EMS World

JAN 2019

EMS World Magazine is the most authoritative source in the world for clinical and educational material designed to improve the delivery of prehospital emergency medical care.

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EMSWORLD.com | JANUARY 2019 17 "Ramping," whereby no suitable ED bed is available for a patient who arrives by ambulance at a hospital, preventing them from being admitted, remains an issue for many services across Australia. 11,12,15 The ambulance, with the paramedic and patient on board, is forced to wait outside the ED until the patient can be accommodated. Continued research shows the workplace of Australian paramedics is hazardous, with higher-than-average injury rates and even fatalities. 16 New Developments At the time of this writing, Australian paramedics have just become eli- gible for national registration through the Australian Health Practitioner Regulatory Authority (AHPRA). Previously they were regulated through their employer, and the title of paramedic was not protected. REFERENCES 1. Howie-Willis I. A Century for Australia: St. John Ambulance in Australia, 1883–1983. Canberra: Priory of the Order of St. John in Australia, 1983. 2. Australian Government Productivity Commission. Report on Government Services 2018, Part E, Chapter 11, www.pc.gov.au/research/ongoing/report-on-government-services/2018/health/ ambulance-services. 3. Finder. Australians misusing ambulance service, www.finder.com.au/australians-misusing- ambulance-service. 4. Livingstone CH, Condron J, Dennekamp M, et al. Factors in Ambulance Demand: Options for Funding and Forecasting. Bundoora, Victoria: Australian Institute for Primary Care, 2007. 5. Paramedics Australasia. Paramedicine Role Descriptors, www.paramedics.org/paramedicine-role- descriptors/. 6. Paramedics Australasia. Paramedics in the 2011 Census, www.paramedics.org/content/2012/11/ Paramedics-in-the-2011-census-final.pdf. 7. Finn JC, Fatovich DM, Arendts G, et al. Evidence-based paramedic models of care to reduce unnecessary emergency department attendance—feasibility and safety. BMC Emerg Med, 2013 Jul 15; 13: 13. 8. SA Ambulance Service. Extended Care Paramedics, www.saambulance.com.au/Whoweare/ Emergency/Singleresponders/ExtendedCareParamedics.aspx. 9. Grantham H, Hein C, Elliott R. South Australian Ambulance Service (SAAS) Extended Care Paramedic (ECP) Pilot Project. J Emerg Prim Health Care, 2010; 8(3): 32. 10. SA Ambulance Service. Paramedic—Qualified–Frequently Asked Questions, www.sahealthcareers. com.au/_userfiles/Paramedics_Qualified_FAQs_16052017.pdf. 11. Gaughan J, Kasteridis P, Mason A, Street A. Waits in A&E departments of the English NHS. International Health Congress, 2018. 12. Honeyford K, Bottle A, Aylin P. ED attendances: an overlooked performance metric? A statistician's perspective. International Health Congress, 2018. 13. Lowthian JA, Jolley DJ, Curtis AJ, et al. The challenges of population ageing: Accelerating demand for emergency ambulance services by older patients, 1995–2015. Med J Aust, 2011; 194(11): 574–8. 14. Schierholtz T, Carter D, Kane A, et al. Impact of lift assist calls on paramedic services: A descriptive study. Prehosp Emerg Care, 2018 Aug; 17: 1–8. 15. Hammond E, Shaban RZ, Holzhauser K, et al. An Exploratory Study to Examine the Phenomenon and Practice of Ambulance Ramping at Hospitals Within the Queensland Health Southern Districts and the Queensland Ambulance Service. Griffith University, https://research-repository.griffith.edu. au/bitstream/handle/10072/49997/74885_1.pdf?sequence=1. 16. Maguire BJ, O'Meara P, O'Neill BJ, Brightwell R. Violence against emergency medical services personnel: A systematic review of the literature. Am J Industrial Med, 2018; 61(2): 167–80. ABOUT THE AUTHOR Louise Reynolds, PhD, is a senior lecturer with the Faculty of Medical Science at Anglia Ruskin University in Chelmsford, England. Australian paramedics have just become eligible for national registration through the Australian Health Practitioner Regulatory Authority (AHPRA). EMERGENCY MEDICAL SCIENCE www.lenoircc.edu/publicsafety PARAMEDIC CERTIFICATION (HYBRID PROGRAM) ■ Fully CAAHEP Accredited ■ Hybrid Paramedic program offered through LCC Continuing Education Department. Various formats available with weekday or weekend onsite options and evaluations. All coursework is done online. Tuition, Books, and Fees estimated at $1,700.00. ■ Available to students from NC, VA, SC, GA, WV, KY, VT, PA, and CA. ■ Different course options that allow currently credentialed EMTs and AEMTs, to train for their Paramedic certification. ■ Graduates are eligible for the NCOEMS Paramedic exam and the National Registry Paramedic exam. 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