Repository of Research and Investigative Information

Repository of Research and Investigative Information

Ilam University of Medical Sciences

Decision-Making Challenges of Paramedics in Prehospital Emergency Care

Tue Jun 25 13:09:15 2024

(2020) Decision-Making Challenges of Paramedics in Prehospital Emergency Care. Trauma Monthly. pp. 231-233. ISSN 2251-7464

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Cardiovascular emergencies have a high prevalence and are important among other pre-hospital emergencies. In such emergency situations, making decisions to provide the best care and transport to the hospital are brought with many challenges. The current study reports paramedics' on-scene decision-making challenges in relation to a patient with the acute coronary syndrome. The case was an old woman who complained of sudden dizziness and weakness. The patient's vital signs included a blood pressure of 100/70 mm Hg, heart rate of 58 beats per minute, respiratory rate of 17 breaths per minute, O-2 sat of 96, and blood sugar of 145 mg/dL. The past medical history of the patient indicated that she had no previous disease or use of medications. In the hospital emergency unit, electrocardiography was recorded and ST-segment elevation myocardial infarction was observed. Paramedics face many challenges in on-scene decision making, which affect the time, process, and consequences of their decisions. In low and middle-income countries, due to resource limitations, all ambulances are not equipped with diagnostic equipment including portable sonograph and electrocardiogram. In such contexts, decision-making protocols need to be designed and used at the emergency scenes to guide the paramedic and ensure their optimal performance.

Item Type: Article
Safi-Keykaleh, M.UNSPECIFIED
Farahi-Ashtiani, I.UNSPECIFIED
Keywords: Decision making Paramedics Prehospital Emergency Emergency Medicine
Page Range: pp. 231-233
Journal or Publication Title: Trauma Monthly
Journal Index: ISI
Volume: 25
Number: 5
Identification Number:
ISSN: 2251-7464
Depositing User: مهندس مهدی شریفی

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