Publication

Support from advanced practitioners in critical care for ankle fracture dislocation

Morrison, Craig
; 
Renfrew, Linda
; 
Citations
Altmetric:
Keyword
Emergency Medical Services
 Critical Care
 Multi-disciplinary
 Ankle Fractures
 Orthopedics
Journal Title
Journal of Paramedic Practice
Book Title
Publication Volume
Publication Issue
Publication Begin Page
Publication End Page
Publication Number of Pages
Collections
Publications - Scottish Ambulance Service
Show all metadata
URI
http://hdl.handle.net/20.500.12417/1724
DOI
10.12968/jpar.2024.16.4.140
Abstract
Background: Analgesic imitations, under-recognition of injury severity and delayed restoration of neutral alignment are common problems around ankle fracture dislocation (AFD). Optimal prehospital management improves long-term outcomes. Aims: This study aimed to explore ambulance clinicians’ experiences of AFD incidents when supported by advanced practitioners in critical care (APCCs). Methods: Semi-structured online interviews were conducted. Data sets were coded and grouped to identify themes via thematic content analysis. Findings: Six clinicians agreed to take part (response rate 42%). AFDs were encountered infrequently (once per year). Four themes were identified: clinicians’ confidence in managing AFD; value-added role of APCCs; prehospital challenges; and reflections on the incident. Conclusions: Benefits of the APCC role include enhanced technical skills, including in ankle reduction and analgesia, and in non-technical skills, such as leadership and decision-making. Improvements in clinician recognition and management of AFD and better awareness of the APCC role are recommended, as is research on optimal prehospital AFD management. Abstract published with permission.
Topic