Expertise of German paramedics concerning the prehospital treatment of patients with spinal trauma

Kreinest, Michael; Goller, S.; Gliwitzky, B.; Grützner, Paul Alfred; Küffer, Maike; Häske, David; Papathanassiou, Vassilios; Münzberg, Matthias

doi:10.1007/s00068-016-0682-5

Cited by 9 publications

(2 citation statements)

References 30 publications

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“…But it should be noted, however, that some paramedics—especially emergency physicians—lack proper immobilization skills [ 54 ]. Regular skills training, as well as risk assessment skills, are required to achieve improvements [ 55 , 56 ].…”

Section: Discussionmentioning

confidence: 99%

Epidemiology and predictors of traumatic spine injury in severely injured patients: implications for emergency procedures

Häske

Lefering

Stock

et al. 2020

Eur J Trauma Emerg Surg

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Purpose This study aimed to identify the prevalence and predictors of spinal injuries that are suitable for immobilization. Methods Retrospective cohort study drawing from the multi-center database of the TraumaRegister DGU®, spinal injury patients ≥ 16 years of age who scored ≥ 3 on the Abbreviated Injury Scale (AIS) between 2009 and 2016 were enrolled. Results The mean age of the 145,833 patients enrolled was 52.7 ± 21.1 years. The hospital mortality rate was 13.9%, and the mean injury severity score (ISS) was 21.8 ± 11.8. Seventy percent of patients had no spine injury, 25.9% scored 2–3 on the AIS, and 4.1% scored 4–6 on the AIS. Among patients with isolated traumatic brain injury (TBI), 26.8% had spinal injuries with an AIS score of 4–6. Among patients with multi-system trauma and TBI, 44.7% had spinal injuries that scored 4–6 on the AIS. Regression analysis predicted a serious spine injury (SI; AIS 3–6) with a prevalence of 10.6% and cervical spine injury (CSI; AIS 3–6) with a prevalence of 5.1%. Blunt trauma was a predictor for SI and CSI (OR 4.066 and OR 3.640, respectively; both p < 0.001) and fall > 3 m for SI (OR 2.243; p < 0.001) but not CSI (OR 0.636; p < 0.001). Pre-hospital shock was predictive for SI and CSI (OR 1.87 and OR 2.342, respectively; both p < 0.001), and diminished or absent motor response was also predictive for SI (OR 3.171) and CSI (OR 7.462; both p < 0.001). Patients over 65 years of age were more frequently affected by CSI. Conclusions In addition to the clinical symptoms of pain, we identify ‘4S’ [spill (fall) > 3 m, seniority (age > 65 years), seriously injured, skull/traumatic brain injury] as an indication for increased attention for CSIs or indication for spinal motion restriction.

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Section: Discussionmentioning

confidence: 99%

Epidemiology and predictors of traumatic spine injury in severely injured patients: implications for emergency procedures

Häske

Lefering

Stock

et al. 2020

Eur J Trauma Emerg Surg

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“…One of the key areas that marked most agreed group-perceived satisfaction was patient-handling techniques of the ambulance crew. Skills of critical patient handling need to have sound knowledge of different emergencies, awareness of complications [10], and the ability to handle emergency equipment used in the provision of on-site critical care [11]. The result of the study confirms that use of appropriate equipment, specifically, oxygen, face mask, cervical collars, spinal boards, and splints, and techniques, particularly, cervical stabilization and log rolling techniques, were within the expected degree of the A&E staff.…”

Section: Discussionmentioning

confidence: 57%

Perceived Satisfaction of A&E Staff on the Level of Integration of Patient Care Operations with Emergency Ambulance Service, Sri Lanka

Pathirathna

Adikari

Alwis

2020

Recent Adv. Biol. Med.

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Integration in operations between 1990 Suwa Seriya ambulance service and A&E services of hospitals in Sri Lanka was assessed qualitatively using the Mini Focus Group Discussion (Mini-FGD) technique and applying a Likert scale survey. Agreed group-perceived satisfaction of the A&E staff was recorded based on identified thematic areas. The technique of patient handling, reliability of vital sign recording, providing random blood sugar reading, and professional relationship with hospital staff of Suwa Seriya emergency ambulance service were the thematic areas that recorded positive agreed group-perceived satisfaction indicating a potential to broaden the integration process with the A&E operations of the country. Quality of providing clinical history, administration of medication, and awareness of A&E operations of emergency ambulance service indicated least agreed group-perceived satisfaction. Moreover, providing clinical notes and investigation records such as electrocardiogram, sharing feedback about the patient, prehospital triaging, and pre-alert system were found to be non-operational. The health-care policymakers of Sri Lanka should exploit the positives and explore the negatives of the A&E staff perception on 1990 Suwa Seriya ambulance service, focusing on widening the integration process.

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Empirical Investigation of Employee Loyalty

Meschke

2021

Employee Loyalty

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Expertise of German paramedics concerning the prehospital treatment of patients with spinal trauma

Abstract: Paramedics do not feel uncertain about the prehospital assessment and treatment of spinal injuries. The feeling of confidence in participants who had already attended a course on the treatment of trauma patients before was significantly higher.

Cited by 9 publications

References 30 publications

Epidemiology and predictors of traumatic spine injury in severely injured patients: implications for emergency procedures

Epidemiology and predictors of traumatic spine injury in severely injured patients: implications for emergency procedures

Perceived Satisfaction of A&E Staff on the Level of Integration of Patient Care Operations with Emergency Ambulance Service, Sri Lanka

Empirical Investigation of Employee Loyalty

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