Clinical Skills Degradation in Paramedicine Specific to Trauma Management: A Critical Review of the Literature

Article


Hobbs, Lisa, Devenish, Scott, Clark, Michele and Tippett, Vivienne. 2015. "Clinical Skills Degradation in Paramedicine Specific to Trauma Management: A Critical Review of the Literature." Australasian Journal of Paramedicine. 12 (5), pp. -58. https://doi.org/10.33151/ajp.12.5.499
Article Title

Clinical Skills Degradation in Paramedicine Specific to Trauma Management: A Critical Review of the Literature

ERA Journal ID13631
Article CategoryArticle
AuthorsHobbs, Lisa (Author), Devenish, Scott (Author), Clark, Michele (Author) and Tippett, Vivienne (Author)
Journal TitleAustralasian Journal of Paramedicine
Journal Citation12 (5), pp. -58
Number of Pages1
Year2015
Place of PublicationAustralia
ISSN1447-4999
2202-7270
Digital Object Identifier (DOI)https://doi.org/10.33151/ajp.12.5.499
Web Address (URL)https://ajp.paramedics.org/index.php/ajp/article/view/499
Abstract

Background
Degradation of clinical skills in medicine, nursing and allied health has been well canvased in the literature. However, within the paramedic paradigm, research appears to concentrate on skills degradation in critical interventions only (eg: advanced airway management and cardiac arrest, both paediatric and adult). Inadequate exploration has been conducted more broadly on skills decay specific to multi-system trauma management in the pre-hospital environment.

Methods
A review of the pre-hosptal care literature was undertaken using Cambridge Journals Online; Informa; MEDLINE; Ovid; ProQuest; PubMed; and Wiley Online Library.

Results
A total of 129 studies on clinical skills degradation were located. From this, 49 related to paramedics and skill degradation. Of these, six related to paediatrics; 14 to advanced airway management and cardiac arrest.

Conclusion
Very few peer-reviewed articles focused on skills specific to adult multi-system trauma, or trauma management such as needle thoracocentesis, haemorrhage control, fracture and traumatic brain injury management. Subsequently, a gap in the literature has been highlighted in relation to pre-hospital skills retention in adult trauma management. This presentation discusses the current state of the evidence on the tenets of skills retention in adult trauma care as they relate to the paramedic profession.

Keywordsparamedicine; pre-hospital; trauma management; clinical skills; skills retention; degradation; literature review
ANZSRC Field of Research 2020429999. Other health sciences not elsewhere classified
Byline AffiliationsQueensland University of Technology
EventAbstracts of the 2015 Paramedics Australasia International Conference
Institution of OriginUniversity of Southern Queensland
Event Details
Abstracts of the 2015 Paramedics Australasia International Conference
Event Location
Adelaide, Australia
Permalink -

https://research.usq.edu.au/item/q5ww4/clinical-skills-degradation-in-paramedicine-specific-to-trauma-management-a-critical-review-of-the-literature

  • 161
    total views
  • 8
    total downloads
  • 9
    views this month
  • 0
    downloads this month

