Beliefs and expectation of paramedics towards evidence- based practice and research (Simpson et al)
In the research paper of Paramedics and Evidence based practice there was a large online survey, which was based on, five question related to Evidence Based Practice (EBP) and pre-hospital. Descriptive statistics are used to answer the question provided in the survey, where large number of paramedic have positive attitude towards evidence-based practices. The survey were consists of different question asked about paramedic with there year of experience there education level and clinical level where different demography of student and paramedic were involved. There were 892-response given to the survey through out one months of study period. Here 90% believed pre hospital care improve patient care and 92% report being likely to change clinical practices as a result of pre hospital evidences. With the research of Evidence Based Practice they find out that paramedic were distinct group of health provider in the society. The research also tells us that paramedics who have positive expectation on EBP were more likely to responds towards the survey which involves tertiary education and shorter length services. Some limitation of these survey includes only certain groups of paramedics were involved also the instrument used were not validity or reliability and single paramedic have respond more than one in the survey.
Targeted Temperature Management at 33 degree versus 36 degree after Cardiac Arrest (Neilsen et al)
There is high risk of death and poor neurological function with unconscious survivors in out of hospital cardiac arrest. Trails were undertaken with the patients after awakening from cardiac arrest, which was compared with Therapeutic Hyperthermia. There was also a trial done to understand the benefit and harm of two Targeted temperature but both trail intended to prevent fever. In the trial temperature of 33 verses 36 was introduced with the patients of 18 years old or above in Europe and Australia. Primary outcome was all patient were death through out the trial and secondary outcome were the CPC discharge from ICU and from the hospital and the best CPC during this trial period. Statistical Analysis were done where sample of 900 patients who provide 90% power to detect 20% reduction in the Hazard ratio for death in 33 degree in respect with 36 degree. Here the patients of 950 where 476 were treated in 33 degree and 474 were in 36 degree. Different temperature treatments were given where 253 of 473 patients in 33 degree and 225 of 466 patients in the 36-degree were death. Information was gathered through patients face-to-face interview, telephone interview and so on for 256 day. We found no different in two trails, where there is no harm with a targeted temperature of 33 degree to 36 degree in cardiac arrest patients. There were several limitations with this trial where ICU staff was aware of the assigned target temperature during the stay in...