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    Point-of-care blood tests in decision-making for people over 65 with acute frailty

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    Author
    McPherson, Melinda (Dolly)
    Keyword
    Emergency Medical Services
    Frailty
    Geriatric Medicine
    Point-of-Care Testing
    Diagnostic Techniques and Procedures
    Journal title
    Journal of Paramedic Practice
    
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    Show full item record
    URI
    http://hdl.handle.net/20.500.12417/637
    DOI
    10.12968/jpar.2019.11.3.106
    Abstract
    Background: National ‘see, treat and discharge’ rates for paramedics have increased. However, despite the rise in demand on paramedic decision-making, there have been few improvements to prehospital diagnostics. Patients aged over 65 years presenting with acute frailty syndromes are a notably complex clinical patient group for whom informed risk stratification in clinical reasoning is paramount. Methods: This was a single-site quality improvement project using point-of-care blood testing (POCbT) to help inform decision-making for patients aged above 65 years with acute frailty syndromes. Results: This quality improvement project showed a self-reported improved confidence in clinician decision-making and patient disposition with the use of POCbT. This confidence was validated by improved discharge on scene and recontact rates. An unintended outcome of the project was the accumulation of practical knowledge on the use of POCbT in the prehospital arena. Conclusion: Continued use of POCbT in the prehospital environment has promise but this is not without limitations. Prehospital services wishing to implement POCbT should focus on demographic identification, staff training and interpretation of results. Abstract published with permission.
    ae974a485f413a2113503eed53cd6c53
    10.12968/jpar.2019.11.3.106
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    Publications - South Central Ambulance Service

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