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Law enforcement is often the first responder on scene in out of hospital cardiac arrest. The ability for police to provide high quality CPR and early defibrillation can have a substantial impact on patients lives however has rarely been studied. Join us for this month's PCRF Journal Club to discuss this most recent publication that evaluates the impact of law enforcement on patients suffering from out of hospital cardiac arrest
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Maintaining skills in pediatric prehospital care is critical since pediatric patient encounters can be high acuity/low frequency. Evidence shows that procedural skills competency decays in as little as three months. These researchers used simulations and first-person video to test the effectiveness of procedural skills training for experienced EMS professionals and its impact on skills retention.
Article: Improving Pediatric Procedural Skills for EMS Clinicians: A Longitudinal Simulation-Based Curriculum with Novel, Remote, First-Person-View Video-Based Outcome Measurement.
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Did you get out the door in less than 90 seconds? Whether it brings pride or nightmares, this is the most common quality improvement question asked. However, there are other national quality benchmarks for EMS, such as completing a respiratory assessment for patients who are suffering from difficulty breathing and administering medication for patients presenting with a seizure or asthma. Join this month's PCRF Journal Club to discuss this recent publication that evaluates where EMS stacks up on these and other quality benchmarks.
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Communication, advocacy, and even history-taking are all behaviors engrained in the EMS provider. In fact, we can all think of an educator, preceptor, or partner who helped teach and role-model these skills. Because these behaviors reflect our training, they are also open to bias based on our different lived experiences. Join us this month for the Prehospital Care Research Forum education podcast as we review this scooping review on using simulation to teach behavioral skills related to diversity, equity, and inclusion.
https://pubmed.ncbi.nlm.nih.gov/36194859/
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Survival from out of hospital cardiac arrest continues to be a benchmark for EMS Agencies across the globe. Focuses on chest compression quality and early defibrillation have led to substantial improvements in return of spontaneous circulation and thousands more cardiac arrest survivors being able to leave the hospital. Join this month’s PCRF Journal Club to discuss a paper that evaluates the size of BVM used and its impact on cardiac arrest survival.
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Checklists have become a part of every EMS provider's day. We use them to check in our ambulances, ensure we have all our equipment, and help us prepare for low-frequency skills. However, can a checklist do more than that? Can a checklist help us perform better in the field? Join us for this month's Prehospital Care Research Forum education podcast, where we will review a study that evaluated if using an easy-to-remember checklist can improve cardiac arrest management.
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While most cardiac dysrhythmias fit nicely into a treatment algorithm, atrial fibrillation stands out as lacking clear-cut treatment guidelines. Concerns over patient outcome, risk of potential stroke, and further cardiac damage leave many agencies favoring rapid transport and limited treatment. Additionally, limited data is available to link prehospital treatment to the patient’s hospital discharge status. Join this month's PCRF Journal Club to discuss a landmark paper that evaluates treating atrial fibrillation in the prehospital setting, including a link between prehospital treatment and hospital outcome data.
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Mental health has long been a focus of the overall well-being of the EMS provider. However, should training in stress management start sooner, perhaps during initial education? Can meditation help improve success during paramedic training? To help answer these questions, join this month's Prehospital Care Research Forum education podcast to learn the impacts of adding a course on meditation. Specifically, what benefits were found in reducing depression, anxiety, and stress in initial education paramedic students?
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The inherent risk of injury and illness comes with most jobs, more so in the first responder community. Working on the front lines during disasters, roadway collisions, and violent encounters, paramedics experience their fair share of risk. However, limited large-scale data analysis describes the injuries and illnesses paramedics face. Join this month's PCRF Journal Club as we review a study that evaluated workforce data to describe these challenges paramedics face and how we compare to other first responders and those in health care.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10548021/
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Join us for this end-of-year special edition of the PCRF Education Research Journal Club when each of our panelists will share a favorite article from the educational literature in 2023.
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Most of our pediatric patients cared for and transported by EMS have low acuity, which results in very favorable outcomes. Despite this, EMS providers still experience adverse safety encounters while caring for pediatric patients. Join this month's PCRF Journal Club as we review a study that evaluated the frequency, type, and potential harm from these adverse safety encounters across 15 EMS Agencies in 3 states.
