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  1. Book ; Online: Plant Selection for Bioretention Systems and Stormwater Treatment Practices

    Hunt, William F. / Lord, Bill / Loh, Benjamin / Sia, Angelia

    2015  

    Keywords Environmental economics ; Earth sciences, geography, environment, planning ; Pollution control ; Landscape/Regional and Urban Planning ; Water Quality/Water Pollution ; Hydrology/Water Resources ; Urban Ecology
    Size 1 electronic resource (59 pages)
    Publisher Springer Nature
    Publishing place Cham
    Document type Book ; Online
    Note English ; Open Access
    HBZ-ID HT021026902
    ISBN 9789812872456 ; 9812872450
    Database ZB MED Catalogue: Medicine, Health, Nutrition, Environment, Agriculture

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  2. Book ; Online: Plant Selection for Bioretention Systems and Stormwater Treatment Practices

    Hunt, William F. / Lord, Bill / Loh, Benjamin / Sia, Angelia

    (SpringerBriefs in Water Science and Technology)

    2015  

    Author's details by William F. Hunt, Bill Lord, Benjamin Loh, Angelia Sia
    Series title SpringerBriefs in Water Science and Technology
    Keywords Geography ; Regional planning ; Urban Ecology
    Subject code 710
    Language English
    Size VII, 59 p. 63 illus., 62 illus. in color
    Publisher Springer Singapore
    Publishing place Singapore
    Document type Book ; Online
    HBZ-ID TT050434501
    ISBN 978-981-287-245-6 ; 9789812872449 ; 981-287-245-0 ; 9812872442
    DOI 10.1007/978-981-287-245-6
    Database ZB MED Catalogue: Medicine, Health, Nutrition, Environment, Agriculture

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  3. Article: The Assessment of IN PARAMEDIC PRACTICE. The alleviation of pain depends on the provider's ability to identify, measure and interpret it.

    Lord, Bill

    EMS world

    2016  Volume 45, Issue 5, Page(s) 40–47

    MeSH term(s) Emergency Medical Services ; Humans ; Pain Measurement
    Language English
    Publishing date 2016-05
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2579984-8
    ISSN 2158-7833 ; 1946-9365
    ISSN 2158-7833 ; 1946-9365
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

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  4. Article ; Online: Fluency and confidence predict paramedic diagnostic intuition: An experimental study of applied dual-process theory.

    Keene, Toby / Pammer, Kristen / Lord, Bill / Shipp, Carol

    International emergency nursing

    2022  Volume 61, Page(s) 101126

    Abstract: Introduction: We report an experiment using Australian paramedics (n = 64) and Australian paramedicine undergraduates (n = 44), on the processes underlying the formation of an intuitive diagnostic impression, based on limited dispatch information. ... ...

    Abstract Introduction: We report an experiment using Australian paramedics (n = 64) and Australian paramedicine undergraduates (n = 44), on the processes underlying the formation of an intuitive diagnostic impression, based on limited dispatch information. Previous research has signalled roles for objective likelihood of the disease, subjective typicality of the disease, and the ease with which the diagnosis comes to mind (answer fluency) as important in impression formation.
    Method: Participants completed four brief written clinical vignettes under time pressure and with a concurrent navigation task to simulate conditions faced by paramedics prior to meeting a patient. Diagnostic impression, confidence and subjective typicality of the vignette were self-reported while answer fluency was measured. The vignettes varied the objective likelihood of a diagnosis of Acute Coronary Syndrome (ACS), a condition often encountered by paramedics.
    Results: Likelihood, answer fluency, self-reported typicality and confidence predicted the impression but there was no effect of experience. Students and experienced paramedics had comparable accuracy and performance.
    Conclusion: The results support a role for answer fluency and confidence in forming that impression. We have shown it is possible to experimentally manipulate various factors associated with paramedic diagnostic impressions. These experimental methods can form the basis for additional studies into paramedic decision making.
    MeSH term(s) Allied Health Personnel ; Australia ; Emergency Medical Services ; Emergency Medical Technicians ; Humans ; Intuition
    Language English
    Publishing date 2022-01-19
    Publishing country England
    Document type Journal Article
    ZDB-ID 2420747-0
    ISSN 1878-013X ; 1755-599X
    ISSN (online) 1878-013X
    ISSN 1755-599X
    DOI 10.1016/j.ienj.2021.101126
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Peripheral intravenous catheter and intraosseous device insertions reported from the 1

    Mason, Matt / Wallis, Marianne / Barr, Nigel / Matagian, Nicholas / Lord, Bill

    Australasian emergency care

    2022  Volume 25, Issue 4, Page(s) 302–307

    Abstract: Objective: To overcome the lack of larger, population-based studies reporting the prevalence of insertion of PIVCs and IO devices, and to describe the patient-related and service-related characteristics of these devices, inserted by paramedics, in an ... ...

