An evaluation of paramedic activities in prehospital trauma care

Rainer, Timothy Hudson; Houlihan, Kathleen; Robertson, Colin E.; Beard, D.; Henry, Jenny; Gordon, Malcolm W.

doi:10.1016/s0020-1383(97)00125-3

Cited by 24 publications

(25 citation statements)

References 29 publications

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“…Nevertheless, these findings are similar to those in an earlier paper from Edinburgh, which noted that while paramedics delivered an improved process of care, their activities did not significantly reduce mortality or length of stay in intensive care. 11 A health technology assessment (HTA) paper from 1998 came to a similar conclusion, although interestingly it found decreased morbidity at six months for survivors who had received prehospital trauma life support. 14 The benefits of prehospital fluid therapy in particular have been frequently questioned.…”

Section: Discussionmentioning

confidence: 90%

“…Prehospital times were consistent with other studies from the UK. [11][12][13] This is the first national study to show paramedics' ability to correctly identify patients who required triage to a resuscitation area. Triaging increased numbers of patients to the resuscitation room and this could have significant resource implications if practised indiscriminately.…”

Section: Discussionmentioning

confidence: 99%

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Prehospital trauma management: a national study of paramedic activities

Sukumaran

Henry

Beard

et al. 2004

Emergency Medicine Journal

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Section: Discussionmentioning

confidence: 90%

Section: Discussionmentioning

confidence: 99%

Prehospital trauma management: a national study of paramedic activities

Sukumaran

Henry

Beard

et al. 2004

Emergency Medicine Journal

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“…No Japão e na Inglaterra, por exemplo, esses profissionais estão aptos também a realizar procedimentos de suporte avançado de vida, tais como desfibrilação, entubação endotraqueal e aplicação de medicamentos por via intravenosa 13,14 . Na França, o atendimento é feito por mé-dicos nas unidades móveis, assim os bombeiros se ocupam do resgate de vítimas com lesões de baixa gravidade bem como realizam manobras para a liberação da vítima no caso de ela estar presa a ferragens 15 .…”

Section: The Article Presents a Description And Analysis Of The Impleunclassified

Análise da implantação do sistema de atendimento pré-hospitalar móvel em cinco capitais brasileiras

Minayo

Deslandes

2008

Cad. Saúde Pública

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Apresentamos descrição e análise da implantação do sistema de atendimento pré-hospitalar móvel (Serviço de Atendimento Móvel de Urgência - SAMU). O texto é parte de uma pesquisa denominada Análise Diagnóstica de Implantação da Política Nacional de Redução de Acidentes e Violências. Estudamos a história recente da implantação, organização, recursos humanos, materiais e equipamentos do SAMU em cinco capitais (Curitiba - Paraná; Recife - Pernambuco; Brasília - Distrito Federal; Manaus - Amazonas; Rio de Janeiro) que apresentam elevadas taxas de morbimortalidade por causas externas. Trabalhamos em quatro fases, cada qual agregando ciclos exploratórios, de trabalho de campo e de análise, triangulando dados quantitativos e qualitativos. Os resultados mostram que a implantação do SAMU constitui, hoje, um avanço do setor saúde e da sociedade. É preciso ainda completar a implantação de várias portarias quanto a veículos, pessoal e equipamentos; intensificar a articulação do pré-hospitalar móvel com as unidades de saúde; enfatizar informações geradas nesse subsistema visando ao melhor planejamento das ações; manter e promover a alta qualificação dos profissionais do SAMU. Este serviço veio oficializar, padronizar e regular um subsistema fundamental para salvar vidas.

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“…16 Another Canadian paper, in 1998, found no benefit in the institution of prehospital Advanced Life Support. 17 There are many other examples, [18][19][20] mostly with regard to trauma, but also relating to other conditions, such as patients with altered levels of consciousness, 21 all casting doubt on the value of prehospital ALS. Even the value of helicopter based response has been seriously questioned.…”

Section: Value Of Prehospital Emsmentioning

confidence: 99%

Evaluation of emergency medical services systems: a classification to assist in determination of indicators

MacFarlane

Benn²

2003

Emergency Medicine Journal

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Emergency medical services (EMS) systems, and prehospital care are difficult to evaluate. Accordingly, the true efficacy and value of such systems are difficult to determine. The multitude of variations and combinations of involved factors makes standardisation and comparison difficult, and universal indicators are hard to develop. Various attempts have been made to determine valid indicators of effectiveness, but there has been little success. Prehospital care has been seen by some as a single entity. As a result, experience from well resourced first world trauma centres has been taken, by many, to be applicable to all prehospital situations.This article attempts to assist in the development of valid EMS indicators of performance and effectiveness by categorising prehospital scenarios into a classification reflecting the reality of their conditions of practice.

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An evaluation of paramedic activities in prehospital trauma care

Cited by 24 publications

References 29 publications

Prehospital trauma management: a national study of paramedic activities

Prehospital trauma management: a national study of paramedic activities

Análise da implantação do sistema de atendimento pré-hospitalar móvel em cinco capitais brasileiras

Evaluation of emergency medical services systems: a classification to assist in determination of indicators

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