The problems of physicians-paramedical personnel interaction

2020 ◽  
Vol 28 (4) ◽  
Author(s):  
Vasilenok A. V. ◽  
◽  
Buyanova N. M. ◽  
Matzneva I. A. ◽  
Golubenko E. O. ◽  
...  
Keyword(s):  
Paramedical Personnel

Police, Social Work and Medical Responses to Battered Women

1983 ◽  
Vol 31 (1_suppl) ◽  
pp. 109-123
Author(s):  
Norman Johnson
Keyword(s):  
Child Care ◽  
Social Work ◽  
Social Workers ◽  
Battered Women ◽  
Marital Violence ◽  
Male Violence ◽  
Paramedical Personnel ◽  
The Family ◽  
Seeking Help

Battered women frequently experience difficulties in seeking help from formal sources. They do not always know what services are available and they may be deterred by feelings of embarrassment, shame and even guilt. They may also fear reprisals. A further problem is that services are poorly co-ordinated. This paper examines the response of the three agencies most frequently approached by battered women seeking help. The police, social workers and medical and paramedical personnel reveal the same or similar attitudes towards marital violence and the problem is either ignored or redefined (usually in terms of child care). There is a marked reluctance on the part of all practitioners to become involved in cases of marital violence which they see as peripheral to their main concerns. The privacy of the family and of marriage is constantly stressed and women are viewed primarily as wives and mothers. When practitioners do become involved, therefore, the emphasis is on reconciliation rather than firm action. This response has the effect of trivializing the problems, and the legitimacy of male violence as a means of controlling women remains largely unchallenged. It is small wonder that battered women frequently express dissatisfaction with the services concerned.

Cancer Diagnosis in Children, by L. D. Samuels, M.D. Cleveland: The Chemical Rubber Company, 1972, 131 pp., $25.00

PEDIATRICS ◽  
1972 ◽  
Vol 50 (5) ◽  
pp. 834-835
Author(s):  
Norman Jaffe
Keyword(s):  
Child Health ◽  
Cancer Diagnosis ◽  
General Physician ◽  
Paramedical Personnel ◽  
Diagnostic Work ◽  
Work Up ◽  
Diagnostic Work Up

Cancer Diagnosis in Children is a review of the diagnostic work-up which the author claims will be of interest to the general physician, paramedical personnel, students, and anyone concerned with child health. The text is presented in readable style, culminating in an extremely useful appendix (Chapter 7) . This provides a concise resume of the information presented in the previous six chapters. It adds to the quality of the book which could have been further enhanced by the inclusion of an index, which I found sadly lacking.

Experience of Health-Related Problems during House Parties in the Netherlands: Nine Years of Experience and Three Million Visitors

2009 ◽  
Vol 24 (2) ◽  
pp. 133-139 ◽  
Author(s):  
Jan Krul ◽  
Armand R. J. Girbes
Keyword(s):  
The Netherlands ◽  
Prospective Observational Study ◽  
First Aid ◽  
Years Of Experience ◽  
Medical Support ◽  
Short Term ◽  
Unique Data ◽  
Paramedical Personnel ◽  
Health Related ◽  
The Mean

AbstractObjective:The objective of this study was to report on a nine years of experience of providing medical support during house parties (raves) in the Netherlands, where they can be organized legally.Design:This was a prospective, observational study of self-referred patients from 1997 to 2005. During raves, first aid stations are staffed with specifically trained medical and paramedical personnel. Self-referred patients were diagnosed, treated, and recorded using standardized methods.Results:During a nine-year period with 219 raves occurred, involving approximately three million participants, 23,581 patients visited the first aid stations. The medical usage rate (MUR) varied from 59–170 patients per 10,000 rave participants. The mean age increased from 1997 to 2005 from 18.7 ±2.7 to 23.3 ±5.7 years. The mean stay at the first aid station was 18 ±46 minutes. Most health problems were mild. Fifteen cases of severe incidents were observed with one death.Conclusions:Unique data from the Netherlands demonstrate a low number of serious, health-related, short-term problems during raves.

PEDIATRIC SCREENING EXAMINATIONS IN PRIVATE PRACTICE

PEDIATRICS ◽  
1968 ◽  
Vol 41 (1) ◽  
pp. 115-119
Author(s):  
Glenn Austin ◽  
William Foster ◽  
John C. Richards
Keyword(s):  
Medical Care ◽  
Patient Care ◽  
Private Practice ◽  
Pediatric Practice ◽  
Paramedical Personnel ◽  
Assistant Physician ◽  
Special Value ◽  
System Review ◽  
Pediatric Screening

A pediatric assistant performs health screening examinations in a private pediatric practice without the presence of the doctor. Only patients between the ages of 6 to 12 years who have no apparent significant problems and who have had a complete physical and history by a pediatrician the year previously are accepted for the screening, which includes a system review, height, weight, visual and hearing testing, hemoglobin, urinalysis, and immunizations. The pediatric assistant, chosen for her ability to communicate with mothers, is of special value in listening to minor complaints. The chart is reviewed by the child's pediatrician and problems are discussed with the assistant. Physician follow-up is accomplished if deemed helpful. This is accepted by patients, allows continuity of personal comprehensive medical care in the pediatric office at a reduced cost, and allows the physician more time for patient care while increasing efficient use of paramedical personnel. Possible misuse of screening examinations, with resulting impersonal and fragmented medical care, is discussed.

