Student paramedic perceptions of a non-ambulance practice learning experience.

BACKGROUND: The role of the paramedic has changed significantly over the last 10 years. In order for paramedic students to gain the necessary skills and knowledge to effectively manage the increasing complexity of patient presentations a wide range of placement opportunities are required to support learning. OBJECTIVE: To explore first year student paramedic experiences of non-ambulance placements. DESIGN: A qualitative study. METHODS: Semi-structured interviews and thematic analysis was used to explore first year student paramedic's experiences of non-ambulance placements. The study took place in one higher education institution in England, UK. RESULTS: Thirty-three first year BSc (hons) Paramedic Science students agreed to be interviewed. All the students had undertaken at least one non-ambulance placement within a hospital setting. Four key themes that emerged from the transcripts, Expectations, The Patient Journey, Communication and Mentorship. CONCLUSION: In order to prepare students for the future, to deliver quality care and to improve patient outcomes a variety of educational opportunities is crucial. There remains work to be done supporting clinical mentors, tearing down barriers between professional groups and exploring our similarities and strengths.

Management of pain in pre-hospital settings.

Assessment and management of pain in pre-hospital care settings are important aspects of paramedic and clinical team roles. As emergency department waiting times and delays in paramedic-to-nurse handover increase, it becomes more and more vital that patients receive adequate pre-hospital pain relief. However, administration of analgesia can be inadequate and can result in patients experiencing oligoanalgesia, or under-treated pain. This article examines these issues along with the aetiology of trauma and the related socioeconomic background of traumatic injury. It reviews validated pain-assessment tools, outlines physiological responses to traumatic pain and discusses some of the misconceptions about the provision of effective analgesia in pre-hospital settings.