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245 Results Found

  • Perspective
  • Open Access
6 Citations
3,219 Views
6 Pages

Paramedics in Switzerland: A Mature Profession

  • Thomas Schmutz,
  • Youcef Guechi,
  • Sandrine Denereaz,
  • Florian Ozainne,
  • Marc Nuoffer,
  • Aris Exadaktylos and
  • Vincent Ribordy

This paper describes how the profession of paramedics has evolved in Switzerland and takes the perspective of public health. Ambulance drivers play an important role in the health system, not only as a response to emergencies, but also by working in...

  • Article
  • Open Access
12 Citations
4,997 Views
11 Pages

Prevalence and Characteristics of Violence against Paramedics in a Single Canadian Site

  • Justin Mausz,
  • Mandy Johnston,
  • Dominique Arseneau-Bruneau,
  • Alan M. Batt and
  • Elizabeth A. Donnelly

Violence against paramedics has been described as a ‘serious public health problem’ but one that remains ‘vastly underreported’, owing to an organizational culture that stigmatizes reporting–hindering efforts at risk mit...

  • Article
  • Open Access
1 Citations
4,510 Views
11 Pages

Sexist, Racist, and Homophobic Violence against Paramedics in a Single Canadian Site

  • Justin Mausz,
  • Joel D’Eath,
  • Nicholas A. Jackson,
  • Mandy Johnston,
  • Alan M. Batt and
  • Elizabeth A. Donnelly

Violence against paramedics is widely recognized as a serious, but underreported, problem. While injurious physical attacks on paramedics are generally reported, non-physical violence is less likely to be documented. Verbal abuse can be very distress...

  • Article
  • Open Access
3 Citations
2,350 Views
14 Pages

The Prevalence of Neck and Back Pain among Paramedics in Poland

  • Aleksandra Bryndal,
  • Sebastian Glowinski,
  • Kazimiera Hebel,
  • Julia Grochulska and
  • Agnieszka Grochulska

13 November 2023

Neck Pain (NP) and low back pain (LBP) are ubiquitous musculoskeletal conditions and some of the major causes of disability worldwide. The aim of the study was to assess the incidence and risk factors of back pain among paramedics and their correlati...

  • Article
  • Open Access
24 Citations
9,407 Views
12 Pages

Sleep and Mental Health among Paramedics from Australia and Saudi Arabia: A Comparison Study

  • Wahaj Anwar A. Khan,
  • Russell Conduit,
  • Gerard A. Kennedy,
  • Ahmed Abdullah Alslamah,
  • Mohammad Ahmad Alsuwayeh and
  • Melinda L. Jackson

Paramedics face many challenges while on duty, one of which is working different types of shifts. Shift work has been linked to a number of health issues such as insomnia, depression, and anxiety. Besides shift work, Saudi paramedics, a group that ha...

  • Article
  • Open Access
13 Citations
5,911 Views
19 Pages

The Use of Virtual Reality in Training Paramedics for a Mass Casualty Incident

  • Alena Lochmannová,
  • Michal Šimon,
  • Petr Hořejší,
  • Marek Bárdy,
  • Stanislava Reichertová and
  • Klára Gillernová

18 November 2022

This paper presents the design of a virtual reality learning module inspired by the exercises of healthcare professionals and its limitations as a result of action research carried out by the authors’ collective. The module is implemented on a...

  • Article
  • Open Access
1 Citations
2,924 Views
16 Pages

Improving Psychological Comfort of Paramedics for Field Termination of Resuscitation through Structured Training

  • Chungli Bang,
  • Desmond Ren Hao Mao,
  • Rebacca Chew Ying Cheng,
  • Jen Heng Pek,
  • Mihir Gandhi,
  • Shalini Arulanandam,
  • Marcus Eng Hock Ong and
  • Stella Quah

This study examines the impact of a newly developed structured training on Singapore paramedics’ psychological comfort before the implementation of a prehospital termination of resuscitation (TOR) protocol. Following a before and after study design,...

  • Article
  • Open Access
5 Citations
6,088 Views
14 Pages

Identifying Features of a System of Practice to Inform a Contemporary Competency Framework for Paramedics in Canada

  • Alan M. Batt,
  • Meghan Lysko,
  • Jennifer L. Bolster,
  • Pierre Poirier,
  • Derek Cassista,
  • Michael Austin,
  • Cheryl Cameron,
  • Elizabeth A. Donnelly,
  • Becky Donelon and
  • Noël Dunn
  • + 7 authors

Introduction: Paramedic practice is highly variable, occurs in diverse contexts, and involves the assessment and management of a range of presentations of varying acuity across the lifespan. As a result, attempts to define paramedic practice have bee...

