Trends in EMS encounters and outcomes among children and adolescents with firearm injuries from 2018 to 2022

The American Journal of Emergency Medicine, Journal Year: 2025, Volume and Issue: 90, P. 55 - 60

Published: Jan. 5, 2025

Language: Английский

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Investment in community-based rural health care innovation to address health inequities in Australia

The Lancet Regional Health - Western Pacific, Journal Year: 2023, Volume and Issue: 40, P. 100967 - 100967

Published: Nov. 1, 2023

We read Alston and Versace's article, which called for investment in rural research activity situated hospitals with great interest.1Alston L. Versace V.L. Place-based small hospitals: an overlooked opportunity action to reduce health inequities Australia?.Lancet Reg Health West Pac. 2023; 30100682https://doi.org/10.1016/j.lanwpc.2022.100682Google Scholar wholeheartedly agree this commentary write now add our own thoughts. Around 30% of the population lives remote Australia. People living these areas have higher rates chronic disease a lower life expectancy. They experience high levels socio-economic disadvantage, struggle access services due distance, cost workforce shortages.2Australian Institute WelfareRural health.2019https://www.aihw.gov.au/reports/rural-remote-australians/rural-and-remote-healthGoogle Investment is urgently needed know what works address outcomes between metropolitan Australia.3Barclay Phillips A. Lyle D. Rural research: does match need?.Aust J Health. 2018; 26: 74-79Google echo call hospital-based research. Researchers School demonstrate value researchers clinicians working partnership inform service design4MacDermott S. Sutton K. Motorniak et al.Suicide-related crisis presentations emergency department: retrospective cohort study.Australas Psychiatry. 31: 13-18Google implement interventions that improve hospital admissions.5Barrett Begg O'Halloran P. Kingsley M. Cost-effectiveness telephone coaching physically inactive ambulatory care patients: economic evaluation alongside Healthy4U randomised controlled trial.BMJ Open. 2019; 9e032500Google Scholar,6Barrett A physical intervention can maintain health-related adult Healthy4U-2 trial.Int Behav Nutr Phys Activ. 2020; 17: 156Google especially dissemination findings opportunities upscaling crucial. further contend we must look beyond also invest community level tests innovative, evidence-informed placed-based solutions social determinants drive poor health. are overburdened underfunded, exacerbating issues people face. New models healthcare delivery required prevent needing present hospitals. In organisations ranging from services, local councils, Royal Flying Doctors Service, building evidence new approaches specialist care, promotion, oral children out-of-home end-of-life palliative care.4MacDermott Scholar,7Conlin M.P. McLaren MacDermott Spelten E. Evaluation methods microgrant programs promotion: scoping review.J Public Manag Pract. 2022; 28: E743-E756Google Scholar,8Dickson-Swift V. Kenny Farmer J. Gussy Larkins Measuring literacy: review existing tools.BMC Oral 2014; 14: 148Google Where outcome data available, context-specific improving patient satisfaction, reducing admissions. These projects often been funded by grants yet having significant, meaningful lasting impact on communities. Importantly, partnerships started led ongoing, trusted relationships capacity, funding industry PhDs encouraging partners build into their everyday work. Extending reach place-based studies, McMaster University Canada participating world-wide Community Paramedicine trial. Paramedics being placed communities where there identified need care.9Spelten Thomas B. van Vuuren al.Implementing paramedicine: known player role. narrative review.Australas Emerg Care. https://doi.org/10.1016/j.auec.2023.07.003Google The paramedics start establishing trusting community, focusing individualised using framework. Individuals basic needs met (food, transport, connection) needs. positive model patients wider system has well established.10van Agarwal G. al.Reshaping elderly role paramedicine. systematic review.BMC Serv Res. 2021; 21: 29Google transferability contexts focus arm international study. It estimated only around 2.4% National Medical Research Council aimed specifically Australians areas.3Barclay Not disparity inequitable unfair, it disadvantages who already poorer "what works" not automatically translate setting scale. Funding goes remit enables testing novel, wide range be part solution inequity gap. All authors: conceptualisation, methodology, writing–review & editing. FB: investigation, writing–original draft. LH: project administration, supervision. JM: resources, N/A: curation, acquisition, software, validation, visualisation. authors did receive specific article. Jane Mills La Trobe Dean Leesa Hooker Associate Industry Engagement at School. Fiona Burgemeister Officer Australia?Rural significant disparities compared counterparts.1 underinvestment resulted lack context knowledge contributes ongoing inequity.1 Metropolitan regularly observed include as usual business outputs exceeding >1000 peer-reviewed papers per year.2 comparison, Australia vectors generation, despite critical need. Full-Text PDF Open Access

