A paramedic-staffed medical rehydration unit at a mass gathering

Lukins, Jane L.; Feldman, Michael J.; Summers, James A.; Verbeek, P. Richard

doi:10.1016/j.prehos.2004.06.016

Cited by 6 publications

(7 citation statements)

References 8 publications

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“…‘Just under half’ of treated patients remained in the community and others were admitted by ‘the most appropriate pathway’, generating an estimated saving of £28 279 per annum (compared with routine GP and EMS care). Paramedics trained to assess and manage heat-injury patients at a mass event (450 000people) in urban Canada managed 126 patients who would have otherwise burdened another site care facility 25. Evaluations by the same author team of screening by paramedics initially focused on patients aged over 6526 but later those over 6027 which makes interpretation in relation to older patients difficult.…”

Section: Resultsmentioning

confidence: 99%

“…This review identified four ‘good’,1 19 25 34 eight ‘moderate’5 8 10 23 24 27 28 30 and two ‘poor’ quality articles 15 25. All studies, except one,35 address a clearly focused question using an adequate, if not always ideal methodology.…”

Section: Resultsmentioning

confidence: 99%

“…Most studies incorporated a combination of theory and practical training which reflects current UK paramedic training, but a vast range of methods were identified. Even similar methods were not similarly effective; a 90 min case-based discussion did not change practice29 but a 90 min case-based ‘instruction’ resulted in accurate screening but no effect on vaccine rates 25…”

Section: Discussionmentioning

confidence: 98%

“…There is some evidence from developed countries that paramedics can accurately identify health and social problems in patients and, in particular, those aged over 60 5 8 11 14 15 18 24 25. Paramedics can be successfully trained to autonomously assess and manage these patients with acute minor conditions, benefitting patients, carers and (probably) resource use more widely.…”

Section: Discussionmentioning

confidence: 99%

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Which extended paramedic skills are making an impact in emergency care and can be related to the UK paramedic system? A systematic review of the literature

et al. 2013

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BackgroundIncreasing demand on the UK emergency services is creating interest in reviewing the structure and content of ambulance services. Only 10% of emergency calls have been seen to be life-threatening and, thus, paramedics, as many patients’ first contact with the health service, have the potential to use their skills to reduce the demand on Emergency Departments. This systematic literature review aimed to identify evidence of paramedics trained with extra skills and the impact of this on patient care and interrelating services such as General Practices or Emergency Departments.MethodsInternational literature from Medline, Embase, Cumulative Index of Nursing and Allied Health Literature (CINAHL), ProQuest, Scopus and grey literature from 1990 were included. Articles about any prehospital emergency care provider trained with extra skill(s) beyond their baseline competencies and evaluated in practice were included. Specific procedures for certain conditions and the extensively evaluated UK Emergency Care Practitioner role were excluded.Results8724 articles were identified, of which 19 met the inclusion criteria. 14 articles considered paramedic patient assessment and management skills, two articles considered paramedic safeguarding skills, two health education and learning sharing and one health information. There is valuable evidence for paramedic assessing and managing patients autonomously to reduce Emergency Department conveyance which is acceptable to patients and carers. Evidence for other paramedic skills is less robust, reflecting a difficulty with rigorous research in prehospital emergency care.ConclusionsThis review identifies many viable extra skills for paramedics but the evidence is not strong enough to guide policy. The findings should be used to guide future research, particularly into paramedic care for elderly people.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 98%

Section: Discussionmentioning

confidence: 99%

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Which extended paramedic skills are making an impact in emergency care and can be related to the UK paramedic system? A systematic review of the literature

et al. 2013

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“…There have been no published studies on the impact of WYD events on hospitals, although prehospital care 3 and systems for syndromic surveillance 4 have been examined. Compared with other pilgrimages, WYD is unusual in that the pilgrimage is not to a holy site, as with the Hajj, whose health implications (eg, heatstroke, infection) have been well described 5 , 6 .…”

Section: Year City Country Final Papal Mass Attendancementioning

confidence: 99%

World Youth Day 2008: did it stress Sydney hospitals?

Smith

Fulde

Hendry

2008

Medical Journal of Australia

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Objective: To characterise the nature and impact of World Youth Day (WYD) 2008 on emergency department (ED) presentations at key hospitals. Design, setting and participants: Retrospective analysis of WYD pilgrims presenting to the EDs of St Vincent's Hospital and Sydney Hospital, 9–23 July 2008. Main outcome measures: Frequency of pilgrim ED presentations; presenting complaint, Australasian Triage Scale category, diagnosis, admission to hospital and demographic characteristics. Results: 191 pilgrims presented at the two EDs during the study period, comprising 7.8% of all visits to these EDs. Pilgrims had a median age of 22 years, and most were international visitors. The female‐to‐male ratio was 1.7 : 1. The most common diagnoses were lower limb strain or sprain, infections, and acute asthma. Pilgrims presented with less severe illnesses (with lower triage scores), and were less likely to be admitted to hospital than other patients. Conclusions: The pilgrim caseload was small, and these presentations were less acute and less likely to result in admission than non‐pilgrim presentations. Thus, the overall impact on the hospitals was very small.

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The Olympic and Paralympic Games 2012: Literature review of the logistical planning and operational challenges for public health

Enock¹,

Jacobs²

2008

Public Health

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A paramedic-staffed medical rehydration unit at a mass gathering

Abstract: This article defines a new role for paramedics and describes the operation of a medical rehydration unit at a large, single-day mass gathering in summer.

Cited by 6 publications

References 8 publications

Which extended paramedic skills are making an impact in emergency care and can be related to the UK paramedic system? A systematic review of the literature

Which extended paramedic skills are making an impact in emergency care and can be related to the UK paramedic system? A systematic review of the literature

World Youth Day 2008: did it stress Sydney hospitals?

The Olympic and Paralympic Games 2012: Literature review of the logistical planning and operational challenges for public health

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