  • Article
  • Open Access
27 Citations
9,073 Views
15 Pages

Introduction: Contemporary healthcare faces new challenges and expectations from society. The profession of a nurse, as well as a paramedic, is essential for the efficient functioning of healthcare. It has its importance not only in promoting and pre...

  • Article
  • Open Access
8 Citations
2,884 Views
12 Pages

19 July 2019

Many paramedics are working under levels of fatigue that would warrant immediate removal from the workplaces in other industries and such high levels of fatigue indicate a work system that is not sustainable. Sustainable work systems (SWS) build on a...

  • Article
  • Open Access
1 Citations
1,706 Views
12 Pages

In this study, we investigated the motivations of paramedic staff serving in rural and remote communities, given the consistent shortage of healthcare workers in these areas. Using a modified Global Motivation Scale (GMS) questionnaire, we surveyed 4...

  • Article
  • Open Access
42 Citations
9,992 Views
15 Pages

Background: Paramedics are vital to the health system response to the COVID-19 pandemic; however, the pressures on this workforce have been intense and challenging. This study reports on mental health symptoms and the working environment among Austra...

  • Article
  • Open Access
1,794 Views
14 Pages

Assessing Paramedics’ Competence and Training in End-of-Life Care: A Cross-Sectional Study in Saudi Arabia

  • Ahmed Alanazy,
  • Fatimah Khalifah Alsahli,
  • Zahra Essam Alhassan,
  • Zahra Hassan Alabdrabulridha,
  • Moneerah Khalifah Aljomaan and
  • Abdullah Alruwaili

Background: End-of-life (EOL) care is an integral part of paramedic services, requiring not only medical expertise but also communication skills and emotional support. With the evolving role of paramedics in providing palliative care, understanding t...

  • Article
  • Open Access
405 Views
10 Pages

Psychosocial Determinants of Work Ability Among Paramedics: Implications for Occupational Health—Pilot Study

  • Kornelia Sokołowska,
  • Olga Fedorowicz,
  • Janina Kulińska and
  • Łukasz Rypicz

12 December 2025

Background/Objectives: Paramedics are routinely exposed to high psychosocial strain due to the demanding and unpredictable nature of emergency medical work. This study aimed to examine psychosocial and behavioral factors—working hours, stress,...

  • Article
  • Open Access
19 Citations
4,840 Views
9 Pages

(1) Background: To determine paramedics’ frequency of contact with blood and other body fluids, as well as the analysis of knowledge of paramedics about blood-borne infections, their attitudes to patients infected with blood-borne viruses, and the po...

  • Article
  • Open Access
6 Citations
3,764 Views
11 Pages

To evaluate the prevalence of bloodborne infections (BBIs) and assess the incidence and selected risk factors for sharps injuries (SIs), a cross-sectional serosurvey was performed between December 2018 and October 2019 among 286 paramedics (76.5% mal...

  • Article
  • Open Access
1 Citations
2,106 Views
17 Pages

28 December 2022

Background: The COVID-19 pandemic has significantly affected many aspects of life. The aim of this study was to assess the mental state of medical personnel most involved with patients affected by SARS-CoV-2. Methods: The survey research was conducte...

  • Article
  • Open Access
17 Citations
5,086 Views
13 Pages

(1) Background: An analysis of work-related accidents in paramedics in Poland by presenting the model and trend of accidents, accident rates and by identifying causes and results of accidents; (2) Methods: A retrospective analysis of medical document...

  • Article
  • Open Access
1,170 Views
15 Pages

Background/Objectives: Violence is a significant occupational health issue for paramedics, yet underreporting limits efforts to identify and mitigate risk. Leveraging a novel, point-of-event violence reporting system, we aimed to identify characteris...

  • Article
  • Open Access
877 Views
16 Pages

Paramedics Performed Sonographic Identification of the Conic Ligament—A Prospective Controlled Trial

  • Johannes Weimer,
  • Christopher David Chrissostomou,
  • Christopher Jonck,
  • Andreas Michael Weimer,
  • Carlotta Ille,
  • Lukas Müller,
  • Liv Annebritt Lorenz,
  • Marie Stäuber,
  • Thomas Vieth and
  • Holger Buggenhagen
  • + 3 authors

Background/Objectives: Acute obstructions of the upper respiratory tract are emergencies that may require a cricothyrotomy as ultima ratio. For this, precise identification of the conic ligament is essential. Point-of-care ultrasound (POCUS) offers a...

