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The advanced paramedic clinical activity study (APCAS): an insight into the work of advanced paramedics in the mid-west of Ireland

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dc.contributor.author Cummins, Niamh M.
dc.contributor.author Garavan, C
dc.contributor.author Dixon, Mark
dc.contributor.author Landymore, E
dc.contributor.author Mulligan, N
dc.contributor.author O'Donnell, C.
dc.date.accessioned 2013-02-25T15:47:34Z
dc.date.available 2013-02-25T15:47:34Z
dc.date.issued 2013
dc.identifier.uri http://hdl.handle.net/10344/2915
dc.description peer-reviewed en_US
dc.description.abstract Background The Advanced Paramedic (AP) is a relatively recent role in Ireland and refers to a prehospital practitioner with Advanced Life Support (ALS) skills and training. The Advanced Paramedic Clinical Activity Study (APCAS) was initiated to provide an evaluation of the impact of the AP programme on patient care in Ireland. Aim The aim of this study is to provide an insight into the clinical activity of APs over a six month period in the Mid-West region of Ireland. Methods A prospective study was initiated whereby all ambulance calls dispatched by the regional Ambulance Control Centre were recorded by the attending AP, including calls received via the statutory 999/112 system. Participating APs were asked to complete a separate call log data sheet recording all demographic and clinical information for every call attended during the study period. Results A total of 17 APs participated and 1,969 ambulance calls were recorded in APCAS. The Mid-Western Regional Hospital, Limerick was the busiest receiving facility. Activity peaked at weekends and was lowest on Tuesdays. Crew response, on-scene and transport times agree with previous reports. Most common emergencies include Medical (12%), Cardiovascular (10%) and Altered level of Consciousness & Seizures (10%). Least common calls include Airway & Ventilation and Environmental emergencies (<1%). Conclusions This study provides an insight into the work of APs in the Mid-West region of Ireland. It would appear that despite the relative recency of the Irish AP programme the findings of this study are in line with previous international studies. en_US
dc.language.iso eng en_US
dc.publisher Springer-Verlag en_US
dc.relation.ispartofseries Irish Journal of Medical Science;February
dc.relation.uri http://dx.doi.org/10.1007/s11845-013-0915-0
dc.rights The original publication is available at www.springerlink.com en_US
dc.subject advanced paramedics en_US
dc.subject ambulance en_US
dc.subject emergency medical services en_US
dc.subject Ireland en_US
dc.subject prehospital care en_US
dc.title The advanced paramedic clinical activity study (APCAS): an insight into the work of advanced paramedics in the mid-west of Ireland en_US
dc.type info:eu-repo/semantics/article en_US
dc.type.supercollection all_ul_research en_US
dc.type.supercollection ul_published_reviewed en_US
dc.identifier.doi 10.1007/s11845-013-0915-0
dc.contributor.sponsor Pre-Hospital Emergency Care Council (PHECC) en_US
dc.rights.accessrights info:eu-repo/semantics/openAccess en_US
dc.internal.rssid 1437853
dc.internal.rssid 1442625


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