Addressing the challenges facing the paramedic profession in the United Kingdom

Eaton, Georgette

doi:10.1093/bmb/ldad024

Cited by 3 publications

(2 citation statements)

References 12 publications

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“…However, it was only in 2018 that Australia accepted paramedicine into the National Registration and Accreditation Scheme (NRAS) for health professions, thereby fully recognising paramedicine as a health profession in its own right. This reflects the experience in other countries where paramedicine is now a rapidly expanding profession found within a range of medical and academic settings (Eaton, 2023).…”

Section: Has Regulation Of the Paramedic Service Improved Professiona...supporting

confidence: 59%

“…Interestingly, this represents a return to the origins of the profession, with the prefix “para” indicating one who works along with medical practitioners rather than as an assistant to doctors. The origin of the paramedic service can be traced back to the 11th century, during the Crusades, when members of the Knights Hospitaller were trained to provide emergency care both for soldiers injured in battle and for pilgrims experiencing illness or accidents (Eaton, 2023).…”

Section: Has Regulation Of the Paramedic Service Improved Professiona...mentioning

confidence: 99%

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IJHG review 28.4

MacVane Phipps

2023

IJHG

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Section: Has Regulation Of the Paramedic Service Improved Professiona...supporting

confidence: 59%

Section: Has Regulation Of the Paramedic Service Improved Professiona...mentioning

confidence: 99%

IJHG review 28.4

MacVane Phipps

2023

IJHG

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Diagnostic accuracy of early warning system scores in the prehospital setting

Bell,

Hill

2023

Journal of Paramedic Practice

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The use of prehospital early warning scores in ambulance services is widely endorsed to promptly identify patients at risk of clinical deterioration. Early warning scores enable clinicians to estimate risk based on clinical observations and vital signs, with higher scores indicating an elevated risk of adverse outcomes. Local healthcare systems establish threshold values for these scores to guide clinical decision-making, triage, and response, necessitating a careful balance between identifying critically unwell patients and managing the challenge of prioritisation. Given the limited evidence for optimal early warning scores in emergency department and prehospital care settings, a systematic review was carried out by Guan et al (2022) to assess the diagnostic accuracy of early warning scores for predicting in-hospital deterioration when applied in the emergency department or prehospital setting. This commentary aims to critically appraise the methods used within the review by Guan et al (2022) and expand upon the findings in the context of clinical practice.

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Paramedic Education and Training for the Management of Patients Presenting with Low-Acuity Clinical Conditions: A Scoping Review

Carnicelli,

Williams,

Edwards

2024

Healthcare

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Ambulance services around the world are increasingly attending to calls for non-emergency conditions. These lower-acuity conditions do not always require patients to be transported to the emergency department. Consequently, over the past two decades, ambulance services have implemented strategies to support paramedics in diverting non-urgent patients to alternative care pathways. However, assessing and managing low-acuity conditions can be challenging for paramedics, especially when education and training has traditionally focussed on emergency care. This scoping review explores the education and training provided to paramedics on low-acuity clinical conditions and the use of alternative care pathways. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews was applied. The databases searched included Scopus, CINAHL, Embase, Emcare, and MEDLINE (PubMed). The search identified one-hundred sixty-six records, with a total of nine articles reviewed after the removal of duplicates and the screening process. The articles were diverse, with education and training ranging from university degrees for extended care practitioners to short in-service-based training for a suite of protocols or assessment tools. However, the literature addressing education and training on low-acuity conditions and alternative care pathways is limited, with the type and length of education programs appearing to influence practice. There is a need for further research to establish a low acuity education model.

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Addressing the challenges facing the paramedic profession in the United Kingdom

Cited by 3 publications

References 12 publications

IJHG review 28.4

IJHG review 28.4

Diagnostic accuracy of early warning system scores in the prehospital setting

Paramedic Education and Training for the Management of Patients Presenting with Low-Acuity Clinical Conditions: A Scoping Review

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