Disaster Triage by Advanced Emergency Medical Technicians

1987 ◽  
Vol 3 (2) ◽  
pp. 6-8
Author(s):  
Constance J. Doyle ◽  
Richard E. Birney
Keyword(s):  
Medical Care ◽  
Rural Areas ◽  
First Responders ◽  
Environmental Hazards ◽  
Field Conditions ◽  
Emergency Medical Technicians ◽  
Trauma Patients ◽  
Paramedical Personnel ◽  
Emergency Medical

Many disaster plans are based on the presence of a physician at the scene to perform triage. This requirement originated when there were no trained paramedical personnel in the field and may actually delay care in rural areas where a physician may not be readily available or may be the only physician at the hospital.It is our hypothesis that properly trained Advanced Emergency Medical Technicians (AEMT's) may serve as triage officers for rural disasters with little difference, and perhaps improvement, in the outcomes of medical care. AEMT's are among the first responders to arrive at scenes of accidents and often triage from three to five trauma patients in multiple victim accidents on the highway. They are on duty, available and strategically located both day and night. The AEMT's are familiar with working under field conditions, i.e. at night by headlight, in rain, snow, and darkness, and know extrication procedures. They are aware of environmental hazards. They have radio and telemetry communication with a physician when needed.

Mobile Intensive Care Units

1985 ◽  
Vol 1 (S1) ◽  
pp. 139-140
Author(s):  
Wolfgang F. Dick
Keyword(s):  
Intensive Care ◽  
Intensive Care Units ◽  
Emergency Medical Technician ◽  
Emergency Patient ◽  
Emergency Patients ◽  
Paramedical Personnel ◽  
Emergency Calls ◽  
Vital Functions ◽  
Mobile Intensive Care Units ◽  
Medical Technician

Mobile intensive care units (MICU) will take care of all real emergency patients with presumed or proven disturbances of vital functions. These vehicles are equipped according to standardized criteria, and usually stationed at emergency hospitals. MICU's are accompanied by one rescue assistant, one emergency medical technician (EMT) and one physician.Eighty-five to 90% of the total number of emergency calls were primary emergency calls, where the emergency patient had to be treated at the scene; 10% to possibly 20% were emergency patients who had already received treatment by medical or paramedical personnel.

scholarly journals Estimated Birth Weight by current Weight-and Age During the First Five Days of Life

2018 ◽  
Vol 33 (3-4) ◽  
pp. 64-7
Author(s):  
Siswanto Agus Wilopo ◽  
Mohammad Hakimi ◽  
Achmad Surjono
Keyword(s):  
Birth Weight ◽  
Intraclass Correlation ◽  
Least Square ◽  
Coefficient Of Determination ◽  
Perfect Agreement ◽  
Paramedical Personnel ◽  
Least Square Estimate ◽  
Methodological Problems ◽  
A Current ◽  
Current Weight

In the developing countries, measurement of birth weight is subjected to methodological problems. The main issue is the difficulty of measuring birth weight soon after delivery. Two relevant questions are proposed by this study : 1) can a birth weight be estimated several hours or days after a baby was delivered ?, and 2) can an estimated birth weight be collected by paramedical personnel with reliable results? To answer these questions, we conducted a study at Dr. Sardjito Hospital, Yogyakana, to evaluate agreement between two paramedical personnel in the routine measurements of neonatal weight in the rooming-in ward. The behavior of these two paramedical personnel was observed from one month when they examined 32 neonates. Both of them weighed the neonate at 7.00 hours and one weighed the neonate at 15.00 or 21.00 hours. The order of the last two measurements was made alternatingly. This resulted in 156 pairs of measurement for agreement analysis. There was a strong evidence that the two raters have almost perfect agreement on measuring neonatal weights (intraclass correlation coefficient = 0.978). The second part of this study looked at neonatal weight during the first five days of life. The neonatal weights were measured three times a day up to age of the days. We constructed a formula for estimating their birth weight based on a current neonatal weight and age in days. Birth weight can be estimated using formula : Birth weight ; 51 + 1. 029 x current weight - 10 x age in days. The data fitted very well to this least square estimate with a coefficient of determination (R) = 0.95.

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