Palliative paramedicine: An interrupted time series analysis of pre-hospital guideline efficacy
Palliative Medicine,
Journal Year:
2025,
Volume and Issue:
unknown
Published: April 22, 2025
Background:
Paramedics
are
increasingly
involved
in
palliative
care
and
often
support
community-based
service
delivery
to
facilitate
integrated
practice.
However,
the
impact
of
specific
guidelines
on
clinical
practice
remains
unknown.
Aim:
To
determine
an
ambulance
guideline
rates
supportive
medication
administration
non-transport.
Design:
A
retrospective
cohort
study
electronic
patient
records
from
January
2014
June
2023.
Baseline
characteristics
were
compared
pre-
post-guideline
introduction.
Interrupted
time
series
analysis
was
performed
examine
efficacy.
Setting/participants:
Patients
all
ages
receiving
who
attended
by
paramedics
Victoria,
Australia.
Results:
total
31,579
patients
included.
The
median
age
75
years
(IQR
=
64–84
years),
56.4%
men.
Overall,
25.8%
not
transported
hospital.
Following
introduction,
there
no
significant
trend
changes
medications.
non-transport
rate
increased
significantly
per
month
(0.2%,
p
0.007),
amounting
a
9.9%
(
0.020)
increase
end
period
scenario
which
had
been
introduced.
Subgroup
diagnosed
with
‘pain’
or
after-hours
also
showed
increases
(monthly
increase:
pain
0.3%,
0.003;
<
0.001;
29.7%,
0.001,
22.6%,
0.001).
Conclusions:
Introduction
associated
decrease
transport
emergency
departments,
allowing
more
continuity
community.
Language: Английский
Primary palliative care: Onwards and upwards!
Palliative Medicine,
Journal Year:
2024,
Volume and Issue:
unknown
Published: Sept. 9, 2024
Language: Английский
A Qualitative Evaluation of a Palliative Care Education Program for Paramedics
Journal of Palliative Medicine,
Journal Year:
2024,
Volume and Issue:
unknown
Published: Dec. 4, 2024
Since
2011,
extended
care
paramedics
in
South
Australia
have
collaborated
with
palliative
services
to
deliver
successful
and
end
of
life
care.
However,
a
gap
paramedic
training
was
identified
growing
number
patients
opting
for
home
palliation,
prompting
the
development
2021
education
program
by
Australian
Ambulance
Service
partnership
Program
Experience
Palliative
Approach,
equip
enhanced
skills
resources
effective
community.
Language: Английский