  • Article
  • Open Access
21 Citations
4,489 Views
12 Pages

Job Satisfaction and Performance Orientation of Paramedics in German Emergency Medical Services—A Nationwide Survey

  • Christian Eiche,
  • Torsten Birkholz,
  • Fabian Konrad,
  • Tobias Golditz,
  • Johann Georg Keunecke and
  • Johannes Prottengeier

(1) Background: Shortage of skilled workers is a relevant global health care problem. To remain competitive with other professions, job satisfaction is a critical issue; however, to date, there are no data available on the German EMS. This study aims...

  • Article
  • Open Access
10 Citations
6,750 Views
10 Pages

Mental-health-related presentations account for a considerable proportion of the paramedic’s workload in prehospital care. This cross-sectional study aimed to examine the perceived confidence and preparedness of paramedics in Australian metropolitan...

  • Article
  • Open Access
1,503 Views
13 Pages

4 October 2025

Background/Objectives: Paramedics frequently encounter potentially traumatic events and workplace violence, increasing their risk of burnout. Resilience may attenuate these effects. We examined the pathways through which post-traumatic stress (PTS) a...

  • Article
  • Open Access
5 Citations
2,844 Views
11 Pages

Impact of Selected Sociodemographic and Clinical Parameters on Anxiety and Depression Symptoms in Paramedics in the Era of the COVID-19 Pandemic

  • Kamil Piotr Marczewski,
  • Magdalena Piegza,
  • Alicja Zofia Gospodarczyk,
  • Natalia Justyna Gospodarczyk and
  • Krystyn Sosada

Introduction: The emergence of the SARS-CoV-2 virus, which caused the outbreak of the pandemic declared by the World Health Organization (WHO, World Health Organization) on 11 March 2020, has resulted in the introduction of many restrictions worldwid...

  • Article
  • Open Access
4 Citations
1,816 Views
12 Pages

30 January 2024

Neonatal resuscitation is a skill set that comprises procedures, assessment, decision-making, communication, and teamwork. It is used in an emergency situation in the delivery room with the aim of supporting newborn infants who are not able to begin...

  • Article
  • Open Access
2 Citations
3,395 Views
16 Pages

The COVID-19 pandemic forced higher education institutions in Switzerland to move to distance learning, with certain limitations such as “Zoom fatigue” and a lack of interaction with peers and teachers. This has also impacted the developm...

  • Article
  • Open Access
1 Citations
1,279 Views
8 Pages

26 November 2024

Introduction: Postpartum haemorrhage (PPH) is a leading cause of maternal mortality worldwide, particularly in low- and middle-income countries, complicating 1% to 10% of deliveries. Despite improvement in prevention and management, variations in PPH...

  • Article
  • Open Access
28 Citations
6,077 Views
18 Pages

Meat in a Seat: A Grounded Theory Study Exploring Moral Injury in Canadian Public Safety Communicators, Firefighters, and Paramedics

  • Lorraine Smith-MacDonald,
  • Liana Lentz,
  • David Malloy,
  • Suzette Brémault-Phillips and
  • R. Nicholas Carleton

The work of public safety personnel (PSP) is inherently moral; however, the ability of PSP to do what is good and right can be impeded and frustrated, leading to moral suffering. Left unresolved, moral suffering may develop into moral injury (MI) and...

  • Article
  • Open Access
12 Citations
5,433 Views
10 Pages

Social Prestige of the Paramedic Profession

  • Anita Majchrowska,
  • Jakub Pawlikowski,
  • Mariusz Jojczuk,
  • Adam Nogalski,
  • Renata Bogusz,
  • Luiza Nowakowska and
  • Michał Wiechetek

Background: There is a lack of research on social image, prestige, and the position of the paramedic profession in the social structure. The main objective of the study was to determine the place of the paramedic profession in the hierarchy of presti...

  • Article
  • Open Access
8 Citations
5,572 Views
16 Pages

Impact of Face-to-Face Teaching in Addition to Electronic Learning on Personal Protective Equipment Doffing Proficiency in Student Paramedics: Randomized Controlled Trial

  • Ludivine Currat,
  • Mélanie Suppan,
  • Birgit Andrea Gartner,
  • Emmanuel Daniel,
  • Mathieu Mayoraz,
  • Stephan Harbarth,
  • Laurent Suppan and
  • Loric Stuby

Personal protective equipment doffing is a complex procedure that needs to be adequately performed to prevent health care worker contamination. During the COVID-19 pandemic, junior health care workers and students of different health care professions...

