PMID- 28093867
OWN - NLM
STAT- MEDLINE
DCOM- 20171031
LR  - 20171031
IS  - 1742-6723 (Electronic)
IS  - 1742-6723 (Linking)
VI  - 29
IP  - 2
DP  - 2017 Apr
TI  - Paramedic resuscitation competency: A survey of Australian and New Zealand 
      emergency medical services.
PG  - 217-222
LID - 10.1111/1742-6723.12715 [doi]
AB  - 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 16 h, interquartile range [IQR]: 7-80). 
      With the exception of one EMS that did not provide any refresher training, a 
      median of 4 h (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.
CI  - (c) 2017 Australasian College for Emergency Medicine and Australasian Society for 
      Emergency Medicine.
FAU - Dyson, Kylie
AU  - Dyson K
AD  - School of Public Health and Preventive Medicine, Monash University, Melbourne, 
      Victoria, Australia.
AD  - Emergency Operations, Ambulance Victoria, Melbourne, Victoria, Australia.
FAU - Bray, Janet E
AU  - Bray JE
AD  - School of Public Health and Preventive Medicine, Monash University, Melbourne, 
      Victoria, Australia.
AD  - Emergency and Trauma Centre, Alfred Hospital, Melbourne, Victoria, Australia.
AD  - School of Nursing, Midwifery and Paramedicine, Curtin University, Perth, Western 
      Australia, Australia.
FAU - Smith, Karen
AU  - Smith K
AD  - School of Public Health and Preventive Medicine, Monash University, Melbourne, 
      Victoria, Australia.
AD  - Department of Research and Evaluation, Ambulance Victoria, Melbourne, Victoria, 
      Australia.
AD  - Discipline of Emergency Medicine, The University of Western Australia, Perth, 
      Western Australia, Australia.
FAU - Bernard, Stephen
AU  - Bernard S
AD  - School of Public Health and Preventive Medicine, Monash University, Melbourne, 
      Victoria, Australia.
AD  - Operational Quality and Improvement Department, Ambulance Victoria, Melbourne, 
      Victoria, Australia.
AD  - Intensive Care Unit, Alfred Hospital, Melbourne, Victoria, Australia.
FAU - Straney, Lahn
AU  - Straney L
AD  - School of Public Health and Preventive Medicine, Monash University, Melbourne, 
      Victoria, Australia.
FAU - Finn, Judith
AU  - Finn J
AD  - School of Public Health and Preventive Medicine, Monash University, Melbourne, 
      Victoria, Australia.
AD  - School of Nursing, Midwifery and Paramedicine, Curtin University, Perth, Western 
      Australia, Australia.
AD  - Discipline of Emergency Medicine, The University of Western Australia, Perth, 
      Western Australia, Australia.
LA  - eng
PT  - Journal Article
DEP - 20170116
PL  - Australia
TA  - Emerg Med Australas
JT  - Emergency medicine Australasia : EMA
JID - 101199824
SB  - IM
MH  - Allied Health Personnel/*standards/statistics & numerical data
MH  - Australia
MH  - Cardiopulmonary Resuscitation/methods/*standards
MH  - Clinical Competence/*standards/statistics & numerical data
MH  - Cross-Sectional Studies
MH  - Emergency Medical Services/standards/statistics & numerical data
MH  - Female
MH  - Humans
MH  - Male
MH  - New Zealand
MH  - Out-of-Hospital Cardiac Arrest/mortality
MH  - Quality of Health Care/statistics & numerical data
MH  - Surveys and Questionnaires
MH  - Teaching/statistics & numerical data
OTO - NOTNLM
OT  - clinical competence
OT  - education
OT  - emergency medical service
OT  - heart arrest
OT  - resuscitation
EDAT- 2017/01/18 06:00
MHDA- 2017/11/01 06:00
CRDT- 2017/01/18 06:00
PHST- 2016/06/23 00:00 [received]
PHST- 2016/10/11 00:00 [revised]
PHST- 2016/10/25 00:00 [accepted]
PHST- 2017/01/18 06:00 [pubmed]
PHST- 2017/11/01 06:00 [medline]
PHST- 2017/01/18 06:00 [entrez]
AID - 10.1111/1742-6723.12715 [doi]
PST - ppublish
SO  - Emerg Med Australas. 2017 Apr;29(2):217-222. doi: 10.1111/1742-6723.12715. Epub 
      2017 Jan 16.