Navigation Links
Paramedics can provide an effective alternative to standard ambulance service in the community
Date:10/5/2007

Paramedics with extended skills can provide a safe and effective alternative to standard ambulance transfer and hospital treatment for older people with a minor injury or illness, finds a study published on bmj.com today.

Older people make up to 21% of visits to hospital emergency departments and previous studies have suggested that paramedics can be trained to manage certain conditions in the community. But current research evidence concerning safety, effectiveness and costs to support these changes in practice is lacking.

So researchers based in South Yorkshire carried out the first randomised trial to evaluate the effectiveness of an alternative approach to managing older people with minor problems.

They selected seven experienced paramedics who had completed the Paramedic Practitioner in Older Peoples Support (PPOPS) training course. This scheme aims to deliver patient centred care to older people calling the emergency services with conditions judged to be not immediately life threatening.

The trial took place in Sheffield from September 2003 to September 2004 and included 3,018 patients aged 60 years and above calling the emergency services between 0800-2000hrs with a complaint that fell within the scope of practice of the paramedic practitioners. These included falls, lacerations, nosebleeds or minor burns.

During each week, a paramedic practitioner based in the ambulance control room identified eligible calls and notified either a paramedic practitioner in the community (intervention weeks) or in the emergency department for the standard 999 service (control weeks).

Emergency department attendance or hospital admission between 0 and 28 days was recorded, as was interval from time of call to time of discharge. Patient satisfaction with the service they had received was also measured using a postal questionnaire 3 and 28 days after the incident.

Patients in the intervention group were almost 25% less likely to attend the emergency department or require hospital admission within 28 days. These patients also experienced a shorter total episode time by around 42 minutes.

Patients in the intervention group were also more likely to report being highly satisfied with their health care episode than those in the control group.

There were no statistically significant differences between the two groups in terms of health outcomes and mortality 28 days after their initial episode.

Despite some study limitations, the authors conclude that this service conveyed significant benefits for patients and the NHS in terms of reduced overall emergency department and hospital attendances, shorter episode times and higher levels of patient satisfaction. The new service also appears to be safe in that they identified no difference in mortality or health outcomes after 28 days.

As pressure increases within the NHS to extend this type of approach, this trial will help to inform practice in this fast developing area, they add.

This trial shows that high quality study designs are feasible in this setting, says an accompanying editorial. Such trials should, therefore, be used to evaluate the more widespread emergency care practitioners scheme and other extended scope paramedic programmes before further costly expansions take place.


'/>"/>

Contact: Emma Dickinson
edickinson@bmj.com
44-020-738-36529
BMJ-British Medical Journal
Source:Eurekalert

Related medicine news :

1. Paramedics save more lives following unconventional rules
2. Careless Paramedics Spread Infection
3. Expand the Role of Paramedics to Ensure Future of EMS in Canada
4. Protein provides antioxidant protection to Neurons
5. Acupuncture provides relief
6. Micro-camera provides new breast imaging technique
7. Hormone therapy provides no heart benefit
8. Clothes may provide better protection against sun-related skin problems in children
9. MicroRNA provides new insight into birth defects
10. Drug Spironolactone Provides Renal And Cardioprotection In Diabetic Patients
11. Neurobiology Provides Answers To Block Memory-Related Drug Cravings
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:4/29/2016)... ... 2016 , ... Dr. Bernie Siegel, (M.D.) world ... and MIRACLES") addresses touchy topics related to Death live on Dr. Carol ... Bernie Siegel, author of a plethora of essential books-to-read for physicians and all ...
(Date:4/29/2016)... ... 29, 2016 , ... A new study by a Johns ... hernia have better survival rates if surgery is performed early. Approximately one in ... diaphragm fails to form completely, letting abdominal organs into the chest cavity and ...
(Date:4/29/2016)... ... April 29, 2016 , ... World Patent ... Gyrociser, an exercise invention which aids in proper muscle development. , "The Gym ... and Creative Director of World Patent Marketing. "Globalization has threatened the future growth ...
(Date:4/29/2016)... ... ... City based oral and maxillofacial surgeon Dr. Majid Jamali is an expert in ... apnea. Dr. Jamali is proud to offer this permanent solution to patients who suffer from ... bones. This surgery is performed to correct the alignment of the jaw. It is beneficial ...
(Date:4/29/2016)... Jupiter, FL (PRWEB) , ... April 29, 2016 ... ... it will feature Grassland Dairy Products, Inc. in an upcoming episode, airing third ... than a century of churning cream into butter, Grassland Dairy Products, located in ...
Breaking Medicine News(10 mins):
(Date:4/27/2016)... 2016 Transparency Market Research has ... - Global Industry Analysis, Size, Share, Growth, Trends, and ... global skincare devices market was valued at US$ 7,255.8 ... a CAGR of 10.1% from 2015 to 2023 to ... the full Skincare Devices Market (Treatment Device - LED Therapy ...
(Date:4/27/2016)... 2016 Tie-up with Government hospitals ... to save newborns   Fortis La Femme, ... in collaboration with Breast Milk Foundation (BMF), a non-profit organization ... Milk Bank, ,Amaara, in Delhi-NCR today. This non-profit centre recognizes ... infants and should be available to babies deprived of mother,s ...
(Date:4/27/2016)... LEXINGTON, Massachusetts , April 27, 2016 ... announces that Jeff Poulton , Chief Financial Officer, will ... in Boston, MA on Wednesday, May ... live audio webcast will be available on the Presentations and ... Subsequently, a replay of the webcast will be available on ...
Breaking Medicine Technology: