Evaluating the Effectiveness of Trauma Care and Emergency Preparedness Training Programs on Prehospital Primary Survey Skills: A Systematic Review

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

Published: Nov. 20, 2024

This systematic review evaluates the impact of trauma care and emergency preparedness training programs on prehospital primary survey effectiveness. A comprehensive search strategy was employed across multiple databases, including PubMed, Cochrane Library, Embase, Cumulated Index to Nursing Allied Health Literature (CINAHL), focusing studies involving healthcare professionals such as paramedics, nurses, medical technicians (EMTs). The included randomized controlled trials (RCTs), clinical trials, cohort that assessed various modalities like virtual reality (VR) simulations, case-based learning (CBL), hands-on workshops. Quality assessment performed using risk-of-bias (RoB) tool for Newcastle-Ottawa Scale (NOS) ensuring methodological rigor consistency. findings suggest CBL significantly improves knowledge retention skills, outperforming other methods simulation exercises, which showed mixed results. VR increased confidence levels but did not demonstrate significant improvements in objective skills compared traditional methods. use supplementary triage assistance teams (physician-nurse team (MDRNSTAT)) found be effective during high patient volume hours, though cost-effective a daytime strategy. While highlights importance interactive scenario-based programs, limitations variability study designs, publication bias, language bias were noted, suggesting caution should exercised generalizing Future research focus long-term effectiveness, integration emerging technologies, larger, well-designed diverse settings strengthen evidence base.

Language: Английский

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What is the Evidence for Using Intranasal Medicine in the Prehospital Setting? A Systematic Review

Prehospital Emergency Care, Journal Year: 2024, Volume and Issue: 28(6), P. 787 - 802

Published: June 7, 2024

Intranasal (IN) medications offer a safe non-invasive way to rapidly deliver drugs in situations where intravenous (IV) access and intramuscular (IM) administration is challenging or not feasible. In the prehospital setting, this can be an essential alternative time critical including trauma management, seizures, agitated patients. However, there paucity of evidence summarizing its efficacy environment. This systematic review aims assess current supporting use IN medicine (midazolam, ketamine, fentanyl, morphine, glucagon, naloxone) setting alone.

Language: Английский

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Editorial: Prehospital emergency medicine: challenges and opportunities

Frontiers in Medicine, Journal Year: 2024, Volume and Issue: 11

Published: Nov. 14, 2024

Emergency medical care provided before hospital arrival depends on functioning emergency 31 services and covers a wide range organizational topics. (1) No 32 matter whether system is physician-, nurse-, or purely paramedic-based more follows an 33 Anglo-American Franco-German style (2), the ultimate goal of to save lives 34 strive for excellency. A skill transfer including (non-)invasive techniques novel 35 technologies from in-to pre-hospital setting has in recent years been increasingly shown 36 improve quality and, subsequently, outcomes. Successful examples include blood 37 gas analysis, point-of-care ultrasound, video laryngoscopy. (3) (4) (5) To further advance 38 these endeavours, research not only factor medicine that "nice have" 39 but definitive necessity. conclude, it utmost importance promote various 85 resource settings environments. Especially background emerging 86 low-resource adjacent challenges (8) (9), strategies evidence 87 gathering, synthesis, implementation evidence-based approaches pre-88 will remain "hot topic" quite some time. 89 90

Language: Английский

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The relationship between self-confidence and attitude of emergency medical technicians towards family presence during resuscitation

International Journal of Emergency Medicine, Journal Year: 2024, Volume and Issue: 17(1)

Published: Dec. 3, 2024

Abstract Background Family presence during resuscitation is a controversial issue worldwide. The aim of this study was to investigate the self-confidence and attitudes Emergency Medical Technicians (EMTs) towards family (FPDR). Methods In cross-sectional study, random sample 252 EMTs were selected from 110 prehospital emergency centers. Two main questionnaires used collect data on EMTs’ FPDR. Results results showed that FPDR lower than mean (43.69 ± 19.40). addition, more 85% them stated process stressful for patient’s companions. There positive correlation between ( r = 0.52, p < 0.01). smaller number members present associated with higher Moreover, personnel experience, liability insurance, advanced training significantly self-confident other personnel. Conclusion A large EMS have negative attitude FPDR, but EMTs, self-confidence, attitude. Therefore, it possible improve increase their by perform in preventing people gathering at scenes.

Language: Английский

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Common Challenges in the Prehospital Management of Mass-Casualty Incidents: A Systematic Integrative Review

Prehospital and Disaster Medicine, Journal Year: 2024, Volume and Issue: unknown, P. 1 - 9

Published: Dec. 12, 2024

Mass-casualty incidents (MCIs) place extraordinary demands on prehospital medical response. However, there remains limited evidence best practices in managing MCIs, and therefore, is a need to systematically synthetize experiences from them build further evidence.

Language: Английский

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