    Abstract Objective: To overcome the lack of larger, population-based studies reporting the prevalence of insertion of PIVCs and IO devices, and to describe the patient-related and service-related characteristics of these devices, inserted by paramedics, in an Australian state ambulance service.
    Methods: A retrospective analysis of the electronic Ambulance Report Form (medical record) and Computer Aided Dispatch system from the 1st July 2016 until 30th June 2017.
    Results: 709,217 events were analysed. Of these, 20.4% involved at least one successful PIVC insertion and 0.07% involved at least one successful IO device insertion; most of the time on first attempt (89% and 86.4% respectively). Most PIVCs were inserted into the right antecubital fossa or dorsum of the right hand while IO devices were inserted into the proximal tibia. Of male patients, 21.4% received PIVCs while 19.5% of female patients received PIVCs. Very low numbers of both male and female patients received IOs (0.1%). Medical, non-traumatic presentations were the most common presentation and received the most insertions of both devices, followed by trauma presentations. Advanced Care Paramedics inserted 84.0% of PIVCs while Critical Care Paramedics inserted 94.4% of IO devices. Time treating and transporting patients generally increased with number of attempts at vascular access undertaken.
    Conclusions: Queensland paramedic practices relating to insertion of PIVCs, and IO devices appears consistent with documented practice internationally. Further study is required to determine whether the antecubital fossa and dorsum of the hand insertions are clinically necessary in this population as areas of flexion and distal extremities are generally to be avoided for PIVC insertion.
    MeSH term(s) Ambulances ; Australia ; Catheters ; Female ; Humans ; Infusions, Intraosseous ; Male ; Retrospective Studies
    Language English
    Publishing date 2022-03-08
    Publishing country Australia
    Document type Journal Article ; Observational Study
    ISSN 2588-994X
    ISSN (online) 2588-994X
    DOI 10.1016/j.auec.2022.03.001
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: An observational study of peripheral intravenous and intraosseous device insertion reported in the United States of America National Emergency Medical Services Information System in 2016.

    Mason, Matt / Wallis, Marianne / Barr, Nigel / Bernard, Anne / Lord, Bill

    Australasian emergency care

    2022  Volume 25, Issue 4, Page(s) 361–366

    Abstract: Objective: To investigate the prevalence of intravenous and interosseous device insertion in the prehospital setting by prehospital clinicians, and the characteristics of patients receiving these devices as reported to the United States of America ... ...

    Abstract Objective: To investigate the prevalence of intravenous and interosseous device insertion in the prehospital setting by prehospital clinicians, and the characteristics of patients receiving these devices as reported to the United States of America National Emergency Medical Services Information System.
    Methods: A retrospective analysis of the United States of America National Emergency Medical Services Information System public release dataset for the 2016 calendar year.
    Results: A total of 20,454,975 events involving 40,438,959 procedures were analysed. One or more peripheral intravenous catheters were inserted during 27.4 % of events, and one or more intraosseous devices in 0.4 % of events. Insertion was completed with one attempt in 71.6 % of peripheral intravenous catheter insertions and 86.9 % of intraosseous devices insertions. Insertion was successful for 74.7 % of peripheral intravenous catheter insertions and 85.4 % of intraosseous device insertions. High rates of peripheral intravenous catheter insertion were found with: being female (51.6 %), aged 40-90 years (80.2 %), having a cardiac rhythm disturbance (70.3 %), having a primary symptom of change in responsiveness (58.7 %), or when there was initiation of chest compressions (50.4 %). There were high rates of intraosseous device insertion if the patient was male (57.8 %), aged 40-90 years (77.2 %), experienced a cardiac arrest (29.2 %), had chest compressions initiated (33.6 %), or died (16.4 %). Scene time was longest for events with intraosseous devices inserted (19.7 min, IQR 13.2-28.6) but transport time shortest (9.0 min, IQR 5.0-15.0).
    Conclusions: The distribution of patient factors and the insertion of peripheral intravenous catheters and intraosseous devices is described at a national level for the first time. The results provide prehospital clinicians and Emergency Medical Services rigorous data to compare, and possibly improve, practice.
    MeSH term(s) Catheterization, Peripheral ; Emergency Medical Services/methods ; Female ; Humans ; Information Systems ; Infusions, Intraosseous ; Male ; Retrospective Studies ; United States
    Language English
    Publishing date 2022-06-07
    Publishing country Australia
    Document type Journal Article ; Observational Study
    ISSN 2588-994X
    ISSN (online) 2588-994X
    DOI 10.1016/j.auec.2022.05.003
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Influence of patient race on administration of analgesia by student paramedics.

