Support from advanced practitioners in critical care for ankle fracture dislocation
| dc.contributor.author | Morrison, Craig | |
| dc.contributor.author | Renfrew, Linda | |
| dc.contributor.author | McHenry, Ryan | |
| dc.date.accessioned | 2024-05-29T08:49:06Z | |
| dc.date.available | 2024-05-29T08:49:06Z | |
| dc.date.issued | 2024-04-02 | |
| dc.identifier.citation | Morrison, C., et al, 2024. Support from advanced practitioners in critical care for ankle fracture dislocation, Journal of Paramedic Practice, 16 (4), 140-147. | en_US |
| dc.identifier.issn | 1759-1376 | |
| dc.identifier.issn | 2041-9457 | |
| dc.identifier.doi | 10.12968/jpar.2024.16.4.140 | |
| dc.identifier.uri | http://hdl.handle.net/20.500.12417/1724 | |
| dc.description.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. | |
| dc.language.iso | en | en_US |
| dc.subject | Emergency Medical Services | en_US |
| dc.subject | Critical Care | en_US |
| dc.subject | Multi-disciplinary | en_US |
| dc.subject | Ankle Fractures | en_US |
| dc.subject | Orthopedics | en_US |
| dc.title | Support from advanced practitioners in critical care for ankle fracture dislocation | en_US |
| dc.source.journaltitle | Journal of Paramedic Practice | en_US |
| dcterms.dateAccepted | 2024-04-06 | |
| rioxxterms.version | NA | en_US |
| rioxxterms.licenseref.uri | http://www.rioxx.net/licenses/all-rights-reserved | en_US |
| rioxxterms.licenseref.startdate | 2024-04-06 | |
| rioxxterms.type | Conference Paper/Proceeding/Abstract | en_US |
| refterms.panel | Unspecified | en_US |
| refterms.dateFirstOnline | 2024-04-02 | |
| html.description.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. | en_US |