comprised of both paramedics who obtained their qualifications in the Kingdom of Saudi Arabia (KSA) (53.5%) and those who obtained their qualifications outside the KSA (46.5%). Across the sample, 97% were confident in handling adults, while 78.5% were confident in handling paediatric patients. The paramedics’ levels of confidence in handling adult and paediatric patients were compared in terms of ten specific conditions and skills using a five-point Likert scale, where a set score based on response of 10 was the minimum and 50 was the maximum. The difference in confidence level with paediatric (median = 36, IQR: 29,39) and adult (Median= 47, IQR: 42,50) patients was statistically significant, with a p-value of 0.001. Conclusions: The findings of this study are consistent with international studies showing that paramedics are more confident in handling adult patients than pediatric patients. This study recommends the dissemination of its findings to stakeholders for advanced training in paediatric.