Moving sepsis care to the front line: knowledge and views of pre-hospital clinicians
dc.contributor.author | Roebuck, Elizabeth | |
dc.date.accessioned | 2019-11-06T19:53:32Z | |
dc.date.available | 2019-11-06T19:53:32Z | |
dc.date.issued | 2015-09 | |
dc.identifier.citation | Roebuck, E., 2015. Moving sepsis care to the front line: knowledge and views of pre-hospital clinicians. Journal of Paramedic Practice, 7 (9), 446-452. | en_US |
dc.identifier.issn | 1759-1376 | |
dc.identifier.issn | 2041-9457 | |
dc.identifier.doi | 10.12968/jpar.2015.7.9.446 | |
dc.identifier.uri | http://hdl.handle.net/20.500.12417/435 | |
dc.description.abstract | Abstract published with permission. Background: Previous in-hospital studies have highlighted the opportunity pre-hospital clinicians have to recognise sepsis at an early stage. Left untreated, mortality in septic shock increases rapidly. Sepsis screening tools have been developed to assist recognition; however, current knowledge of sepsis, effectiveness of previous training and attitudes towards implementation of a screening tool is unknown. Methods: A survey was emailed to 529 paramedics and 131 advanced technicians in the North of England to determine their current knowledge of sepsis, views around previous training and the use of a screening tool. Case studies were included to investigate current management of patients with history of infection. Results: 144 clinicians completed the survey, gaining a 21.8% response rate. 54% (95% CI 46%, 62%) of clinicians felt like they had good knowledge, leaving 46% of clinicians feeling a lack of knowledge. 94% (95% CI 89%, 97%) thought emergency departments should treat sepsis immediately or within the first hour. Case studies highlighted variability in the management pathways chosen and 98% (95% CI 94%, 99%) of clinicians required further training. 97% (95% CI 92%, 99%) agreed a screening tool would assist in the identification of septic patients and 98% (95% CI 95%, 99%) would use the tool. Conclusions: Severity level and importance of quick recognition and management are acknowledged among clinicians. Although response rate is a limitation of this study, knowledge levels differentiate greatly among the cohort and nearly all state they require further education. Clinicians agreed a screening tool would help identify septic patients and would use it alongside clinical acumen. | |
dc.language.iso | en | en_US |
dc.subject | Emergency Medical Services | en_US |
dc.subject | Sepsis | en_US |
dc.subject | Ambulatory Care | en_US |
dc.subject | Pre-hospital Care | en_US |
dc.subject | Paramedic Practice | en_US |
dc.title | Moving sepsis care to the front line: knowledge and views of pre-hospital clinicians | en_US |
dc.type | Journal Article/Review | |
dc.source.journaltitle | Journal of Paramedic Practice | en_US |
dcterms.dateAccepted | 2019-09-24 | |
rioxxterms.version | NA | en_US |
rioxxterms.licenseref.uri | http://www.rioxx.net/licenses/all-rights-reserved | en_US |
rioxxterms.licenseref.startdate | 2019-09-24 | |
refterms.panel | Unspecified | en_US |
refterms.dateFirstOnline | 2015-09 | |
html.description.abstract | Abstract published with permission. Background: Previous in-hospital studies have highlighted the opportunity pre-hospital clinicians have to recognise sepsis at an early stage. Left untreated, mortality in septic shock increases rapidly. Sepsis screening tools have been developed to assist recognition; however, current knowledge of sepsis, effectiveness of previous training and attitudes towards implementation of a screening tool is unknown. Methods: A survey was emailed to 529 paramedics and 131 advanced technicians in the North of England to determine their current knowledge of sepsis, views around previous training and the use of a screening tool. Case studies were included to investigate current management of patients with history of infection. Results: 144 clinicians completed the survey, gaining a 21.8% response rate. 54% (95% CI 46%, 62%) of clinicians felt like they had good knowledge, leaving 46% of clinicians feeling a lack of knowledge. 94% (95% CI 89%, 97%) thought emergency departments should treat sepsis immediately or within the first hour. Case studies highlighted variability in the management pathways chosen and 98% (95% CI 94%, 99%) of clinicians required further training. 97% (95% CI 92%, 99%) agreed a screening tool would assist in the identification of septic patients and 98% (95% CI 95%, 99%) would use the tool. Conclusions: Severity level and importance of quick recognition and management are acknowledged among clinicians. Although response rate is a limitation of this study, knowledge levels differentiate greatly among the cohort and nearly all state they require further education. Clinicians agreed a screening tool would help identify septic patients and would use it alongside clinical acumen. | en_US |