    Lord, Bill / Khalsa, Sahaj

    BMC emergency medicine

    2019  Volume 19, Issue 1, Page(s) 32

    Abstract: Background: Disparities in the management of pain are associated with factors that include social status, age and race. As there is limited data regarding the influence of race on analgesia provided by paramedics this study investigated associations ... ...

    Abstract Background: Disparities in the management of pain are associated with factors that include social status, age and race. As there is limited data regarding the influence of race on analgesia provided by paramedics this study investigated associations between patient race and student paramedic management of pain.
    Methods: Retrospective study of student paramedic records entered in the FISDAP Skill Tracker database between 1 January 2014 to 31 December 2015. Cases were extracted if aged 16 to 100 years, the patient was alert and the primary or secondary impression was trauma. The primary outcome of interest was the association between patient race and student paramedic administration of any analgesia. The adjusted odds of patients receiving any analgesic was tested with logistic regression using a stepped modelling approach.
    Results: 59,915 cases were available for analysis; median age was 50 years (IQR 39 years), 50.1% were female (n = 30,040). Fall was the most common case type 43% (n = 26,009) of cases. 14.1% of patients received any analgesia (n = 8424). Caucasian patients have significantly higher odds of receiving analgesia than non-Caucasian patients (p < 0.001). When analgesic administration is adjusted for gender, age category and injury cause, African Americans have the lowest logged odds of receiving any analgesia when compared to Caucasian patients (OR 0.60, p < 0.001).
    Conclusion: The results indicate inequality in the provision of analgesia by student paramedics based on patient race. This suggests a need for interventions to reduce disparities in care based on race.
    MeSH term(s) Accidental Falls ; Adolescent ; Adult ; Aged ; Aged, 80 and over ; Analgesia/statistics & numerical data ; Databases, Factual ; Emergency Medical Technicians ; Ethnic Groups/statistics & numerical data ; European Continental Ancestry Group/statistics & numerical data ; Female ; Humans ; Logistic Models ; Male ; Middle Aged ; Minnesota ; Pain/drug therapy ; Retrospective Studies ; Students, Health Occupations ; Young Adult
    Language English
    Publishing date 2019-05-06
    Publishing country England
    Document type Comparative Study ; Journal Article
    ISSN 1471-227X
    ISSN (online) 1471-227X
    DOI 10.1186/s12873-019-0245-2
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Paramedic assessment of pain in the cognitively impaired adult patient

    Lord Bill

    BMC Emergency Medicine, Vol 9, Iss 1, p

    2009  Volume 20

    Abstract: Abstract Background Paramedics are often a first point of contact for people experiencing pain in the community. Wherever possible the patient's self report of pain should be sought to guide the assessment and management of this complaint. Communication ... ...

    Abstract Abstract Background Paramedics are often a first point of contact for people experiencing pain in the community. Wherever possible the patient's self report of pain should be sought to guide the assessment and management of this complaint. Communication difficulty or disability such as cognitive impairment associated with dementia may limit the patient's ability to report their pain experience, and this has the potential to affect the quality of care. The primary objective of this study was to systematically locate evidence relating to the use of pain assessment tools that have been validated for use with cognitively impaired adults and to identify those that have been recommended for use by paramedics. Methods A systematic search of health databases for evidence relating to the use of pain assessment tools that have been validated for use with cognitively impaired adults was undertaken using specific search criteria. An extended search included position statements and clinical practice guidelines developed by health agencies to identify evidence-based recommendations regarding pain assessment in older adults. Results Two systematic reviews met study inclusion criteria. Weaknesses in tools evaluated by these studies limited their application in assessing pain in the population of interest. Only one tool was designed to assess pain in acute care settings. No tools were located that are designed for paramedic use. Conclusion The reviews of pain assessment tools found that the majority were developed to assess chronic pain in aged care, hospital or hospice settings. An analysis of the characteristics of these pain assessment tools identified attributes that may limit their use in paramedic practice. One tool - the Abbey Pain Scale - may have application in paramedic assessment of pain, but clinical evaluation is required to validate this tool in the paramedic practice setting. Further research is recommended to evaluate the Abbey Pain Scale and to evaluate the effectiveness of paramedic pain management practice in older adults to ensure that the care of all patients is unaffected by age or disability.
    Keywords Internal medicine ; RC31-1245 ; Medicine ; R ; DOAJ:Internal medicine ; DOAJ:Medicine (General) ; DOAJ:Health Sciences ; Special situations and conditions ; RC952-1245 ; Medical emergencies. Critical care. Intensive care. First aid ; RC86-88.9
    Subject code 360
    Language English
    Publishing date 2009-10-01T00:00:00Z
    Publisher BioMed Central
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  9. Article ; Online: Patient experience of non-conveyance following emergency ambulance service response: A scoping review of the literature.

