National Association of EMS Educator's Position Paper on the Critical Care Paramedic

Stuhlmiller, David F.E.; Clark, John R.; Caffrey, Sean; Betterton, Mark; Nollette, Chris; Raynovich, William

doi:10.1080/10903127.2018.1536772

Cited by 2 publications

(3 citation statements)

References 2 publications

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“…CAMTS has required clinician specialty certification within 2 years of hire for more than a decade (97). The specialty certification requirement dovetails with subspecialty critical care certification in paramedicine (104). Nonetheless, routine CCT utilization of such certified personnel remains limited, even in evolving consolidated care networks or critical care organizations (105).…”

Section: Resultsmentioning

confidence: 99%

Interfacility Transport of Critically Ill Patients

Wilcox

Wax

Meyer

et al. 2022

Critical Care Medicine

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To assess recent advances in interfacility critical care transport.DATA SOURCES: PubMed English language publications plus chapters and professional organization publications. STUDY SELECTION:Manuscripts including practice manuals and standard focused on interfacility transport of critically ill patients.DATA EXTRACTION: Review of society guidelines, legislative requirements, objective measures of outcomes, and transport practice standards occurred in work groups assessing definitions and foundations of interfacility transport, transport team composition, and transport specific considerations. Qualitative analysis was performed to characterize current science regarding interfacility transport. DATA SYNTHESIS:The Task Force conducted an integrative review of 496 manuscripts combined with 120 from the authors' collections including nonpeer reviewed publications. After title and abstract screening, 40 underwent full-text review, of which 21 remained for qualitative synthesis.CONCLUSIONS: Since 2004, there have been numerous advances in critical care interfacility transport. Clinical deterioration may be mitigated by appropriate patient selection, pretransport optimization, and transport by a well-resourced team and vehicle. There remains a dearth of high-quality controlled studies, but notable advances in monitoring, en route management, transport modality (air vs ground), as well as team composition and training serve as foundations for future inquiry. Guidance from professional organizations remains uncoupled from enforceable regulations, impeding standardization of transport program quality assessment and verification.

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Section: Resultsmentioning

confidence: 99%

Interfacility Transport of Critically Ill Patients

Wilcox

Wax

Meyer

et al. 2022

Critical Care Medicine

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“…Position statements in support of EMS degree requirements emphasize the need for paramedics to be trained through a formal education process resulting in a degree. 38,43 For specialized paramedic levels of practice, such as critical care, a position in support of baccalaureate education has been made based on the specialized curricula to cover the advance concepts. 43 As described, this would augment associate level programs that match or exceed National EMS Education Standards.…”

Section: Prior Published Statements On Ems Educationmentioning

confidence: 99%

“…38,43 For specialized paramedic levels of practice, such as critical care, a position in support of baccalaureate education has been made based on the specialized curricula to cover the advance concepts. 43 As described, this would augment associate level programs that match or exceed National EMS Education Standards. Statements opposing EMS degree requirements for entry into the profession describe concerns for the learners and programs, economics of such a requirement, and affecting the workforce pipeline.…”

Section: Prior Published Statements On Ems Educationmentioning

confidence: 99%

EMS Curriculum Should Educate Beyond a Technical Scope of Practice: Position Statement and Resource Document

Leggio¹,

Grawey²,

Stilley³

et al. 2021

Prehospital Emergency Care

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EMS curricula have historically focused on a technical scope of practice designed to meet the traditional out-of-hospital "emergency response" function during 9-1-1 response and transport. However, EMS has served an increasingly broad clinical role to meet the health care and public health needs of communities, a role solidified by the events of 2020, from the COVID-19 pandemic to civil unrest in response to systemic inequities. The requisite knowledge, awareness, and competencies to adequately prepare EMS clinicians to meet these dynamic roles remains absent from the technician-focused EMS curricula. Graduates of EMS programs must now meet the rigors of EMS practice as clinicians, being prepared for higher order thinking and lifelong learning. As one of the stakeholders in EMS education, the NAEMSP® believes that:• Clinical decision making grounded in higher order thinking skills and evidence-based practice is fundamental to the provision of optimal patient care in the out-of-hospital environment.• EMS curricula must expand beyond core content required for the scope of practice at each level for technical skills and focus on developing a competency framework aligned with the role and need for EMS medicine as a versatile community health care resource. A comprehensive curriculum for EMS clinicians should align with the vision outlined by EMS Agenda 2050 by addressing the following areas: which supports the formation and maturation of a clinician. At the paramedic level, this supports an academic and interprofessional approach in forming the degreed paramedic clinician.

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National Association of EMS Educator's Position Paper on the Critical Care Paramedic

Cited by 2 publications

References 2 publications

Interfacility Transport of Critically Ill Patients

Interfacility Transport of Critically Ill Patients

EMS Curriculum Should Educate Beyond a Technical Scope of Practice: Position Statement and Resource Document

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