scholarly journals The Knowledge and Attitude of Prehospital Care among Emergency Medical Technicians Working at 119 Fire Safety Centers for Patients with Acute Drug Intoxication

2010 ◽  
Vol 35 (3) ◽  
pp. 301-313
Author(s):  
Hyo-Cheol Lee ◽  
Young-Sook Lee
Keyword(s):  
Fire Safety ◽  
Prehospital Care ◽  
Emergency Medical Technicians ◽  
Drug Intoxication ◽  
Emergency Medical ◽  
Knowledge And Attitude

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.

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.

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.

Occupational Stress among Japanese Emergency Medical Technicians: Hyogo Prefecture

2005 ◽  
Vol 20 (2) ◽  
pp. 115-121 ◽  
Author(s):  
Naoki Okada ◽  
Noboru Ishii ◽  
Minori Nakata ◽  
Shinichi Nakayama
Keyword(s):  
Occupational Stress ◽  
Mental Stress ◽  
Prehospital Care ◽  
Physical Stress ◽  
Emergency Medical Technician ◽  
Emergency Medical Technicians ◽  
Lower Back ◽  
Emergency Medical ◽  
Hyogo Prefecture ◽  
Medical Technician

AbstractIntroduction:As prehospital care became emphasized in emergency medical services in Japan, qualification as a “paramedic” was established in 1991 as a requirement for national qualification as a emergency medical technician (EMT).With recent increases in emergency transportation, the responsibilities of paramedics have become more complex and demand a higher level of competency; however, no method of evaluating occupational stress among Japanese EMTs currently exists.Methods:A questionnaire survey of the working conditions and health of 2,017 EMTs in Hyogo Prefecture was conducted. To analyze stress levels among these EMTs, the survey was divided into two categories: (1) physical stress; and (2) mental stress.Results:The number of responses was 1,551 (76.9%) and the average age of the respondents was 35.4 years. The lower back, neck, and shoulders were most frequently subjected to physical stress, which was related to the daily operations as an EMT. Mental stress was reported more frequently by those who were older or qualified paramedics.Discussion:The high frequency of lower back pain suggests the need for improvement in the work environment and periodic education.Conclusions:Although job satisfaction among paramedics was high, they were exposed to greater mental stress. Therefore, systematic management of stress must be developed and established.

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