    King, Robbie / Oprescu, Florin / Lord, Bill / Flanagan, Belinda

    Australasian emergency care

    2020  Volume 24, Issue 3, Page(s) 210–223

    Abstract: Introduction: Evolution of ambulance service response models has resulted in significant numbers of patients not being conveyed to Emergency Departments. Prior research has attempted to measure patient-safety aspects of non- conveyance with inconclusive ...

    Abstract Introduction: Evolution of ambulance service response models has resulted in significant numbers of patients not being conveyed to Emergency Departments. Prior research has attempted to measure patient-safety aspects of non- conveyance with inconclusive results. Several authors have recommended investigation of patient experience as an alternative metric. Understanding patient experience is acknowledged as a core requirement for design and evaluation of changes to healthcare delivery. However, it is unclear to what extent patient experience of non-conveyance is described in academic literature.
    Aims: To map scholarly literature that describes patient experience of non-conveyance and identify knowledge gaps that guide future research.
    Methods: Scoping review guided by the Joanna Briggs Institute (JBI) framework.
    Results: Ten studies of heterogenous methodology were included. Commonly, high levels of satisfaction with paramedic care were reported, yet contributing factors to satisfaction were generally not described. Qualitative studies provided deeper insight into experience. Value was attributed to reassurance and being empowered in the decision-making process. Not having concerns validated by paramedics led to negative experiences.
    Conclusion: There is a scarcity of quality research that has investigated patient experience of non-conveyance following emergency ambulance service response. Methods used by existing research is of low-quality. Patient experience of non-conveyance is not fully known.
    MeSH term(s) Ambulances ; Emergency Medical Services ; Emergency Medical Technicians ; Emergency Service, Hospital ; Humans ; Patient Outcome Assessment
    Language English
    Publishing date 2020-09-14
    Publishing country Australia
    Document type Journal Article ; Review
    ISSN 2588-994X
    ISSN (online) 2588-994X
    DOI 10.1016/j.auec.2020.08.006
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: Systematic Review of Incidence, Prevalence, and Trends in Health Outcomes for Australian and New Zealand Paramedics.

    Sawyer, Simon / Cowlishaw, Sean / Kendrick, Kylie / Boyle, Malcom / Dicker, Bridget / Lord, Bill

    Prehospital emergency care

    2022  Volume 27, Issue 4, Page(s) 398–412

    Abstract: Introduction: The paramedic role carries inherent risk to practitioner health, due to a combination of work characteristics and the employment practices of different organizations. Emerging evidence suggests that paramedics worldwide may face a range of ...

    Abstract Introduction: The paramedic role carries inherent risk to practitioner health, due to a combination of work characteristics and the employment practices of different organizations. Emerging evidence suggests that paramedics worldwide may face a range of negative health outcomes. The purpose of this article was to systematically review the literature of paramedic health outcomes in the Australian and New Zealand context.
    Methods: A systematic search of key databases and gray literature was conducted to identify all available studies reporting on quantitative health outcomes for paramedics working in Australia or New Zealand. The review was conducted using the JBI methodology for prevalence studies and uses a narrative synthesis approach to reporting.
    Results: There were
    Conclusions: Australian and New Zealand paramedics demonstrate poor health according to several metrics. Our sample demonstrated considerably worse health than the general population or similar occupations. There is a minimal amount of trend data available; therefore, it was difficult to ascertain if rates are changing. The range of health outcomes studied was limited, and correlations between different health outcomes were rarely considered by authors. Data relating to specific rates for gender and sexuality, location of work, and First Nations status or ethnicity was often not available.
    Systematic review registration number (prospero): CRD42021232196.
    MeSH term(s) Humans ; Australia/epidemiology ; Emergency Medical Services ; Incidence ; New Zealand/epidemiology ; Paramedics ; Prevalence ; Health Status
    Language English
    Publishing date 2022-05-25
    Publishing country England
    Document type Journal Article ; Systematic Review
    ZDB-ID 1461751-1
    ISSN 1545-0066 ; 1090-3127
    ISSN (online) 1545-0066
    ISSN 1090-3127
    DOI 10.1080/10903127.2022.2064019
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