Paramedic resuscitation competency: A survey of Australian and New Zealand emergency medical services
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© 2017 Australasian College for Emergency Medicine & Australasian Society for Emergency Medicine.Objective: We have previously established that paramedic exposure to out-of-hospital cardiac arrest (OHCA) is relatively rare, therefore clinical exposure cannot be relied on to maintain resuscitation competency. We aimed to identify the current practices within emergency medical services (EMS) for developing and maintaining paramedic resuscitation competency. Methods: We developed and conducted an online cross-sectional survey of Australian and New Zealand EMS in 2015. The survey was piloted by one EMS and targeted at education managers. Results: A total of nine of the 10 EMS responded to the survey. All EMS reported that they provide resuscitation training to paramedics at the commencement of their employment (median 16h, interquartile range [IQR]: 7-80). With the exception of one EMS that did not provide any refresher training, a median of 4h (IQR: 1-7) resuscitation training was provided to paramedics annually. All EMS used cardiac arrest simulations and skill stations to train paramedics. Paramedic exposure to OHCA was not taken into account to determine their training needs. Resuscitation competency was tested by EMS: annually (3/9), biennially (4/9) or not at all (2/9). Two EMS used CPR-feedback devices in clinical practice and only one EMS regularly performed formal debriefing after OHCA cases. Barriers to resuscitation competency included: difficulty removing paramedics from clinical duties for training and a lack of paramedic exposure to OHCA. Conclusion: All of the surveyed EMS provided initial resuscitation training to paramedics, but competency testing and refresher training practices varied between services. A lack of individual exposure to cardiac arrest and training time were identified as barriers to resuscitation competency.
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Paramedic Exposure to Out-of-Hospital Cardiac Arrest Resuscitation Is Associated With Patient SurvivalDyson, K.; Bray, J.; Smith, K.; Bernard, S.; Straney, L.; Finn, Judith (2016)BACKGROUND: Although out-of-hospital cardiac arrest (OHCA) is a major public health problem, individual paramedics are rarely exposed to these cases. In this study, we examined whether previous paramedic exposure to OHCA ...
Dyson, K.; Bray, Janet; Smith, K.; Bernard, S.; Straney, L.; Finn, J. (2015)Background and objective: Paramedic exposure to out-of-hospital cardiac arrest (OHCA) may be an important factor in skill maintenance and quality of care. We aimed to describe the annual exposure rates of paramedics in ...
Description of the ambulance services participating in the Aus-ROC Australian and New Zealand out-of-hospital cardiac arrest EpistryBeck, B.; Bray, Janet; Smith, K.; Walker, T.; Grantham, H.; Hein, C.; Thorrowgood, M.; Smith, A.; Inoue, Madoka; Smith, T.; Dicker, B.; Swain, A.; Bosley, E.; Pemberton, K.; Mckay, M.; Johnston-Leek, M.; Cameron, P.; Perkins, G.; Finn, Judith; Aus-ROC Steering Committee (2016)OBJECTIVE: The present study aimed to describe and examine similarities and differences in the current service provision and resuscitation protocols of the ambulance services participating in the Aus-ROC Australian and ...