scholarly journals Wellbeing Series: The patient is ready for you…but are you ready for the patient? The health status of paramedics and its effect on job performance.

2019 ◽  
Vol 4 (2) ◽  
Author(s):  
Alexander (Sandy) MacQuarrie

In this wellbeing series we present practical advice for prehospital care providers, responders, and other shift workers. These articles are produced by experts in their field. Many of these topics were presented at the Irish College of Paramedics Wellbeing Symposium in University College Cork in May 2019.

2019 ◽  
Vol 4 (2) ◽  
Author(s):  
Alan M Batt

<p>In this wellbeing series we present practical advice for prehospital care providers, responders, and other shift workers. These articles are produced by experts in their field. Many of these topics were presented at the Irish College of Paramedics Wellbeing Symposium in University College Cork in May 2019.</p><p> </p>


2019 ◽  
Vol 4 (2) ◽  
Author(s):  
Jennifer Reidy

In this wellbeing series we present practical advice for prehospital care providers, responders, and other shift workers. These articles are produced by experts in their field. Many of these topics were presented at the Irish College of Paramedics Wellbeing Symposium in University College Cork in May 2019.


2019 ◽  
Vol 4 (2) ◽  
Author(s):  
Grainne Kent

In this wellbeing series we present practical advice for prehospital care providers, responders, and other shift workers. These articles are produced by experts in their field. Many of these topics were presented at the Irish College of Paramedics Wellbeing Symposium in University College Cork in May 2019.


2019 ◽  
Vol 4 (2) ◽  
Author(s):  
Sharon Gallagher

In this wellbeing series we present practical advice for prehospital care providers, responders, and other shift workers. These articles are produced by experts in their field. Many of these topics were presented at the Irish College of Paramedics Wellbeing Symposium in University College Cork in May 2019


2019 ◽  
Vol 4 (2) ◽  
Author(s):  
Motty Varghese

In this wellbeing series we present practical advice for prehospital care providers, responders, and all shift workers. These articles are produced by experts in their field. Many of these topics were presented at the Irish College of Paramedics Wellbeing Symposium in University College Cork in May 2019.


2019 ◽  
Vol 4 (2) ◽  
Author(s):  
Marc Colbeck

<span>In this wellbeing series we present practical advice for prehospital care providers, responders, and other shift workers. These articles are produced by experts in their field. Many of these topics were presented at the Irish College of Paramedics Wellbeing Symposium in University College Cork in May 2019.</span>


