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Pre-hospital thrombolysis for acute ST segment elevation myocardial infarction: A survey of paramedics' perceptions of their role.

Quinn, T, Albarran, JW, Cox, H and Lockyer, L (2009) Pre-hospital thrombolysis for acute ST segment elevation myocardial infarction: A survey of paramedics' perceptions of their role. Acute Card Care, 11 (1). pp. 52-58.

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Abstract

BACKGROUND: The effectiveness of pre-hospital thrombolysis (PHT) in reducing mortality following ST segment elevation myocardial infarction (STEMI) is well established. In England, PHT is provided to around 17% of STEMI patients, and responsibility for treatment rests largely with paramedics rather than physicians as in some other countries, but little is known about how paramedics perceive their role, or whether age or experience influence such perceptions. AIM: To describe paramedics' perceptions of PHT. METHODS: Questionnaire survey to all 106 paramedics working within a single ambulance service in England. RESULTS: 60 (56.6%) paramedics responded. Overall, there were few significant differences by age or length of service in responses given. However, paramedics who had administered PHT gave more positive responses compared to those who had not, in relation to duty of care, professional image, individuals' influence on paramedic role development, and preparedness for practice. CONCLUSION: Paramedics hold a range of views and perceptions of their role in delivering PHT; some of which appear to be related to age and length of experience, and actual administration of PHT. The vast majority view PHT as a positive step to providing patient care that is evidence based.

Item Type: Article
Authors :
NameEmailORCID
Quinn, Tt.quinn@surrey.ac.ukUNSPECIFIED
Albarran, JWUNSPECIFIEDUNSPECIFIED
Cox, HUNSPECIFIEDUNSPECIFIED
Lockyer, LUNSPECIFIEDUNSPECIFIED
Date : 2009
Identification Number : https://doi.org/10.1080/17482940802674091
Uncontrolled Keywords : Adult, Allied Health Personnel, Electrocardiography, Emergency Medical Services, Female, Fibrinolytic Agents, Health Knowledge, Attitudes, Practice, Humans, Male, Middle Aged, Myocardial Infarction, Surveys and Questionnaires, Treatment Outcome, Young Adult
Related URLs :
Depositing User : Symplectic Elements
Date Deposited : 17 May 2017 09:06
Last Modified : 17 May 2017 14:39
URI: http://epubs.surrey.ac.uk/id/eprint/822253

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