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MeSH Review

Allied Health Personnel

 
 
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Disease relevance of Allied Health Personnel

 

High impact information on Allied Health Personnel

  • Data from a survey of training programs demonstrate that paramedic and EMT education in pediatric emergencies may be inadequate [6].
  • Preliminary results of 400 mg lidocaine administered by paramedics using an automatic injector are encouraging [7].
  • Paramedic 2 performed TENS in patients randomly assigned to G1 with actual TENS or to G2 with sham TENS [8].
  • DISCUSSION: A simple intervention, such as providing paramedics with 28% Venturi masks, can reduce the number of COPD patients exposed to HCO [9].
  • Results were shared with paramedics, and guidelines agreed for the initial provision of lower concentrations of oxygen (LCO, FiO(2) < or = 0.28) [9].
 

Chemical compound and disease context of Allied Health Personnel

 

Biological context of Allied Health Personnel

  • All paramedic calls to the LAC/USC base station are reviewed by an emergency medicine resident using a special tape review form which focuses on communication skills, initial paramedic field assessment, sense of urgency of the case, and the completeness of the filed report [15].
  • In conclusion, volunteers being carried by paramedics through a staircase had a significant discharge of both epinephrine and norepinephrine resulting in increased heart rate, but only elevated epinephrine plasma levels during EMS transport [16].
 

Associations of Allied Health Personnel with chemical compounds

  • Paramedics administered HDE (> 0.1 mg/kg), SDE (< 0.1 mg/kg), or no epinephrine (NE), based on base hospital physician order and availability of access for drug delivery [17].
  • Midazolam and succinylcholine were administered, and paramedics were allowed a maximum of 3 attempts at orotracheal intubation [18].
  • Demographic information, past medical history, medications, number of adenosine doses given, and complications were recorded by the paramedic on a case-report form [19].
  • RESULTS: During the verapamil period, paramedics identified 102 cases of SVT and administered verapamil to 17 patients [20].
  • We conducted a prospective, randomized, blinded study comparing the effectiveness of calcium chloride with saline in the prehospital paramedic setting [21].
 

Gene context of Allied Health Personnel

  • Should paramedics intubate patients with SARS-like symptoms [22]?
  • Of these 80 programs that use flight paramedics, 76 programs (95%) require certification in ACLS, 65 (81%) in PALS, and 50 (63%) in BCLS [23].
  • The VSPA interval was added to the 9-1-1 call-to-dispatch and vehicle dispatch-to-scene intervals to determine the total time interval from call received until paramedic access to the patient (9-1-1 call-to-patient access) [24].
  • A trained paramedic completed a 90-minute screening interview, including the Symptom Checklist-90, Mini-Mental State Exam, and Auditory-Verbal Learning Test. Persons failing the screens were interviewed by a psychiatrist and a neurologist [25].
  • Call-to-shock time for all patients was less in the police group than in the paramedic group (5.6 versus 6.3 minutes, P = .038) [26].
 