2016 ◽  
Vol 1 (1) ◽  
Author(s):  
Alan M Batt

<p>Welcome to the first issue of the Irish Journal of Paramedicine (IJP). It gives me great pleasure to launch this journal, a first for Irish paramedics, and pre-hospital care in Ireland. I am also honoured to announce that the IJP has been adopted as the official journal of the Irish College of Paramedics, the professional body for prehospital emergency care practitioners in Ireland.</p><p>              A newly emerging profession, paramedicine is now poised at  a crossroads. Previously alluded to with  colleagues from around the globe, the role of the paramedic is one that is rapidly evolving, and yet paramedicine as a discipline has yet to figure out where it belongs.(1) Are we public safety professionals, first responders or healthcare professionals? Williams has previously stated that the road less travelled requires the paramedic profession to pursue identity as a healthcare profession and not as emergency responders, EMS workers, or ambulance drivers, which we are so commonly identified as.(2)</p><p>Initiatives within Ireland such as the Centre for Prehospital Research national research agenda, the move to higher education for paramedics in University College Dublin and the University of Limerick, and the publication of high-quality peer-reviewed research, undertaken for paramedics, led by paramedics, and published in paramedicine journals are key components in this pursuit of professionalism. It is our hope that the Irish Journal of Paramedicine will play its part as a vehicle in this endeavour.</p><p>It is important however to point out that the Irish Journal of Paramedicine is not exclusively for paramedics. Within Ireland, and around the world, there are many other prehospital care providers, including community responders, volunteer first responders, EMT practitioners, nurses, physicians and others who deliver high quality patient care and are as committed to their personal and professional development as any paramedic. This journal is for the entire prehospital care community, within Ireland and abroad.</p><p>On behalf of the editorial board and the executive of the Irish College of Paramedics, I would like to outline our vision for this journal. We aim to deliver a high quality, freely accessible, peer-reviewed journal that will help to further the professionalisation of paramedicine and prehospital care provision both in Ireland and internationally.</p><p>Our aim is to provide you with access to research, reviews, appraisals, clinical updates, case reports and opinions that will help you to provide the best quality service – whether you are a student, clinician, educator, manager or researcher. We aim to present a wide range of topics relating to clinical practice, professional issues, role development, education and training, policy and service delivery, thereby representing all aspects of paramedicine and prehospital care.</p><p>Our editorial board consists of respected academics, researchers, clinicians and educators from Ireland and abroad who are committed to furthering the cause of paramedicine, and encouraging its future development of professional standing. I am indebted to them for the time they gave so freely in helping to establish this journal.</p><p>We strongly encourage you to submit articles, reports, letters and other contributions to the journal. It is also our vision to publish abstracts of research activity undertaken by Irish prehospital care providers and practitioners, which has been presented at various conferences and scientific meetings, such as the EMS Gathering, and Irish College of Paramedics Scientific Days to name but two.</p><p>Remember this is your journal and it will be as successful as you want it to be. This journal has been a long time in the making, and we look forward to helping it to develop into a true academic and clinical resource along with your assistance. Thank you.</p><p>Alan M. Batt</p><p>Editor</p><p> </p><p>Source of support/funding: None.</p><p>Conflict of interest: AB is Editor of the IJP.</p><p>Provenance and review: Commissioned, not peer-reviewed.</p><p>References</p><p>1. Morton J, Kloepping K, Buick J, Todd J, Batt A. The evolution of the paramedic. Can Paramed. 2015;38(5).</p><p>2. Williams B, Onsman A, Brown T. Is the Australian Paramedic Discipline a Full Profession ? J Emerg Prim Heal Care. 2010;8(1):3.</p><p>How to cite this article: Batt AM. Welcome to the Irish Journal of Paramedicine (Editorial). Irish Journal of Paramedicine, 2016; 1(1).</p><p>This is an Open Access article distributed under the terms of the Creative Commons Attribution-Non-Commercial-ShareAlike 4.0 International (<a href="http://creativecommons.org/licenses/by-nc-sa/4.0/">http://creativecommons.org/licenses/by-nc-sa/4.0/</a>),which permits use, distribution, and reproduction in any medium, provided the original work and any attributes thereof are properly cited, are distributed under the same licence, and that the work is not used for commercial purposes. Content copyright remains with the authors, who grant the IJP a licence to reuse and distribute.</p><p> </p>


Author(s):  
Prakash Poudel ◽  
Rhonda Griffiths ◽  
Amit Arora ◽  
Vincent W. Wong ◽  
Jeff R. Flack ◽  
...  

This study assessed self-reported oral health status, knowledge, and behaviours of people living with diabetes along with barriers and facilitators in accessing dental care. A cross sectional survey of 260 patients from four public diabetes clinics in Sydney, Australia was undertaken using a 35-item questionnaire. Data were analysed using SPSS software with descriptive and logistic regression analyses. More than half (53.1%) of respondents reported having dental problems which negatively impacted their related quality of life. Less than half (45%) had adequate oral health knowledge. Only 10.8% reported receiving any oral health information in diabetes care settings, which had higher odds of demonstrating adequate oral health knowledge (AOR, 2.60; 95% CI, 1.06–6.34). Similarly, 62.7% reported seeing a dentist in the last 12 months. Having private health insurance (AOR, 3.70; 95% CI, 1.85–7.40) had higher odds of seeing a dentist in the past 12 months. Dental costs were a major contributor to avoiding or delaying dental visit. Patients living with diabetes have unmet oral health needs particularly around the awareness of its importance and access to affordable dental services. Diabetes care providers can play a crucial role in this area by promoting oral health to their patients.


