COVID-19: What paramedics need to know!

Buick, Jason E.; Cheskes, Sheldon; Feldman, Michael J.; Verbeek, P. Richard; Hillier, Morgan; Leong, Yuen Chin; Drennan, Ian R.

doi:10.1017/cem.2020.367

Cited by 11 publications

(8 citation statements)

References 13 publications

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“…Lack of understanding of the disease among paramedics can lead to delayed diagnosis and management, leading to a rapid spread of infection. Pandemics is a challenging and difficult period for health care providers with daunting caseloads, constantly changing knowledge, and competing for selfprotection priorities while maintaining a high level of patient care (Buick et al, 2020). Therefore, the knowledge of paramedics should be evaluated in order to help their clinical practice during the COVID-19 pandemic.…”

Section: *Coronavirusmentioning

confidence: 99%

Knowledge, attitude, and practice toward COVID-19 among paramedics in Saudi Arabia: Implications for educational program

Alrazeeni¹

2021

Int. j. adv. appl. sci.

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Coronavirus disease-2019 (COVID-19) is an ongoing public health issue, which threatens the lives of more than 2.4 million people worldwide. This study's purpose is to establish paramedics’ knowledge, attitude, and practices (KAP) towards COVID-19 in Saudi Arabia. An online cross-sectional, descriptive study was conducted among paramedics in four hospitals via WhatsApp Messenger. The study population was composed of paramedics aged 18 years and above. A pre-validated questionnaire was used to evaluate KAP towards COVID-19. Bloom’s cut-off of 80% was used to assess sufficient knowledge (≥80%), positive attitude (≥4), and good practice (≥2.4). All analyses were performed using SPSS version 26 of the approaching 300 paramedics, 71 (24%) responded. The majority of participants were male (n=61, n=85.9%), with an average age of 33 (range: 18–57) years. Overall, 4.2% (n=3) had sufficient knowledge, 42% (n=30) had a positive attitude, and 4% (n=4) had good practice regarding to COVID-19. There was a statistically significant difference between paramedics’ KAP according to their socio-demographic characteristics. Younger paramedics (≥ 18) have sufficient knowledge and a good practice toward COVID-19 than older paramedics (≥37) (p=0.000, p=0.005), respectively. Older paramedics (≥37) have a positive attitude towards COVID-19 relative to younger paramedics (≥ 18) (p=0.000). A statistically significant difference between the total KAP and the level of education (p=0.000) at which the diploma (p=0.000) had sufficient knowledge of COVID-19 than the bachelors and the postgraduate level. Bachelor's and graduates have a positive attitude (p=0.000) towards COVID-19 than the diploma. Saudi paramedics have poor knowledge of COVID-19. In addition, the results of this study have shown that there are statistically significant differences in KAPs’ paramedics according to their demographic characteristics. The author suggests follow-up studies concerning emergency medical services (EMS) settings around the country. Relevance to clinical practice: Ongoing professional education program for Saudi paramedics is encouraged to improve knowledge of paramedics, thus preventing negative attitudes and encouraging constructive preventive and therapeutic practices.

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Section: *Coronavirusmentioning

confidence: 99%

Knowledge, attitude, and practice toward COVID-19 among paramedics in Saudi Arabia: Implications for educational program

Alrazeeni¹

2021

Int. j. adv. appl. sci.

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“…In recent studies, measurements of mental health status were mainly focused on healthcare workers in hospitals. However, health impacts to EMTs and paramedics, who work in environments that pose a high risk of infection and uncertainty, have been underestimated, and require intervention and greater attention from society and relevant authorities [ 11 , 12 ].…”

Section: Introductionmentioning

confidence: 99%

Burnout and Health Issues among Prehospital Personnel in Taiwan Fire Departments during a Sudden Spike in Community COVID-19 Cases: A Cross-Sectional Study

Chang

2022

IJERPH

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A spike in COVID-19 cases in Taiwan’s communities caused a significant increase in workload and infection concerns among prehospital personnel working in Taiwan fire departments. The present study was aimed at investigating their health status during this period. The target population was prehospital personnel who are from Taiwan fire departments, and who responded to COVID-19 patients during the community outbreak period. A questionnaire was employed to assess their physical and mental health status. The results showed that prehospital personnel suffered from moderate to severe degrees of burnout. Workload, body burden, and perceived pressure increased significantly during this period. Participants received more support from friends, family, and colleagues than they did from authorities. The paramedics reported higher scores for personal burnout than the emergency medical technicians (EMTs). Compared to non-COVID-19 response units, special COVID-19 response units reported higher scores for workload, body burden, and supportive environment. The results suggested that personal and work-related burnout were associated with higher perceived pressure. This study is the first investigation of physical and mental health burdens among prehospital personnel in Taiwan fire departments during the COVID-19 pandemic. The physical and mental health status of these personnel should be continuously monitored, and intervention provided as necessary.

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“…30 In addition, transportation (from a general hospital to a cardiac centre) of highly infective COVID-19 patients, particularly those requiring high flow oxygen therapy, imposes a very high risk of contamination to healthcare workers, including ambulance crew and catheter laboratory staff. [31][32][33] Finally, it is possible that offering PCI after COVID-19 infection has settled (fever, hypoxia, inflammation, etc) would reduce the risk of stent thrombosis. However, we believe it is important that pathways that include fibrinolysis are put in place in advance.…”

Section: Identification Of True Stemi Versus Myocarditismentioning

confidence: 99%

Management of Acute Coronary Syndromes During the Coronavirus Disease 2019 Pandemic: Deviations from Guidelines and Pragmatic Considerations for Patients and Healthcare Workers

et al. 2020

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Coronavirus disease 2019 (COVID-19) is forcing cardiology departments to rapidly adapt existing clinical guidelines to a new reality and this is especially the case for acute coronary syndrome pathways. In this focused review, the authors discuss how COVID-19 is affecting acute cardiology care and propose pragmatic guideline modifications for the diagnosis and management of acute coronary syndrome patients, particularly around the appropriateness of invasive strategies as well as length of hospital stay. The authors also discuss the use of personal protective equipment for healthcare workers in cardiology. Based on shared global experiences and growing peer-reviewed literature, it is possible to put in place modified acute coronary syndrome treatment pathways to offer safe pragmatic decisions to patients and staff.

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COVID-19: What paramedics need to know!

Cited by 11 publications

References 13 publications

Knowledge, attitude, and practice toward COVID-19 among paramedics in Saudi Arabia: Implications for educational program

Knowledge, attitude, and practice toward COVID-19 among paramedics in Saudi Arabia: Implications for educational program

Burnout and Health Issues among Prehospital Personnel in Taiwan Fire Departments during a Sudden Spike in Community COVID-19 Cases: A Cross-Sectional Study

Management of Acute Coronary Syndromes During the Coronavirus Disease 2019 Pandemic: Deviations from Guidelines and Pragmatic Considerations for Patients and Healthcare Workers

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