Paramedic Education to Support the Use of Low-Acuity Care Pathways: A Scoping Review Protocol.

Anthony Carnicelli, Dale G Edwards, Anne-Marie Williams
Author Information
  1. Anthony Carnicelli: Tasmanian School of Medicine, College of Health and Medicine, University of Tasmania, Hobart, TAS 7000, Australia. ORCID
  2. Dale G Edwards: School of Paramedicine, College of Health and Medicine, University of Tasmania, Hobart, TAS 7000, Australia. ORCID
  3. Anne-Marie Williams: Tasmanian School of Medicine, College of Health and Medicine, University of Tasmania, Hobart, TAS 7000, Australia.

Abstract

Ambulance services worldwide have transformed over time into health care services that not only attend to life-threatening emergencies, but are also increasingly being utilised for patients with low-acuity or non-urgent illness and injury. As a result, there has been a need to adapt and include mechanisms to assist paramedics in the assessment and management of such patients, including alternative pathways of care. However, it has been identified that education and training for paramedics in the care of low-acuity patients is limited. This study aims to identify potential gaps in the literature and inform further research, paramedic education and training, patient care guidelines, and policy. A scoping review will be conducted utilising the Joanna Briggs Institutes methodology. A range of relevant electronic databases will be searched along with the grey literature, using search terms related to paramedic education for low-acuity patient care pathways. The search results will be screened by two authors and presented in the PRISMA-ScR format, with articles presented in tabular format and analysed thematically. The results of this scoping review will inform further research exploring paramedic education, clinical guidelines, policy and experiences in the management of low-acuity patients.

Keywords

References

  1. Emerg Med Australas. 2019 Jun;31(3):405-410 [PMID: 30232835]
  2. Aust Health Rev. 2011 Feb;35(1):63-9 [PMID: 21367333]
  3. Emerg Med J. 2004 Mar;21(2):212-5 [PMID: 14988356]
  4. J Clin Epidemiol. 2014 Dec;67(12):1291-4 [PMID: 25034198]
  5. Emerg Med J. 2004 Nov;21(6):724-7 [PMID: 15496710]
  6. Emerg Med J. 2013 Jun;30(6):459-61 [PMID: 22802457]
  7. Aust Health Rev. 2016 Sep;40(4):378-384 [PMID: 26568037]
  8. Resuscitation. 2004 Apr;61(1):9-21 [PMID: 15081176]
  9. BMC Med Inform Decis Mak. 2017 Oct 11;17(1):146 [PMID: 29020951]
  10. Stud Health Technol Inform. 2022 Jan 14;289:418-421 [PMID: 35062180]
  11. J Clin Epidemiol. 2019 May;109:99-110 [PMID: 30708176]
  12. J Emerg Med. 2022 Apr;62(4):534-544 [PMID: 35131130]
  13. J Formos Med Assoc. 2015 Jan;114(1):64-71 [PMID: 25618586]
  14. Prehosp Emerg Care. 2021 Jan 25;:1-17 [PMID: 33320722]
  15. JBI Evid Synth. 2020 Oct;18(10):2119-2126 [PMID: 33038124]
  16. BMJ Open. 2018 Aug 30;8(8):e021732 [PMID: 30166299]
  17. Emerg Med J. 2011 Jan;28(1):44-50 [PMID: 20472704]
  18. BMJ Open. 2020 Jul 14;10(7):e036659 [PMID: 32665389]
  19. BMJ Open. 2015 May 19;5(5):e007726 [PMID: 25991458]
  20. Qual Saf Health Care. 2005 Aug;14(4):251-7 [PMID: 16076788]
  21. Emerg Med J. 2015 Jun;32(6):486-92 [PMID: 24788598]
  22. J Emerg Med. 2006 Jan;30(1):111-5 [PMID: 16434351]
  23. BMC Emerg Med. 2019 Dec 21;19(1):81 [PMID: 31864305]
  24. Scand J Trauma Resusc Emerg Med. 2018 Jan 10;26(1):8 [PMID: 29321074]
  25. J Emerg Nurs. 2020 Jan;46(1):34-43 [PMID: 31685336]
  26. Prehosp Emerg Care. 2003 Oct-Dec;7(4):466-9 [PMID: 14582100]
  27. BMJ Open. 2016 Aug 26;6(8):e011739 [PMID: 27566637]
  28. Oman Med J. 2010 Oct;25(4):320-3 [PMID: 22043368]
  29. Qual Saf Health Care. 2004 Dec;13(6):435-43 [PMID: 15576705]
  30. Scand J Trauma Resusc Emerg Med. 2017 Jul 17;25(1):71 [PMID: 28716132]
  31. World J Emerg Med. 2019;10(4):239-243 [PMID: 31534599]
  32. Acta Anaesthesiol Scand. 2022 May;66(5):625-633 [PMID: 35170028]
  33. Scand J Trauma Resusc Emerg Med. 2021 Jan 6;29(1):4 [PMID: 33407771]
  34. BMC Health Serv Res. 2017 Apr 21;17(1):299 [PMID: 28431536]
  35. BMJ Open. 2017 Oct 15;7(10):e016845 [PMID: 29038180]
  36. Ann Intern Med. 2018 Oct 2;169(7):467-473 [PMID: 30178033]
  37. Eur J Emerg Med. 2020 Dec;27(6):396-397 [PMID: 33105291]
  38. Prehosp Emerg Care. 2011 Jul-Sep;15(3):366-70 [PMID: 21480775]
  39. Implement Sci. 2010 Sep 20;5:69 [PMID: 20854677]
  40. Am J Med Qual. 2012 May-Jun;27(3):250-5 [PMID: 22202558]
  41. Acta Anaesthesiol Scand. 2017 May;61(5):549-556 [PMID: 28374471]
  42. J Public Health Med. 2000 Sep;22(3):302-6 [PMID: 11077901]
  43. BMJ Open. 2018 Nov 28;8(11):e024228 [PMID: 30498049]
  44. Emerg Med J. 2004 Mar;21(2):207-11 [PMID: 14988355]
  45. Injury. 2012 Sep;43(9):1397-402 [PMID: 21371708]
  46. J Health Serv Res Policy. 2015 Jan;20(1 Suppl):45-53 [PMID: 25472989]
  47. Int Emerg Nurs. 2018 May;38:10-14 [PMID: 29433812]
  48. Prehosp Disaster Med. 2003 Jan-Mar;18(1):29-35; discussion 35-7 [PMID: 14694898]

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