Re: Nurse vs. Paramedic led transports
Hi Steve,
I see the date of your post and hope that this will still be of some relevance to you.
I attended a Neonatal and Pediatric transport conference in Utah this past February and I can think of avenues for you to possibly research...
One of the topics was "Children's Specialty Teams: Do They Make a Difference?" by Dr. Orr. Many of the articles quoted in the presentation addressed Paramedic led transports, for example:
Paramedic units
- 1600 hours contact training
- 3 or 4 lectures devoted to pediatrics
- Many rescue units did not carry appropriate equipment for children
- 47% programs had less than 10 hours of didactic pediatric training
- 55% offered "clinical" pediatric training
- 24% did not have pediatric BP cuffs
- 79% did not have pediatric ventilation masks
Success rate of intubation by paramedics for children requiring CPR
- 42/63 patients had intubating paramedics at the scene
- Only 68% patients with an attempted intubation and only a 64% success rate
- In patients <1 yr, only 38% with an attempted intubation and only a 50% success rate
EMS study - education of paramedics in pediatric airway management
- Ability to intubate and provide BVM appropriately deteriorates in 6 months
- Worrisome: 95% of providers who failed both BVM and ETI reported confidence and lack of anxiety in their ability to provide advanced airway management.
Dr. Orr also negated the "Golden Hour" concept (originally published in 1973), FWIW.
As a result of this presentation you will be able to:
- Recognize the shortcomings in pediatric care in EMS
- Recognize that the Golden Hour does not exist
- Review the literature for specialty team outcomes
If these resources seem viable to you, I'd be happy to either copy the presentation and send it to you, or provide all the Journal article references included in the presentation.
You can also research Dr. Orr and his own publications:
http://www.ccm.upmc.edu/archive/faculty/bios/orr.html http://www.chp.edu/CHP/Orr,+Richard+A.,+MD,+FCCM http://www.ncbi.nlm.nih.gov/sites/en...Author+Name%5D
Also, if your topic is "PATIENT SAFETY in Neonatal Transport" (or any patient transport for that matter) you should review some of the studies by
Dr. Nadine Levick... her information will scare the heck out of anyone involved in patient transport. She is very approachable and full of fascinating, research supported information.
http://www.objectivesafety.net/
Hope that helps!
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