EMS provider wellness

Patterson, P. Daniel; Weaver, Matthew D.; Hostler, David

doi:10.1002/9781118990810.ch94

Cited by 14 publications

(4 citation statements)

References 42 publications

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“…Our intervention is novel because it calculates sleep debt on a weekly basis, reports this debt to the intervention participant each week during the study period, and prompts the participant to “pay back” the sleep debt with rest, sleep, and recovery. We believe that this component of the intervention is meaningful and may have the greatest potential for impact, given the persistent lack of adequate sleep reported by EMS clinicians [ 48 ].…”

Section: Discussionmentioning

confidence: 99%

Fatigue mitigation with SleepTrackTXT2 in air medical emergency care systems: study protocol for a randomized controlled trial

Patterson

Moore

Guyette

et al. 2017

Trials

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BackgroundMost air medical Emergency Medical Services (EMS) clinicians work extended duration shifts, and more than 50% report inadequate sleep, poor sleep quality, and/or poor recovery between shifts. The SleepTrackTXT pilot trial (ClinicalTrials.gov, NCT02063737) showed that use of mobile phone text messages could impact EMS clinician self-reported fatigue and sleepiness during long duration shifts. The purpose of the SleepTrackTXT2 trial is to leverage lessons learned from the first SleepTrackTXT study and test an enhanced intervention targeting air medical EMS clinicians.Methods/designWe will conduct a multi-site randomized trial with a sample of adult EMS clinicians recruited from four air medical EMS systems located in the midwest, northeastern, and southern USA. Participants will be allocated to one of two possible arms for a 4-month (120-day) study period. The intervention arm will involve text-message assessments of sleepiness, fatigue, and difficulty concentrating at the beginning, every 4 hours during, and at the end of scheduled shifts. Participants reporting high levels of sleepiness, fatigue, or difficulty with concentration will receive one of nine randomly selected intervention messages to promote behavior change during shift work to improve alertness. Intervention participants will receive a text-message report on Friday of each week that shows their sleep debt over the previous 7 days followed by a text message to promote paying back sleep debt recovery when feasible. Participants in the control group receive text messages that only include assessments. Both arms will receive text-message assessments of perceived recovery since last shift, sleepiness, fatigue, or difficulty with concentration at noon (1200 hours) on days between scheduled shifts (off-duty days). We have two aims for this study: (1) to determine the short-term impact of the enhanced SleepTrackTXT2 intervention on air medical clinician fatigue reported in real time during and at the end of shift work, and (2) to determine the long-term impact of the SleepTrackTXT2 intervention on sleep quality and sleep health indicators including hours of sleep and recovery between shift work.DiscussionThe SleepTrackTXT2 trial may provide evidence of real-world effectiveness that would support widespread expansion of fatigue mitigation interventions in emergency care clinician shift workers. The trial may specifically support use of real-time assessments and interventions delivered via mobile technology such as text messaging.Trial registrationClinicalTrials.gov, NCT02783027. Registered on 23 May 2016.Electronic supplementary materialThe online version of this article (doi:10.1186/s13063-017-1999-z) contains supplementary material, which is available to authorized users.

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Section: Discussionmentioning

confidence: 99%

Fatigue mitigation with SleepTrackTXT2 in air medical emergency care systems: study protocol for a randomized controlled trial

Patterson

Moore

Guyette

et al. 2017

Trials

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“…Rescuers are protecting first of all human life, property, and then the environment during their emergencies. Different professionals who participate in emergencies are significant incidents or disasters (Patterson, et al, 2015).…”

Section: Introductionmentioning

confidence: 99%

Effectiveness of Timeline Therapy under Hypnosis for the Management of Anxiety among Rescuers

Khan¹

2022

JDSS

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The current study's central problem is Generalized Anxiety Disorder in rescuers and how Generalized Anxiety Disorder (GAD) triggers in rescuers. Its reasons and different biopsychosocial factors are involved. How novel approaches such as timeline therapy with hypnosis would overcome anxiety to improve the mental health of rescuers; therefore, this study aimed to evaluate the effectiveness of Timeline therapy under hypnosis. The Generalized Anxiety Disorder was diagnosed with the GAD-7 scale and subjective rating scale through Qusai's Experimental design. Twenty-five rescuers have participated in this research through the purposive sampling technique. Those rescuers who scored 15 or above (severe anxiety) on the GAD-7 scale were qualified for therapeutic sessions. The participants were given four therapy sessions in specific therapeutic rooms. There was found a significant statistical difference in pre & post-analysis through paired sample t-test. Paired sample t-test exhibited a significant effect of the timeline therapy on the management of Generalized Anxiety Disorder. The present study results clearly show that generalized anxiety disorder can be relieved through Timeline Therapy with Hypnosis. This intervention technique is beneficial in providing immediate relief to patients, reducing the frequency, severity, and duration of symptoms in a shorter period than other therapies such as cognitive behavior therapy (CBT).

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“…Reports of sleep deprivation among EMS clinicians linked to patient and clinician death are on the rise . Recent data show that half of EMS clinicians report six or fewer hours of sleep per day . More than half of EMS clinicians report mental and physical fatigue during shift work and half fail to recover between scheduled shifts .…”

Section: Introductionmentioning

confidence: 99%

“…Recent data show that half of EMS clinicians report six or fewer hours of sleep per day . More than half of EMS clinicians report mental and physical fatigue during shift work and half fail to recover between scheduled shifts . Most EMS clinicians work shifts of 12 or 24 h in duration and in some air‐medical systems greater than 80% report working multiple jobs .…”

Section: Introductionmentioning

confidence: 99%

Impact of shift duration on alertness among air‐medical emergency care clinician shift workers

Patterson

Weaver

Markosyan

et al. 2019

American J Industrial Med

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Background: Greater than half of Emergency Medical Services (EMS) shift workers report fatigue at work and most work long duration shifts. We sought to compare the alertness level of EMS shift workers by shift duration. Methods:We used a multi-site, 14-day prospective observational cohort study design of EMS clinician shift workers at four air-medical EMS organizations. The primary outcome was behavioral alertness as measured by psychomotor vigilance tests (PVT) at the start and end of shifts. We stratified shifts by duration (< 24 h and 24 h), night versus day, and examined the impact of intra-shift napping on PVT performance. Results:One hundred and twelve individuals participated. The distribution of shifts <24 h and 24 h with complete data were 54% and 46%, respectively. We detected no differences in PVT performance measures stratified by shift duration (P > 0.05). Performance for selected PVT measures (lapses and false starts) was worse on nightInstitution at which the work was performed: The University of Pittsburgh served as the coordinating center and one of four study sites. Other sites included: Mercy Flight based in Buffalo, NY; MedCenter Air based in Charlotte, NC; and MedFlight of Ohio based in Columbus, Ohio. SUPPORTING INFORMATIONAdditional supporting information may be found online in the Supporting Information section at the end of the article. How to cite this article: Patterson PD, Weaver MD, Markosyan MA, et al. Impact of shift duration on alertness among air-medical emergency care clinician shift workers.

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EMS provider wellness

Cited by 14 publications

References 42 publications

Fatigue mitigation with SleepTrackTXT2 in air medical emergency care systems: study protocol for a randomized controlled trial

Fatigue mitigation with SleepTrackTXT2 in air medical emergency care systems: study protocol for a randomized controlled trial

Effectiveness of Timeline Therapy under Hypnosis for the Management of Anxiety among Rescuers

Impact of shift duration on alertness among air‐medical emergency care clinician shift workers

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