With events presenting a chemical, biological, radiological or nuclear risk, treating victims in the field can decrease lethality. in this context, the mismatch between the availability of care and the number of victims adds to the constraints of working in protective clothing. In the prehospital setting, nurses from the Paris fire brigade have a distinct role to play and Use specific equipment and antidotes, Theoretical and practical training is essential to be prepared for these situations.
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Rev Bras Enferm
January 2025
Universidade de São Paulo. São Paulo, São Paulo, Brazil.
Objective: to construct and validate the content of an inventory of ethical problems experienced by nurses in mobile pre-hospital care.
Method: a psychometric approach study, developed with the following stages: (1) instrument construction through a theoretical matrix based on deliberative bioethics, scoping review and online qualitative research; (2) content validity by judges; (3) pre-testing with Mobile Emergency Care Service nurses in various Brazilian states. For content validity analysis, the Content Validity Ratio was calculated (CVR>0.
Prehosp Emerg Care
January 2025
Department of Emergency Medicine, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.
Objectives: Prehospital endotracheal intubation (ETI) is a lifesaving procedure with known complications. To reduce ETI-associated morbidity and mortality, organizations prioritize first-pass success (FPS). However, there are few data evaluating the association of FPS with clinician licensure.
View Article and Find Full Text PDFThis systematic review evaluates the impact of trauma care and emergency preparedness training programs on prehospital primary survey effectiveness. A comprehensive search strategy was employed across multiple databases, including PubMed, Cochrane Library, Embase, and the Cumulated Index to Nursing and Allied Health Literature (CINAHL), focusing on studies involving healthcare professionals such as paramedics, nurses, and emergency medical technicians (EMTs). The review included randomized controlled trials (RCTs), clinical trials, and cohort studies that assessed various training modalities like virtual reality (VR) simulations, case-based learning (CBL), and hands-on workshops.
View Article and Find Full Text PDFBMC Nurs
December 2024
Department of Care Science, Faculty of Health and Society, Malmö University, Malmö, Sweden.
Background: Effective prehospital care for acute chest pain critically relies on ambulance nurses' adherence to clinical guidelines. However, current adherence is inadequate, with no instruments available to improve the situation. Therefore, this study aimed to develop and psychometrically evaluate an instrument measuring ambulance nurses' adherence to and attitudes towards acute chest pain guidelines, and to adapt and test the Attitudes Regarding Practice Guidelines instrument for measuring general attitudes towards guidelines.
View Article and Find Full Text PDFRev Bras Enferm
December 2024
Universidade de São Paulo. São Paulo, São Paulo, Brazil.
Objectives: to understand nurses' experience regarding patient safety in mobile pre-hospital care.
Method: a qualitative, exploratory and descriptive study, conducted with nurses active in mobile pre-hospital care services. Semi-structured interviews were conducted, audio-graved and submitted to Bardin's content analysis.
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