Author(s):  
Douglas Spangler ◽  
Hans Blomberg ◽  
David Smekal

Abstract Background The novel coronavirus disease 2019 (Covid-19) pandemic has affected prehospital care systems across the world, but the prehospital presentation of affected patients and the extent to which prehospital care providers are able to identify them is not well characterized. In this study, we describe the presentation of Covid-19 patients in a Swedish prehospital care system, and asses the predictive value of Covid-19 suspicion as documented by dispatch and ambulance nurses. Methods Data for all patients with dispatch, ambulance, and hospital records between January 1–August 31, 2020 were extracted. A descriptive statistical analysis of patients with and without hospital-confirmed Covid-19 was performed. In a subset of records beginning from April 14, we assessed the sensitivity and specificity of documented Covid-19 suspicion in dispatch and ambulance patient care records. Results A total of 11,894 prehospital records were included, of which 481 had a primary hospital diagnosis code related to-, or positive test results for Covid-19. Covid-19-positive patients had considerably worse outcomes than patients with negative test results, with 30-day mortality rates of 24% vs 11%, but lower levels of prehospital acuity (e.g. emergent transport rates of 14% vs 22%). About half (46%) of Covid-19-positive patients presented to dispatchers with primary complaints typically associated with Covid-19. Six thousand seven hundred seventy-six records were included in the assessment of predictive value. Sensitivity was 76% (95% CI 71–80) and 82% (78–86) for dispatch and ambulance suspicion respectively, while specificities were 86% (85–87) and 78% (77–79). Conclusions While prehospital suspicion was strongly indicative of hospital-confirmed Covid-19, based on the sensitivity identified in this study, prehospital suspicion should not be relied upon as a single factor to rule out the need for isolation precautions. The data provided may be used to develop improved guidelines for identifying Covid-19 patients in the prehospital setting.


2020 ◽  
Vol 13 (1) ◽  
pp. 6
Author(s):  
Rui Hu ◽  
Bruno Michel ◽  
Dario Russo ◽  
Niccolò Mora ◽  
Guido Matrella ◽  
...  

Artificial Intelligence in combination with the Internet of Medical Things enables remote healthcare services through networks of environmental and/or personal sensors. We present a remote healthcare service system which collects real-life data through an environmental sensor package, including binary motion, contact, pressure, and proximity sensors, installed at households of elderly people. Its aim is to keep the caregivers informed of subjects’ health-status progressive trajectory, and alert them of health-related anomalies to enable objective on-demand healthcare service delivery at scale. The system was deployed in 19 households inhabited by an elderly person with post-stroke condition in the Emilia–Romagna region in Italy, with maximal and median observation durations of 98 and 55 weeks. Among these households, 17 were multi-occupancy residences, while the other 2 housed elderly patients living alone. Subjects’ daily behavioral diaries were extracted and registered from raw sensor signals, using rule-based data pre-processing and unsupervised algorithms. Personal behavioral habits were identified and compared to typical patterns reported in behavioral science, as a quality-of-life indicator. We consider the activity patterns extracted across all users as a dictionary, and represent each patient’s behavior as a ‘Bag of Words’, based on which patients can be categorized into sub-groups for precision cohort treatment. Longitudinal trends of the behavioral progressive trajectory and sudden abnormalities of a patient were detected and reported to care providers. Due to the sparse sensor setting and the multi-occupancy living condition, the sleep profile was used as the main indicator in our system. Experimental results demonstrate the ability to report on subjects’ daily activity pattern in terms of sleep, outing, visiting, and health-status trajectories, as well as predicting/detecting 75% hospitalization sessions up to 11 days in advance. 65% of the alerts were confirmed to be semantically meaningful by the users. Furthermore, reduced social interaction (outing and visiting), and lower sleep quality could be observed during the COVID-19 lockdown period across the cohort.


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