Our Winter Paramedic Class began January 6, Students have graduated and are completing testing with NR. Remember to follow your course instructions on registering for the National Registry exam upon completion of class. Each System has a unique system entry process.
Each paramedic course is structured into 2 increments of didactic and clinical for the first six months, then field time for the remaining time. The first six months covers lectures, skill sessions, and practical assessments. Further, recall bias and decisions based on hypothetical emergency situations do not necessarily correlate with actual practice, and this is an unavoidable shortcoming in a survey.
Across Africa, EMS systems are developing rapidly in an effort to address the large burden of growing acute injury and endemic disease. This article describes the first known successful development and application of a robust community-based survey instrument to quantify the demographic, perceptual, and experiential factors that may prevent an African subpopulation from accessing critical EMS resources.
Findings from this novel study indicate generally favorable perceptions of public ambulance services in Accra. The present findings also support consieration of reconfiguring the public ambulance service to encompass trained taxi services as first-responders, which has been previously pilot tested in Ghana with operational and educational success. Future work will include deploying the survey in rural Ghanaian settings and other African countries developing EMS systems.
Barriers to accessing emergency medical services in Accra, Ghana: development of a survey instrument and initial application in Ghana. Glob Health Sci Pract. Read article at publisher's site DOI : Open Access Emerg Med , , 22 Jul PLoS One , 16 6 :e, 04 Jun World J Surg , 44 7 , 01 Jul Free to read. Int J Emerg Med , 13 1 , 10 Jun To arrive at the top five similar articles we use a word-weighted algorithm to compare words from the Title and Abstract of each citation.
Prehosp Emerg Care , 20 6 , 13 Apr Prehosp Disaster Med , 32 1 , 12 Dec Thomson N. Resuscitation , 65 1 , 01 Apr Cited by: 13 articles PMID: Suryanto , Plummer V , Boyle M.
Cited by: 22 articles PMID: Contact us. Europe PMC requires Javascript to function effectively. Recent Activity. Search life-sciences literature Over 39 million articles, preprints and more Search Advanced search. Mould-Millman NK 1 ,. Search articles by 'Sarah D Rominski'. Rominski SD 2 ,. Search articles by 'Joshua Bogus'. Bogus J 3 ,. Search articles by 'Adit A Ginde'. Ginde AA 1 ,. Search articles by 'Ahmed N Zakariah'.
Zakariah AN 4 ,. Search articles by 'Christiana A Boatemaah'. Boatemaah CA 4 ,. Search articles by 'Arthur H Yancey'. Yancey AH 5 ,.
Search articles by 'Samuel Kaba Akoriyea'. Akoriyea SK 6 ,. Search articles by 'Thomas B Campbell'. Campbell TB 7. Affiliations 2 authors 1. Share this article Share with email Share with twitter Share with linkedin Share with facebook. Abstract Background Emergency medical services EMS systems provide professional prehospital emergency medical care and transportation to help improve outcomes from emergency conditions.
Ghana's national ambulance service has relatively low public utilization in comparison with the large burden of acute disease. Methods A survey instrument was developed using Pechansky and Thomas's model of access covering 5 dimensions of availability, accessibility, accommodation, affordability, and acceptability.
Results participants completed surveys, with a response rate of Those aged years were more likely than older respondents to prefer an ambulance odds ratio [OR], 2.
Conclusions Perceptions of public ambulance services in Accra, Ghana, are generally favorable, although use is low. Free full text. Published online Dec PMID: Author information Article notes Copyright and License information Disclaimer. Correspondence to Nee-Kofi Mould-Millman ude. Received Jun 5; Accepted Oct 9. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are properly cited.
This article has been cited by other articles in PMC. Go to:. Background: Emergency medical services EMS systems provide professional prehospital emergency medical care and transportation to help improve outcomes from emergency conditions.
Results: participants completed surveys, with a response rate of Conclusions: Perceptions of public ambulance services in Accra, Ghana, are generally favorable, although use is low. Conceptual Approach Pechansky and Thomas provide a conceptual framework of 5 dimensions that affect patient access to or entry into health care systems: availability, accessibility, accommodation, affordability, and acceptability Box.
Five Dimensions of Access to Health Care. Development and Validation of Survey Instrument The research team defined the domain of the survey as all citizen-perceived barriers potentially impeding EMS access in low-resource sub-Saharan African settings.
Open in a separate window. Inclusion and Exclusion Criteria All persons 18 years of age and older, located within the 11 enumeration areas during our survey period, were eligible to participate after providing informed consent.
Prior Ambulance Use In the preceding 5 years, Type of Emergency Injury, No. Availability Accessibility I fear the dead so I could not be in the same car that has carried the dead so corpses should be carried in an ambulance. Affordability Of those respondents who knew the existence of a public-access number for medical emergencies, only 76 Hypothetical Scenarios Of the total responses to both hypothetical questions, 57 Preferred Transportation if Pedestrian Struck, No.
Abbreviations: CI, confidence interval; OR, odds ratio. About 1 in 5 respondents thought ambulances should transport corpses. Possible Interventions to Improve Use of Ambulance Services If the culture of seeking formal emergency transportation and professional prehospital medical care does not shift among populations, EMS systems risk failing in their mission to save lives when time-sensitive expertise-driven care is required.
Limitations We do note heavier sampling in business and academic centers, which may have introduced a selection bias toward more-educated individuals, thereby making our sample less representative of the Accra population. Emergency medical services. Afr J Emerg Med. Jun; 4 2 — Emergency medical care in developing countries: is it worthwhile?
Bull World Health Organ. Prehospital trauma systems reduce mortality in developing countries: a systematic review and meta-analysis. J Trauma Acute Care Surg. Geneva: World Health Organization; Emergency care in sub-Saharan Africa: results of a consensus conference. Am J Emerg Med. The African trauma chain of survival: proposing a model of integrated care. Ann Glob Health.
Guidelines for essential trauma care. Ambulance or taxi? High acuity prehospital transports in the Ashanti region of Ghana. A model of prehospital trauma training for lay persons devised in Africa. Emerg Med J. Abstracts of scientific papers 19th world congress on disaster and emergency medicine. The couple answered calls and dispatched ambulances from their home 24 hours a day for many years. Tom attended paramedic class at Silver Cross Hospital and at the age of 20 he was the youngest to graduate from the program at the top of his class receiving the golden stethoscope award.
In , Tom met Michele Matile in the Silver Cross emergency department where she worked as a nurse for nearly twenty years. They married in and gave birth to their triplets Matthew, Amy, and Jay in From the initiation of both businesses, the funeral home and ambulance service, a close bond has grown with Silver Cross Hospital. This bond remains strong today.
0コメント