Export as

Related outputs

Individual works in group exhibition - Undercurrent: Arts and Wellbeing [Touring exhibition accompanying Creative Returns: Reformation, Recovery, Renewal Symposium]
Batorowicz, Beata, Batorowicz, Krystyna, Baguley, Margaret, Shantz, Susan, Johnson, Rhiannan, Webb, Jen, Castro, Jason, McLean, Tarn, Clark, Linda, Ward, Alistair, Usher, David, Hobbs, Lisa, Osborn, Peter, Baker, Alyson, Walker, Gwen, Akenson, David, Baker, Alyson, Carter, Joe, Oancea, Sorin, ..., Spurrier, Stephen. 2023. Individual works in group exhibition - Undercurrent: Arts and Wellbeing [Touring exhibition accompanying Creative Returns: Reformation, Recovery, Renewal Symposium]. St Andrew's Hospital, Cancer Care Centre, Toowoomba (Part One).
Unexpected side-effects of interdisciplinary collaborations: three supervisors; one language; two interpretations.
Hobbs, Lisa. 2022. "Unexpected side-effects of interdisciplinary collaborations: three supervisors; one language; two interpretations." 28th Postgraduate and Early Career Researcher GroupResearch Symposium: Research and Researchers: Mattering, Significance and Value. Australia 26 Nov 2021 Australia.
Perceptions of academic performance in 1st year paramedicine students
Degoey, Daniel, Hobbs, Lisa and Devenish, Scott. 2022. "Perceptions of academic performance in 1st year paramedicine students." Australasian College of Paramedicine International Conference 2022 (ACPIC 2022). Australia 14 - 16 Sep 2022 Australia.
CPD Junk Journal
Hobbs, Lisa. 2022. CPD Junk Journal. Australia. 2022 School of Creative Arts Undercurrent Exhibition.
Escaping the Cycle
Hobbs, Lisa. 2022. Escaping the Cycle. Australia. UniSQ 2022 School of Creative Arts Research Symposium Undercurrent Exhibition.
The Warrior
Hobbs, Lisa. 2022. The Warrior. Australia. BRAvo Exhibition.
Escaping the Cycle
Hobbs, Lisa. 2022. Escaping the Cycle. Australia. University of Southern Queensland.
Exploring the experiences of female paramedics in Australian ambulance services through arts-based research
Hobbs, Lisa, Scollen, Rebecca, Batorowicz, Beata and Devenish, Scott. 2022. "Exploring the experiences of female paramedics in Australian ambulance services through arts-based research." UniSQ 2022 School of Creative Arts Research Symposium on Arts and Wellbeing . Australia 22 2022 - 23 Oct 2023 Australia.
Flood fatalities in contemporary Australia (1997-2008): disaster medicine
Fitzgerald, Gerry, Du, Weiwei, Jamal, Aziz, Clark, Michele and Hou, Xiang-Yu. 2010. "Flood fatalities in contemporary Australia (1997-2008): disaster medicine." Emergency Medicine Australasia. 22 (2), pp. 180-186. https://doi.org/10.1111/j.1742-6723.2010.01284.x
Progress and challenges of disaster health management in China: a scoping review
Zhong, Shuang, Clark, Michele, Hou, Xiang-Yu, Zang, Yuli and FitzGerald, Gerard. 2014. "Progress and challenges of disaster health management in China: a scoping review." Global Health Action. 7, pp. 1-9. https://doi.org/10.3402/gha.v7.24986
Validation of a framework for measuring hospital disaster resilience using factor analysis
Zhong, Shuang, Clark, Michele, Hou, Xiang-Yu, Zang, Yuli and FitzGerald, Gerard. 2014. "Validation of a framework for measuring hospital disaster resilience using factor analysis." International Journal of Environmental Research and Public Health. 11 (6), pp. 6335-6353. https://doi.org/10.3390/ijerph110606335
Health impacts of floods: a comprehensive review
Du, Weiwei, FitzGerald, Gerard, Clark, Michele and Hou, Xiang-Yu. 2010. "Health impacts of floods: a comprehensive review." Prehospital and Disaster Medicine. 25 (3), pp. 265-272. https://doi.org/10.1017/S1049023X00008141
Is language a barrier for quality care in hospitals? A case series from an Emergency Department of a teaching hospital in Brisbane
