Critical care transportation by paramedics

A cross-sectional survey

William Raynovich, Jason Hums, David F. Stuhlmiller, James D. Bramble, Ted Kasha, Kimberly A. Galt

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

Objective The purpose of this study was to gather data from paramedics practicing in the critical care transport setting to guide development of the education, training, and clinical practices for certification as a critical care paramedic. Methods A paper survey of 1991 randomly selected nationally registered (NREMT) paramedics was conducted. Nine paramedics with residences in small US Pacific Island territories were not included in the survey. Results We received 610 responses (30.6%). Respondents that stated that they provided critical care transport services reported using pediatric skills and equipment the most and intracranial pressure monitoring the least. Paramedics served as the primary provider for pediatric patients (72.5%), 12-lead electrocardiogram (66.3%), intravenous infusion pump (76.7%), mechanical ventilator (66.9%), central line management (63.1%), and chest tube management (63.3%). Paramedics served in a team member capacity most often with neonatal isolette (71.8%), intra-aortic balloon pump (79.2%), and ICP monitoring (64.9%). The majority provided ground critical care transport (249) compared to 44 rotor-wing and 6 fixed-wing. Sixteen respondents reported serving as primary providers on combinations of ground, rotor-, and fixed-wing services. Conclusions Paramedics reported being the primary provider on the critical care transport team and performing skills while using equipment and administering medications that exceeded their education and training as paramedic and, at times, without the benefit of any additional education or training. National appreciation of this reality should spur development of standardized education, licensing or certification, and continuing education to prepare paramedics for their role as critical care medical providers.

Original languageEnglish
Pages (from-to)280-288
Number of pages9
JournalAir Medical Journal
Volume32
Issue number5
DOIs
StatePublished - 2013

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Allied Health Personnel
Critical Care
Cross-Sectional Studies
Education
Certification
Pacific Islands
Pediatrics
Infusion Pumps
Chest Tubes
Equipment and Supplies
Continuing Education
Intracranial Pressure
Mechanical Ventilators
Licensure
Intravenous Infusions
Electrocardiography
Surveys and Questionnaires

All Science Journal Classification (ASJC) codes

  • Emergency
  • Emergency Medicine
  • Medicine(all)

Cite this

Raynovich, W., Hums, J., Stuhlmiller, D. F., Bramble, J. D., Kasha, T., & Galt, K. A. (2013). Critical care transportation by paramedics: A cross-sectional survey. Air Medical Journal, 32(5), 280-288. https://doi.org/10.1016/j.amj.2013.05.008

Critical care transportation by paramedics : A cross-sectional survey. / Raynovich, William; Hums, Jason; Stuhlmiller, David F.; Bramble, James D.; Kasha, Ted; Galt, Kimberly A.

In: Air Medical Journal, Vol. 32, No. 5, 2013, p. 280-288.

Research output: Contribution to journalArticle

Raynovich, W, Hums, J, Stuhlmiller, DF, Bramble, JD, Kasha, T & Galt, KA 2013, 'Critical care transportation by paramedics: A cross-sectional survey', Air Medical Journal, vol. 32, no. 5, pp. 280-288. https://doi.org/10.1016/j.amj.2013.05.008
Raynovich, William ; Hums, Jason ; Stuhlmiller, David F. ; Bramble, James D. ; Kasha, Ted ; Galt, Kimberly A. / Critical care transportation by paramedics : A cross-sectional survey. In: Air Medical Journal. 2013 ; Vol. 32, No. 5. pp. 280-288.
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