Analytical, diagnostic and therapeutic context of Allied Health Personnel

References

  1. A randomized clinical trial of high-dose epinephrine and norepinephrine vs standard-dose epinephrine in prehospital cardiac arrest. Callaham, M., Madsen, C.D., Barton, C.W., Saunders, C.E., Pointer, J. JAMA (1992) [Pubmed]
  2. Vitamin A status of children in Sri Lanka. Brink, E.W., Perera, W.D., Broske, S.P., Cash, R.A., Smith, J.L., Sauberlich, H.E., Bashor, M.M. Am. J. Clin. Nutr. (1979) [Pubmed]
  3. Lidocaine in prehospital countershock refractory ventricular fibrillation. Harrison, E.E. Annals of emergency medicine. (1981) [Pubmed]
  4. Prehospital prophylactic lidocaine does not favorably affect outcome in patients with chest pain. Hargarten, K., Chapman, P.D., Stueven, H.A., Waite, E.M., Mateer, J.R., Haecker, P., Aufderheide, T.P., Olson, D.W. Annals of emergency medicine. (1990) [Pubmed]
  5. The use of quantitative end-tidal capnometry to avoid inadvertent severe hyperventilation in patients with head injury after paramedic rapid sequence intubation. Davis, D.P., Dunford, J.V., Ochs, M., Park, K., Hoyt, D.B. The Journal of trauma. (2004) [Pubmed]
  6. A needs assessment of advanced life support and emergency medical services in the pediatric patient: state of the art. Seidel, J.S. Circulation (1986) [Pubmed]
  7. Pre- and in-hospital antiarrhythmic prevention of ventricular fibrillation complicating acute myocardial infarction. Lie, K.I. Eur. Heart J. (1984) [Pubmed]
  8. Transcutaneous electrical nerve stimulation: an effective treatment for pain caused by renal colic in emergency care. Mora, B., Giorni, E., Dobrovits, M., Barker, R., Lang, T., Gore, C., Kober, A. J. Urol. (2006) [Pubmed]
  9. Initial oxygen management in patients with an exacerbation of chronic obstructive pulmonary disease. Durrington, H.J., Flubacher, M., Ramsay, C.F., Howard, L.S., Harrison, B.D. QJM : monthly journal of the Association of Physicians. (2005) [Pubmed]
  10. A randomized comparison study of bretylium tosylate and lidocaine in resuscitation of patients from out-of-hospital ventricular fibrillation in a paramedic system. Olson, D.W., Thompson, B.M., Darin, J.C., Milbrath, M.H. Annals of emergency medicine. (1984) [Pubmed]
  11. Nalbuphine analgesia in the prehospital setting. Stene, J.K., Stofberg, L., MacDonald, G., Myers, R.A., Ramzy, A., Burns, B. The American journal of emergency medicine. (1988) [Pubmed]
  12. The ventilation/compression ratio influences the effectiveness of two rescuer advanced cardiac life support on a manikin. Wik, L., Steen, P.A. Resuscitation. (1996) [Pubmed]
  13. Dilemmas in the acute pharmacologic treatment of uncontrolled atrial fibrillation. Elam, K., Bolar-Softich, K.L. The American journal of emergency medicine. (1997) [Pubmed]
  14. Do medications affect vital signs in the prehospital treatment of acute decompensated heart failure? Sporer, K.A., Tabas, J.A., Tam, R.K., Sellers, K.L., Rosenson, J., Barton, C.W., Pletcher, M.J. Prehospital emergency care : official journal of the National Association of EMS Physicians and the National Association of State EMS Directors. (2006) [Pubmed]
  15. A method for reviewing radio-telemetry paramedic calls. Rottman, S.J., FitzGerald-Westby, K. Annals of emergency medicine. (1981) [Pubmed]
  16. Emergency medical service transport-induced stress? An experimental approach with healthy volunteers. Dörges, V., Wenzel, V., Kühl, A., Dix, S., Hüppe, M., Gehring, H., Schumann, T., Gerlach, K. Resuscitation. (2001) [Pubmed]
  17. High-dose epinephrine in pediatric out-of-hospital cardiopulmonary arrest. Dieckmann, R.A., Vardis, R. Pediatrics (1995) [Pubmed]
  18. The Combitube as a salvage airway device for paramedic rapid sequence intubation. Davis, D.P., Valentine, C., Ochs, M., Vilke, G.M., Hoyt, D.B. Annals of emergency medicine. (2003) [Pubmed]
  19. Adenosine for the prehospital treatment of paroxysmal supraventricular tachycardia. Gausche, M., Persse, D.E., Sugarman, T., Shea, S.R., Palmer, G.L., Lewis, R.J., Brueske, P.J., Mahadevan, S., Melio, F.R., Kuwate, J.H. Annals of emergency medicine. (1994) [Pubmed]
  20. A comparison of adenosine and verapamil for the treatment of supraventricular tachycardia in the prehospital setting. Madsen, C.D., Pointer, J.E., Lynch, T.G. Annals of emergency medicine. (1995) [Pubmed]
  21. Lack of effectiveness of calcium chloride in refractory asystole. Stueven, H.A., Thompson, B., Aprahamian, C., Tonsfeldt, D.J., Kastenson, E.H. Annals of emergency medicine. (1985) [Pubmed]
  22. Should paramedics intubate patients with SARS-like symptoms? Verbeek, P.R., Schwartz, B., Burgess, R.J. CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne. (2003) [Pubmed]
  23. Flight paramedic scope of practice: current level and breadth. Hatley, T., Ma, O.J., Weaver, N., Strong, D. The Journal of emergency medicine. (1998) [Pubmed]
  24. System implications of the ambulance arrival-to-patient contact interval on response interval compliance. Campbell, J.P., Gratton, M.C., Salomone, J.A., Lindholm, D.J., Watson, W.A. Prehospital and disaster medicine : the official journal of the National Association of EMS Physicians and the World Association for Emergency and Disaster Medicine in association with the Acute Care Foundation. (1994) [Pubmed]
  25. Comorbidity of dementia and psychiatric disorders in older persons. Rummans, T.A., Smith, G.E., Lin, S.C., Waring, S.C., Kokmen, E. The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry. (1997) [Pubmed]
  26. High discharge survival rate after out-of-hospital ventricular fibrillation with rapid defibrillation by police and paramedics. White, R.D., Asplin, B.R., Bugliosi, T.F., Hankins, D.G. Annals of emergency medicine. (1996) [Pubmed]
  27. Succinylcholine-assisted endotracheal intubation by paramedics. Menegazzi, J.J., Wayne, M.A. Annals of emergency medicine. (2001) [Pubmed]
  28. Techniques of emergency ventilation: a model to evaluate tidal volume, airway pressure, and gastric insufflation. Johannigman, J.A., Branson, R.D., Davis, K., Hurst, J.M. The Journal of trauma. (1991) [Pubmed]
  29. Prehospital use of analgesia for suspected extremity fractures. White, L.J., Cooper, J.D., Chambers, R.M., Gradisek, R.E. Prehospital emergency care : official journal of the National Association of EMS Physicians and the National Association of State EMS Directors. (2000) [Pubmed]
  30. Comparison of inhaled metaproterenol via metered-dose and hand-held nebulization in prehospital treatment of bronchospasm. Rottman, S.J., Robinson, N.E., Birnbaum, M.L. Prehospital and disaster medicine : the official journal of the National Association of EMS Physicians and the World Association for Emergency and Disaster Medicine in association with the Acute Care Foundation. (1996) [Pubmed]
 
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