  • Case Report
  • Open Access
2,634 Views
9 Pages

4 September 2024

Background: Prehospital detection and triage of stroke patients mostly rely on the use of large vessel occlusion prediction scales to decrease onsite time. These quick but simplified scores, though useful, prevent prehospital providers from detecting...

  • Article
  • Open Access
2,296 Views
10 Pages

12 December 2023

The beginning of the COVID-19 pandemic majorly impacted the population and public services. In Finland, a state of emergency was declared to ensure the security of healthcare resources, and prehospital emergency medical service (EMS) organizations fa...

  • Article
  • Open Access
1 Citations
2,485 Views
13 Pages

Representations of Research among Newly Graduated Paramedical Professionals: A Qualitative Study

  • Evelyne Decullier,
  • Mathilde Chauliaguet,
  • Arnaud Siméone,
  • Julie Haesebaert and
  • Agnès Witko

Despite a keen interest in clinical research, most paramedical professionals are unwilling to play an active role. Our objective was to explore paramedical professionals’ representations of research. Using an existing database of final year paramedic...

  • Article
  • Open Access
5 Citations
9,276 Views
12 Pages

Violence against paramedics is increasingly recognized as an important occupational health problem, but pervasive and institutionalized underreporting hinders efforts at risk mitigation. Earlier research has shown that the organizational culture with...

  • Article
  • Open Access
3 Citations
3,585 Views
19 Pages

The Impact of Script Concordance Testing on Clinical Decision-Making in Paramedic Education

  • Katarzyna Naylor,
  • Jane Hislop,
  • Kamil Torres,
  • Zakaria A. Mani and
  • Krzysztof Goniewicz

22 January 2024

This study investigates the effectiveness of the Script Concordance Test (SCT) in enhancing clinical reasoning skills within paramedic education. Focusing on the Medical University of Lublin, we evaluated the SCT’s application across two cohort...

  • Protocol
  • Open Access
3 Citations
4,103 Views
8 Pages

13 February 2023

Ambulance services worldwide have transformed over time into health care services that not only attend to life-threatening emergencies, but are also increasingly being utilised for patients with low-acuity or non-urgent illness and injury. As a resul...

  • Review
  • Open Access
1 Citations
1,327 Views
13 Pages

Impact of the Paramedic Role on Athlete Care, Emergency Response, and Injury Prevention in Sports Medicine: A Scoping Review

  • Yasir Almukhlifi,
  • Maher Alsulami,
  • Adnan Alsulami,
  • Nawaf A. Albaqami,
  • Abdulrahmn M. Bahmaid,
  • Salman A. Aldriweesh,
  • Sharifah Albounagh and
  • Krzysztof Goniewicz

14 September 2025

Introduction: Paramedics are increasingly being recognized as essential contributors to sports medicine, where their role extends beyond emergency response to prevention, planning, and collaboration with other medical professionals. Yet their scope o...

  • Article
  • Open Access
23 Citations
7,063 Views
16 Pages

Role Identity, Dissonance, and Distress among Paramedics

  • Justin Mausz,
  • Elizabeth Anne Donnelly,
  • Sandra Moll,
  • Sheila Harms and
  • Meghan McConnell

Role identity theory describes the purpose and meaning in life that comes, in part, from occupying social roles. While robustly linked to health and wellbeing, this may become unideal when an individual is unable to fulfill the perceived requirements...

  • Article
  • Open Access
1 Citations
2,080 Views
16 Pages

9 November 2024

Background/Objectives: In acute stroke, often-prolonged hospital transport times present an opportunity for early interventions to salvage brain tissue. Remote ischemic conditioning (RIC), where brief cycles of ischemia–reperfusion in a limb ar...

  • Article
  • Open Access
3,945 Views
12 Pages

Resilience as a Personality Trait and Stress Coping Styles: A Cross-Sectional Analysis of a Paramedic Student Cohort

  • Kazimiera Hebel,
  • Sylwia Jałtuszewska,
  • Aleksandra Steliga,
  • Tomasz Kłosiewicz,
  • Daniel Ślęzak and
  • Sebastian Głowiński

11 March 2025

Background/Objectives: Resilience, defined as the ability to adapt and cope effectively with stress, plays a crucial role in preparing candidates for the paramedic profession. This study aimed to assess the resilience intensity as a personality trait...

  • Review
  • Open Access
6 Citations
5,856 Views
21 Pages

11 January 2024

Ambulance services around the world are increasingly attending to calls for non-emergency conditions. These lower-acuity conditions do not always require patients to be transported to the emergency department. Consequently, over the past two decades,...