Mahmoud, Ibrahim, Hou, Xiang-Yu, Chu, Kevin and Clark, Michele. 2011. "Is language a barrier for quality care in hospitals? A case series from an Emergency Department of a teaching hospital in Brisbane." Australasian Epidemiologist. 18 (1), pp. 6-9.
Language and utilisation of emergency care in Queensland
Mahmoud, Ibrahim, Hou, Xiang-Yu, Chu, Kevin and Clark, Michele. 2013. "Language and utilisation of emergency care in Queensland." Emergency Medicine Australasia. 25 (1), pp. 40-45. https://doi.org/10.1111/1742-6723.12017
2010-2011 Queensland floods: using Haddon's Matrix to define and categorise public safety strategies
Zhong, Shuang, Clark, Michele, Hou, Xiang-Yu, Zang, Yu-Li and FitzGerald, Gerry. 2013. "2010-2011 Queensland floods: using Haddon's Matrix to define and categorise public safety strategies." Emergency Medicine Australasia. 25 (4), pp. 345-352. https://doi.org/10.1111/1742-6723.12097
Satisfaction with emergency department service among non-English-speaking background patients
Mahmoud, Ibrahim, Hou, Xiang-Yu, Chu, Kevin, Clark, Michele and Eley, Robert. 2014. "Satisfaction with emergency department service among non-English-speaking background patients." Emergency Medicine Australasia. 26 (3), pp. 256-261. https://doi.org/10.1111/1742-6723.12214
Teaching epidemiology to undergraduate paramedics [Round table]
Lim, David, Hou, Xiang-Yu and Tippett, Vivienne. 2016. "Teaching epidemiology to undergraduate paramedics [Round table]." Australasian Epidemiologist. 23 (1), pp. 24-26.
Paramedic Attitudes and Perceptions About Continuing Professional Development in Australasia
Hobbs, Lisa, Devenish, Scott, Tippett, Vivienne and Long, David. 2020. "Paramedic Attitudes and Perceptions About Continuing Professional Development in Australasia." International Journal of Qualitative Methods. 19, pp. -30. https://doi.org/10.1177/1609406920909934
Factors impacting the decision-making processes of qualified paramedics moving to a specialist role in community paramedicine
Long, David, Devenish, Scott, Tippett, Vivienne and Clark, Michele. 2018. "Factors impacting the decision-making processes of qualified paramedics moving to a specialist role in community paramedicine." 15th International Roundtable on Community Paramedicine 2018. Auckland, New Zealand 06 - 07 Aug 2018
Out of the silo: A qualitative study of paramedic transition to a specialist role in community paramedicine
Long, David, Devenish, Scott and Tippett, Vivienne. 2019. "Out of the silo: A qualitative study of paramedic transition to a specialist role in community paramedicine." 2019 IHBI Inspires Annual Conference. Brisbane, Australia 12 - 13 Aug 2019
Paramedic disaster health management competencies: a scoping review
Horrocks, Peter, Hobbs, Lisa, Tippett, Vivienne and Aitken, Peter. 2017. "Paramedic disaster health management competencies: a scoping review." Published online by Cambridge University Press: 20 April 2017. New York, United States. https://doi.org/10.1017/s1049023x17002540
Paramedic disaster health management competencies: a scoping review
Horrocks, Peter, Hobbs, Lisa, Tippett, Vivienne and Aitken, Peter. 2019. "Paramedic disaster health management competencies: a scoping review." Prehospital and Disaster Medicine. 34 (3), pp. 322-329. https://doi.org/10.1017/s1049023x19004357
What’s in a name? The confusion in nomenclature of low-acuity specialist roles in paramedicine
Long, David N., Clark, M., Lim, D. and Devenish, S.. 2016. "What’s in a name? The confusion in nomenclature of low-acuity specialist roles in paramedicine." Australasian Journal of Paramedicine. 13 (3), pp. 1-3. https://doi.org/10.33151/ajp.13.3.518
Standing out from the crowd: improving employability through peer programs and continuing professional development in undergraduate paramedic programs
