Working near a supervised injection facility: A qualitative study of perspectives of firefighter‐emergency medical responders

2021 ◽  
Author(s):  
Michelle L. Pennington ◽  
Jessica Dupree ◽  
Elizabeth Coe ◽  
William Ostiguy ◽  
Nathan A. Kimbrel ◽  
...  
Keyword(s):  
Qualitative Study ◽  
Supervised Injection Facility ◽  
Emergency Medical ◽  
Supervised Injection

Improving Pediatric Education for Emergency Medical Services Providers: A Qualitative Study

2016 ◽  
Vol 32 (1) ◽  
pp. 20-26 ◽  
Author(s):  
Seth A. Brown ◽  
Theresa C. Hayden ◽  
Kimberly A. Randell ◽  
Lara Rappaport ◽  
Michelle D. Stevenson ◽  
...  
Keyword(s):  
Qualitative Study ◽  
Focus Groups ◽  
Emergency Medical Services ◽  
Prehospital Care ◽  
Educational Interventions ◽  
Medical Services ◽  
Theory Approach ◽  
Publication Type ◽  
Pediatric Education ◽  
Emergency Medical

AbstractObjectivesPrevious studies have illustrated pediatric knowledge deficits among Emergency Medical Services (EMS) providers. The purpose of this study was to identify perspectives of a diverse group of EMS providers regarding pediatric prehospital care educational deficits and proposed methods of training improvements.MethodsPurposive sampling was used to recruit EMS providers in diverse settings for study participation. Two separate focus groups of EMS providers (administrative and non-administrative personnel) were held in three locations (urban, suburban, and rural). A professional moderator facilitated focus group discussion using a guide developed by the study team. A grounded theory approach was used to analyze data.ResultsForty-two participants provided data. Four major themes were identified: (1) suboptimal previous pediatric training and training gaps in continuing pediatric education; (2) opportunities for improved interactions with emergency department (ED) staff, including case-based feedback on patient care; (3) barriers to optimal pediatric prehospital care; and (4) proposed pediatric training improvements.ConclusionFocus groups identified four themes surrounding preparation of EMS personnel for providing care to pediatric patients. These themes can guide future educational interventions for EMS to improve pediatric prehospital care.BrownSA, HaydenTC, RandellKA, RappaportL, StevensonMD, KimIK. Improving pediatric education for Emergency Medical Services providers: a qualitative study. Prehosp Disaster Med. 2017;32(1):20–26.

scholarly journals Variation in the delivery of telephone advice by emergency medical services: a qualitative study in three services

2019 ◽  
Vol 28 (7) ◽  
pp. 556-563
Author(s):  
Rachel O'Hara ◽  
Lindsey Bishop-Edwards ◽  
Emma Knowles ◽  
Alicia O'Cathain
Keyword(s):  
Qualitative Study ◽  
Emergency Medical Services ◽  
Participant Observation ◽  
Geographical Location ◽  
Medical Services ◽  
Alternative Response ◽  
Response Options ◽  
Emergency Medical ◽  
Telephone Advice ◽  
On The Road

BackgroundAn emergency ambulance is not always the appropriate response for emergency medical service patients. Telephone advice aims to resolve low acuity calls over the phone, without sending an ambulance. In England, variation in rates of telephone advice and patient recontact between services raises concerns about inequities in care. To understand this variation, this study aimed to explore operational factors influencing the provision of telephone advice.MethodsThis is a multimethod qualitative study in three emergency medical services in England with different rates of telephone advice and recontact. Non-participant observation (120 hours) involved 20 call handlers and 27 clinicians (eg, paramedics). Interviews were conducted with call handlers, clinicians and clinician managers (n=20).ResultsServices varied in their views of the role of telephone advice, selection of their workforce, tasks clinicians were expected and permitted to do, and access to non-ambulance responses. Telephone advice was viewed either as an acceptable approach to managing demand or a way of managing risk. The workforce could be selected for their expertise or their inability to work ‘on-the-road’. Some services permitted proactive identification of calls for a lower priority response and provided access to a wider range of response options. The findings aligned with telephone advice rates for each service, particularly explaining why one service had lower rates.ConclusionSome of the variation observed can be explained by operational differences between services and some of it by access to alternative response options in the wider urgent and emergency care system. The findings indicate scope for greater consistency in the delivery of telephone advice to ensure the widest range of options to meet the needs of different populations, regardless of geographical location.

scholarly journals Use of on-site detoxification services co-located with a supervised injection facility

2017 ◽  
Vol 82 ◽  
pp. 1-6 ◽  
Author(s):  
Andrew Gaddis ◽  
Mary Clare Kennedy ◽  
Ekaterina Nosova ◽  
M.-J. Milloy ◽  
Kanna Hayashi ◽  
...  
Keyword(s):  
Supervised Injection Facility ◽  
Supervised Injection
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