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Can students in self-directed endotracheal intubation training accurately and reliably self-evaluate their abilities? This paper used an algorithm-driven hybrid simulation learning method to assess competence. Including peer-to-peer practical skills training. Join us as we explore this method of learning and algorithm for assessment.
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In 2012, The National Highway Traffic Safety Administration issued guidelines on the safe transport of pediatric patients to lessen the chance of injury during ambulance transport. However, many EMS clinicians are still unfamiliar with sage transport standards and best practice recommendations in the pediatric population. Join us on the next PCRF Journal Club as we review a study that uses qualitative research methods to explore the range of individual attitudes, organizational policies, and professional norms that may influence choices pertaining to pediatric restraint in ground ambulances. Article: Safe Ground Transport of Pediatric Patients: A Qualitative Assessment of Best Practice Guidelines Implementation https://pubmed.ncbi.nlm.nih.gov/37344226/
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EMS providers are uniquely positioned to assess for maltreatment of children and vulnerable populations. Unfortunately, EMS rates of identification and reporting are very low. In this project the authors used an escape room-based format to engage participants on a difficult topic. Join us as we explore this method of teaching and learning. Article: https://pubmed.ncbi.nlm.nih.gov/37318845/
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The use of supraglottic airway devices during the resuscitation of out-of-hospital cardiac arrest (OHCA) patients is increasing across the United States and worldwide. The two most commonly used supraglottic airway devices in the United States are the King Laryngeal Tube (King-LT) and the iGel. It is unknown if design differences for the KING-LT and the iGel may translate to differential first pass insertion success or ventilation effectiveness and therefore impact patient outcomes. Join us on the next PCRF Journal Club as we review a study from the CARES surveillance group that compares the neurologic outcomes of OHCA patients managed with the King Laryngeal Tube (King LT) to the neurologic outcomes of patients managed with the iGel. Article: https://pubmed.ncbi.nlm.nih.gov/37120129/
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Pediatric patient encounters are infrequent in the EMS setting and can be high risk/high acuity. Augmented reality programs that mix the virtual world with the haptics of a real-world experience, has the potential to augment learning. But is it feasible, usable, and useful in EMS? This study tested one pediatric AR simulation program on a group of EMS professionals to answer that question. Join us LIVE from EMS WORLD EXPO-ISS as we discuss the outcomes of the study, PREHOSPITAL PEDIATRIC EMERGENCY TRAINING USING AUGMENTED REALITY SIMULATION: A PROSPECTIVE, MIXED METHODS STUDY
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Pain management is vital to providing comprehensive care to injured children, and the decisions made in the prehospital setting profoundly impact our pediatric patients' overall experience and outcome. However, little is known about how hospital care is impacted by prehospital pain management in pediatric patients.
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Where are we with Simulation Based Training (SBT) in EMS? This systematic review of current literature combed through more than 500 studies, identifying common areas of SBT in EMS, high and low fidelity use, and analyzing the setting, strengths, weaknesses and results of each. With shrinking clinical opportunities and increased accountability for competency, is simulation the answer for EMS?
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Chest pain is a life-threatening symptom encountered by EMS clinicians every day that demands swift and accurate decision-making to ensure the best possible outcomes. Join us for the next PCRF Journal Club as we review the RESCUE study that delves into the effectiveness of EMS employing chest pain risk stratification tools in prehospital settings and utilizing these tools to assess the severity of chest pain. Listen to find out if these metrics allow for EMS to make informed decisions about the appropriate level of care needed for those suffering from chest pain. Article: https://pubmed.ncbi.nlm.nih.gov/34734787/
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Violence against paramedics and other healthcare professionals is an alarming and growing concern in today's society. The rising incidence of violence not only poses significant risks to the well-being of clinicians but also hinders the effective and timely delivery of patient care. Join us for the next PCRF Journal Club as we review a groundbreaking initiative that has been undertaken to evaluate violence against paramedics through a novel, point-of-event reporting process.
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