Long, David Nicholas and Hobbs, Lisa. 2020. "Standing out from the crowd: improving employability through peer programs and continuing professional development in undergraduate paramedic programs." Australasian Journal of Paramedicine. 17, pp. 1-3. https://doi.org/10.33151/ajp.17.838
Defining the end-point of transition to a specialist role in community paramedicine: is feeling comfortable enough?
Long, David, Devenish, Scott, Tippett, Vivienne and Clark, Michele. 2017. "Defining the end-point of transition to a specialist role in community paramedicine: is feeling comfortable enough?" 2017 Paramedics Australasia International Conference. Melbourne, Australia 23 - 25 Nov 2017 Australia.
The conundrum of defining paramedicine: more than just what paramedics 'do'
Long, David Nicholas, Lea, Jakki and Devenish, Scott. 2018. "The conundrum of defining paramedicine: more than just what paramedics 'do'." Australasian Journal of Paramedicine. 15 (1), pp. 1-2. https://doi.org/10.33151/ajp.15.1.629
Rote learning: the ugly duckling of student paramedic education?
Long, David Nicholas, Hobbs, Lisa and Devenish, Scott. 2018. "Rote learning: the ugly duckling of student paramedic education?" Irish Journal of Paramedicine. 3 (2), pp. 1-3. https://doi.org/10.32378/ijp.v3i2.97
Paramedic students working in snow resort medical clinics: a non-traditional interprofessional clinical placement model
Devenish, Anthony Scott, McKay, Glenn, Long, David Nicholas, Horrocks, Peter David and Smith, Michael. 2019. "Paramedic students working in snow resort medical clinics: a non-traditional interprofessional clinical placement model." Irish Journal of Paramedicine. 4 (1), pp. 1-11. https://doi.org/10.32378/ijp.v4i1.101
Investigating career intentions of undergraduate paramedic students studying in Queensland, Australia
Devenish, Scott, Rolley, Adam and Long, David. 2020. "Investigating career intentions of undergraduate paramedic students studying in Queensland, Australia." Australasian Journal of Paramedicine. 17, pp. 1-6. https://doi.org/10.33151/ajp.17.872
Facilitators, barriers and motivators of paramedic continuing professional development
Hobbs, Lisa, Devenish, Scott, Long, David and Tippett, Vivienne. 2021. "Facilitators, barriers and motivators of paramedic continuing professional development." Australasian Journal of Paramedicine. 18, pp. 1-7. https://doi.org/10.33151/ajp.18.857
From qualified to specialist paramedic: A qualitative study of the process of transition to a low-acuity role
Long, David, Clark, Michele, Lim, David and Devenish, Scott. 2015. "From qualified to specialist paramedic: A qualitative study of the process of transition to a low-acuity role." 2015 Paramedics Australasia International Conference. Adelaide, Australia 02 - 03 Oct 2015 https://doi.org/10.13140/RG.2.1.5059.4644
Experiences from Afghanistan: Traumatic lower extremity amputation in the combat zone
Parkes, J., Long, David and Devenish, S.. 2015. "Experiences from Afghanistan: Traumatic lower extremity amputation in the combat zone." 2015 Paramedics Australasia International Conference. Adelaide, Australia 02 - 03 Oct 2015 Australia.
Disaster resilience in tertiary hospitals: a cross-sectional survey in Shandong Province, China
Zhong, Shuang, Hou, Xiang-Yu, Clark, Michele, Zang, Yuli, Wang, Lu, Xu, Ling-Zong and FitzGerald, Gerard. 2014. "Disaster resilience in tertiary hospitals: a cross-sectional survey in Shandong Province, China." BMC Health Services Research. 14, pp. 1-10. https://doi.org/10.1186/1472-6963-14-135
Long-term outcomes of seriously injured children: a study using the Child Health Questionnaire
Davey, Tamzyn M., Aitken, Leanne M., Kassulke, Desley, Bellamy, Nicholas, Ambrose, Jane, Gee, Travis and Clark, Michele. 2005. "Long-term outcomes of seriously injured children: a study using the Child Health Questionnaire." Journal of Paediatrics and Child Health. 41 (5), pp. 278-283. https://doi.org/10.1111/j.1440-1754.2005.00611.x