Language: Английский

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Geriatric Emergency Medicine Fellowship Journal Club – Community Paramedicine

Journal of Geriatric Emergency Medicine, Journal Year: 2024, Volume and Issue: 5(3)

Published: July 22, 2024

Community paramedicine is a model of healthcare that utilizes paramedic services to deliver nonurgent patients. 1 The intended goal improve patient care by identifying community dwelling patients who may benefit from additional services, such as home or mobile health teams, prevent progression more serious illness. use programs has expanded in multiple jurisdictions the last decade and offers numerous advantages. 2.,3 Paramedics are medical professionals can efficiently be trained gain roles skills provide beyond acute management transportation.Focused role-specific training include recognizing geriatric syndromes, performing procedures, providing point-of-care testing interventions, assessing managing chronic diseases, coordinating with primary making referrals, education, following up post-discharge. 2,3 Older adults represent an increasing proportion utilizing emergency services. 4The ability ambulatory particularly advantageous vulnerable older mobility cognitive impairments, social isolation, comorbidities.A proactive approach addresses disease syndromes also help reduce costs associated adverse events adults. 5From department perspective, offer option robust resource facilitate safe discharge plans promotion for In this article, we summarize Journal Club on Paramedicine held February st , 2024, which reviewed two articles examining system impacts their intersection department. CASE JOURNAL OF GERIATRIC EMERGENCY MEDICINEA 75-year-old woman transported hospital ambulance after sustaining fall at home.The paramedics report they have attended times past few months similar falls.Usually, requires assistance get then declines transport hospital.On instance, was unable ambulate even there obvious deformity right hip noted.The tells you, "Every time I see patient's address pop-up my shift, worry will fall."The pain managed, she diagnosed fracture, consulted orthopedics.Given interactions (EMS) prior today's ED visit, you wonder about interventions support outcomes.

Language: Английский

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Paramedic educational interventions for out-of-hospital domestic and intimate partner violence cases: A scoping review

Paramedicine, Journal Year: 2024, Volume and Issue: unknown

Published: July 26, 2024

Domestic and intimate partner violence are significant causes of mortality morbidity worldwide. The act is usually serial in nature tends to amplify severity if not intervened. first interaction a victim-survivor has with the healthcare system may be through paramedic. Paramedics opportunely placed for early intervention. Previous research sought assess impact domestic education on professionals, primarily in-hospital staff, however, there been relatively minimal inquiry concerning paramedic practice. This study aimed investigate evidence regarding educational interventions pre- in-service paramedics. Additionally, we describe extent interprofessional training relevant practice guidelines/policies responses. A scoping review, utilising an priori piloted search strategy (Medline via PubMed, Scopus, EBSCOhost), was used identify literature published from 2002 related interventions. Academic including produced by organizations outside conventional academic publishing were searched. total 1713 records identified, 36 included descriptive analysis. Major topic domains identified teaching content methods, professionalising best practices public protection, intersectionality calls training, With reports increasingly highlighting potential role response violence, paucity studies its improvement. Reported strategies across multiple settings have some consistency. Though improve behaviour actual/perceived knowledge competence, no suggesting experiences outcomes. Interprofessional collaborations between out-of-hospital services, police, social workers, staff useful but remains underreported/underutilised. Future should focus stakeholder engagement intervention implementation.

Language: Английский

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Exploring the feasibility and acceptability of community paramedicine programs in achieving vaccination equity: a qualitative study

BMC Health Services Research, Journal Year: 2024, Volume and Issue: 24(1)

Published: Sept. 4, 2024

Language: Английский

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