  • Article
  • Open Access
2 Citations
2,162 Views
25 Pages

25 February 2025

Recent major disasters, including the COVID-19 pandemic and floods in Europe, highlight the unpredictability of crises and the necessity for systemic preparedness at all levels of crisis management, including pre-hospital emergency medical services....

  • Article
  • Open Access
927 Views
13 Pages

Standardized Rapid Sequence Intubation (RSI) Improves Effectiveness and Safety in Mixed Physician and Paramedic Hungarian EMS

  • Béla Burány,
  • Péter Temesvári,
  • Márton Radnai,
  • Ákos Sóti,
  • Gábor Csukly and
  • Gábor Élő

7 November 2025

(1) Background: Ground Emergency Medical Services in Hungary are provided by the National Ambulance Service. Paramedics, physicians, and specialists in this service are competent in performing endotracheal intubation (ETI) on patients. The aim of thi...

  • Case Report
  • Open Access
1,011 Views
7 Pages

The Role of Paramedics in Diagnosing Sandifer’s Syndrome

  • Michał Wójcik,
  • Damian Krysiak,
  • Piotr Babik,
  • Łukasz Suchanek,
  • Michał Ćwiertnia,
  • Joanna Trojak-Piętka,
  • Marek Kawecki,
  • Wioletta Pollok-Waksmańska,
  • Monika Mikulska and
  • Tomasz Ilczak

Background: Sandifer’s syndrome is an uncharacteristic symptom of gastroesophageal reflux disease (GERD). It is often misdiagnosed as epilepsy. Paramedics can play a crucial role in recognising the differences between Sandifer’s syndrome...

  • Article
  • Open Access
14 Citations
5,973 Views
14 Pages

Mental Disorder Symptoms and the Relationship with Resilience among Paramedics in a Single Canadian Site

  • Justin Mausz,
  • Elizabeth Anne Donnelly,
  • Sandra Moll,
  • Sheila Harms and
  • Meghan McConnell

There is growing recognition in research and policy of a mental health crisis among Canada’s paramedics; however, despite this, epidemiological surveillance of the problem is in its infancy. Just weeks before the emergence of the COVID-19 pande...

  • Article
  • Open Access
13 Citations
4,303 Views
9 Pages

13 November 2020

Community paramedic (CP) units are becoming more popular in enhancing a person’s access to the need for care assessment and treatment in acute but non-life-threatening health issues. Simultaneously CP units can reduce the strain on emergency de...

  • Article
  • Open Access
1 Citations
1,790 Views
12 Pages

Effects of Concurrent Training on Resuscitation and Cognitive Performance in Paramedics—A Pilot Study

  • Tom Brandt,
  • Andrea Schittenhelm,
  • Daniel Kuhn Botelho,
  • Tim Müller and
  • Annette Schmidt

12 August 2024

Paramedics work under physically and cognitively demanding conditions to provide emergency care. As physical fitness could positively impact the quality of patient care, we investigated within a pilot study whether concurrent training (CT) affects wo...

  • Article
  • Open Access
5 Citations
5,157 Views
10 Pages

5 April 2022

An increasing number of studies have shown that safety culture factors have a substantial influence on safety performance in a variety of industrial sectors. These factors’ impact on safety performance are unclear, especially at public service...

  • Article
  • Open Access
21 Citations
4,921 Views
16 Pages

Paramedics’ Perspectives on the Hospital Transfers of Nursing Home Residents—A Qualitative Focus Group Study

  • Alexandra Pulst,
  • Alexander Maximilian Fassmer,
  • Falk Hoffmann and
  • Guido Schmiemann

Emergency department (ED) visits and hospital admissions are common among nursing home residents (NHRs). Little is known about the perspectives of emergency medical services (EMS) which are responsible for hospital transports. The aim of this study w...

  • Article
  • Open Access
10 Citations
3,207 Views
11 Pages

Ultrasound on the Frontlines: Empowering Paramedics with Lung Ultrasound for Dyspnea Diagnosis in Adults—A Pilot Study

  • Damian Kowalczyk,
  • Miłosz Turkowiak,
  • Wojciech Jerzy Piotrowski,
  • Oskar Rosiak and
  • Adam Jerzy Białas

9 November 2023

Lung transthoracic ultrasound (LUS) is an accessible and widely applicable method of rapidly imaging certain pathologies in the thorax. LUS proves to be an optimal tool in respiratory emergency medicine, applicable in various clinical settings. Howev...

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