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Emergency medical service personnel need to improve knowledge and attitude regarding prehospital sepsis care

OBJECTIVE: We aimed to evaluate the knowledge and attitudes of emergency medical service (EMS) personnel pertaining to sepsis. We also compared EMS personnel’s knowledge of sepsis and their intention to engage in prehospital sepsis management. METHODS: The survey was conducted during education confe...

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Autores principales: Park, Joongmin, Hwang, Sung Yeon, Shin, Tae Gun, Jo, Ik Joon, Yoon, Hee, Lee, Tae Rim, Cha, Won Chul, Sim, Min Seob
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Korean Society of Emergency Medicine 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5385514/
https://www.ncbi.nlm.nih.gov/pubmed/28435902
http://dx.doi.org/10.15441/ceem.16.159
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author Park, Joongmin
Hwang, Sung Yeon
Shin, Tae Gun
Jo, Ik Joon
Yoon, Hee
Lee, Tae Rim
Cha, Won Chul
Sim, Min Seob
author_facet Park, Joongmin
Hwang, Sung Yeon
Shin, Tae Gun
Jo, Ik Joon
Yoon, Hee
Lee, Tae Rim
Cha, Won Chul
Sim, Min Seob
author_sort Park, Joongmin
collection PubMed
description OBJECTIVE: We aimed to evaluate the knowledge and attitudes of emergency medical service (EMS) personnel pertaining to sepsis. We also compared EMS personnel’s knowledge of sepsis and their intention to engage in prehospital sepsis management. METHODS: The survey was conducted during education conferences for EMS personnel in December 2013 and January 2015 in Seoul, Korea. The questionnaire composed of 10 questions relevant to sepsis, was distributed on-scene, and was retrieved by investigators after the conference. We classified subjects into active and passive groups based on intent to participate in prehospital sepsis care. RESULTS: A total of 271 questionnaires were distributed; 255 EMS personnel (94%) completed the survey, 126 (49%) of whom were first-degree emergency medical technicians (EMTs). Less than 75% of subjects provided clinically relevant responses to questions about the definitions of sepsis, tachycardia, tachypnea, hypotension, hypothermia, fluid resuscitation, and vasopressor. Only 15% of participants had suspected that a patient had sepsis, and 9% reported that they could identify patients with sepsis during transportation. Overall, first-degree EMTs showed higher levels of knowledge and a positive attitude to sepsis compared with non-first-degree EMTs. Sixty percent of the participants reported that they were actively involved in prehospital sepsis care. The active group showed significantly higher levels of knowledge and more positive responses to the clinical impact of prehospital sepsis care. CONCLUSION: Our study showed that is a substantial portion of EMS personnel lacks appropriate level of knowledge on sepsis care. We also found that the intention to engage in sepsis management was associated with appropriate knowledge of sepsis.
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spelling pubmed-53855142017-04-21 Emergency medical service personnel need to improve knowledge and attitude regarding prehospital sepsis care Park, Joongmin Hwang, Sung Yeon Shin, Tae Gun Jo, Ik Joon Yoon, Hee Lee, Tae Rim Cha, Won Chul Sim, Min Seob Clin Exp Emerg Med Original Article OBJECTIVE: We aimed to evaluate the knowledge and attitudes of emergency medical service (EMS) personnel pertaining to sepsis. We also compared EMS personnel’s knowledge of sepsis and their intention to engage in prehospital sepsis management. METHODS: The survey was conducted during education conferences for EMS personnel in December 2013 and January 2015 in Seoul, Korea. The questionnaire composed of 10 questions relevant to sepsis, was distributed on-scene, and was retrieved by investigators after the conference. We classified subjects into active and passive groups based on intent to participate in prehospital sepsis care. RESULTS: A total of 271 questionnaires were distributed; 255 EMS personnel (94%) completed the survey, 126 (49%) of whom were first-degree emergency medical technicians (EMTs). Less than 75% of subjects provided clinically relevant responses to questions about the definitions of sepsis, tachycardia, tachypnea, hypotension, hypothermia, fluid resuscitation, and vasopressor. Only 15% of participants had suspected that a patient had sepsis, and 9% reported that they could identify patients with sepsis during transportation. Overall, first-degree EMTs showed higher levels of knowledge and a positive attitude to sepsis compared with non-first-degree EMTs. Sixty percent of the participants reported that they were actively involved in prehospital sepsis care. The active group showed significantly higher levels of knowledge and more positive responses to the clinical impact of prehospital sepsis care. CONCLUSION: Our study showed that is a substantial portion of EMS personnel lacks appropriate level of knowledge on sepsis care. We also found that the intention to engage in sepsis management was associated with appropriate knowledge of sepsis. The Korean Society of Emergency Medicine 2017-03-30 /pmc/articles/PMC5385514/ /pubmed/28435902 http://dx.doi.org/10.15441/ceem.16.159 Text en Copyright © 2017 The Korean Society of Emergency Medicine This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/).
spellingShingle Original Article
Park, Joongmin
Hwang, Sung Yeon
Shin, Tae Gun
Jo, Ik Joon
Yoon, Hee
Lee, Tae Rim
Cha, Won Chul
Sim, Min Seob
Emergency medical service personnel need to improve knowledge and attitude regarding prehospital sepsis care
title Emergency medical service personnel need to improve knowledge and attitude regarding prehospital sepsis care
title_full Emergency medical service personnel need to improve knowledge and attitude regarding prehospital sepsis care
title_fullStr Emergency medical service personnel need to improve knowledge and attitude regarding prehospital sepsis care
title_full_unstemmed Emergency medical service personnel need to improve knowledge and attitude regarding prehospital sepsis care
title_short Emergency medical service personnel need to improve knowledge and attitude regarding prehospital sepsis care
title_sort emergency medical service personnel need to improve knowledge and attitude regarding prehospital sepsis care
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5385514/
https://www.ncbi.nlm.nih.gov/pubmed/28435902
http://dx.doi.org/10.15441/ceem.16.159
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