Assessing paramedic performance and background factors in emerging disease outbreak

Background: Prehospital paramedics played a critical role in the COVID-19 pandemic crisis. Objectives: This study aimed to evaluate paramedic performance and background factors in the outbreak of this emerging disease. Methods: This cross-sectional study recruited 335 paramedics selected from 49...

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Bibliographic Details
Main Authors: Karim Javanmardi, Abbas Dadashzadeh, Hossein Feizollahzadeh, Neda Gilani, Mansour Ghafourifard, Javad Dehghannejad
Format: Article
Language:English
Published: Zanjan University of Medical Sciences and Health Services 2024-08-01
Series:Preventive Care in Nursing and Midwifery Journal
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Online Access:http://nmcjournal.zums.ac.ir/article-1-917-en.html
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Summary:Background: Prehospital paramedics played a critical role in the COVID-19 pandemic crisis. Objectives: This study aimed to evaluate paramedic performance and background factors in the outbreak of this emerging disease. Methods: This cross-sectional study recruited 335 paramedics selected from 49 emergency medical services stations in Urmia and Tabriz cities, Iran. Data was collected using a questionnaire to assess the demographics and performance of paramedics in caring for COVID-19 patients. The response rate for the questionnaires was 90%. Data were analyzed using descriptive statistics and regression analysis in SPSS version 21. The level of statistical significance was considered less than 0.05. Results: The average age of the paramedics was 32.81 years (71.3% were 35 years old or younger). Results showed that assessing patients' vital signs, checking for COVID-19 symptoms/signs, administering oxygen and IV fluids, recommending home care, and transporting patients to the emergency department were the most common actions taken by paramedics. Invasive procedures performed by paramedics included cardiopulmonary resuscitation (60.9%), intubation (53.1%), and suctioning (38.8%). However, 15.5% of paramedics reported not performing physical exams on patients due to fear of COVID-19. A statistically significant correlation was observed between paramedics' performance and their education level, educational qualifications, and history of COVID-19 disease (p< 0.001). Conclusion: Study results provide insight into paramedic performance during the COVID-19 pandemic. During emerging disease outbreaks, further training and the provision of necessary personal protective equipment could help paramedics perform all tasks without undue concern for personal safety.
ISSN:2588-4441
2588-445X