naa a22 4500 51074060X CHVBK 20180411083026.0 cr unu---uuuuu 180411e20130901xx s 000 0 eng 10.1007/s11845-013-0915-0 doi (NATIONALLICENCE)springer-10.1007/s11845-013-0915-0 The Advanced Paramedic Clinical Activity Study (APCAS): an insight into the work of advanced paramedics in the mid-west of Ireland [Elektronische Daten] [N. Cummins, C. Garavan, M. Dixon, E. Landymore, N. Mulligan, C. O'Donnell] Background: The Advanced Paramedic (AP) is a relatively recent role in Ireland and refers to a prehospital practitioner with Advanced Life Support (ALS) skills and training. The Advanced Paramedic Clinical Activity Study (APCAS) was initiated to provide an evaluation of the impact of the AP programme on patient care in Ireland. Aim: The aim of this study is to provide an insight into the clinical activity of APs over a 6-month period in the mid-west region of Ireland. Methods: A prospective study was initiated whereby all ambulance calls dispatched by the regional Ambulance Control Centre were recorded by the attending AP, including calls received via the statutory 999/112 system. Participating APs were asked to complete a separate call log data sheet recording all demographic and clinical information for every call attended during the study period. Results: A total of 17 APs participated and 1,969 ambulance calls were recorded in APCAS. The Mid-Western Regional Hospital, Limerick was the busiest receiving facility. Activity peaked at weekends and was lowest on Tuesdays. Crew response, on-scene times and transport times agree with previous reports. Most common emergencies include medical (12%), cardiovascular (10%) and altered level of consciousness and seizures (10%). Least common calls include airway and ventilation and environmental emergencies (<1%). Conclusions: This study provides an insight into the work of APs in the mid-west region of Ireland. It would appear that despite the relative recency of the Irish AP programme, the findings of this study are in line with previous international studies. Royal Academy of Medicine in Ireland, 2013 Advanced paramedics nationallicence Ambulances nationallicence Emergency medical services nationallicence Ireland nationallicence Prehospital care nationallicence Cummins N. Centre for Prehospital Research, Graduate Entry Medical School, University of Limerick, National Technological Park, Limerick, Ireland aut Garavan C. Centre for Prehospital Research, Graduate Entry Medical School, University of Limerick, National Technological Park, Limerick, Ireland aut Dixon M. Centre for Prehospital Research, Graduate Entry Medical School, University of Limerick, National Technological Park, Limerick, Ireland aut Landymore E. Centre for Prehospital Research, Graduate Entry Medical School, University of Limerick, National Technological Park, Limerick, Ireland aut Mulligan N. Centre for Prehospital Research, Graduate Entry Medical School, University of Limerick, National Technological Park, Limerick, Ireland aut O'Donnell C. Centre for Prehospital Research, Graduate Entry Medical School, University of Limerick, National Technological Park, Limerick, Ireland aut Irish Journal of Medical Science Springer-Verlag 182/3(2013-09-01), 469-475 0021-1265 182:3<469 2013 182 11845 https://doi.org/10.1007/s11845-013-0915-0 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s11845-013-0915-0 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Cummins N. Centre for Prehospital Research, Graduate Entry Medical School, University of Limerick, National Technological Park, Limerick, Ireland aut NATIONALLICENCE 700 1- Garavan C. Centre for Prehospital Research, Graduate Entry Medical School, University of Limerick, National Technological Park, Limerick, Ireland aut NATIONALLICENCE 700 1- Dixon M. Centre for Prehospital Research, Graduate Entry Medical School, University of Limerick, National Technological Park, Limerick, Ireland aut NATIONALLICENCE 700 1- Landymore E. Centre for Prehospital Research, Graduate Entry Medical School, University of Limerick, National Technological Park, Limerick, Ireland aut NATIONALLICENCE 700 1- Mulligan N. Centre for Prehospital Research, Graduate Entry Medical School, University of Limerick, National Technological Park, Limerick, Ireland aut NATIONALLICENCE 700 1- O'Donnell C. Centre for Prehospital Research, Graduate Entry Medical School, University of Limerick, National Technological Park, Limerick, Ireland aut NATIONALLICENCE 773 0- Irish Journal of Medical Science Springer-Verlag 182/3(2013-09-01), 469-475 0021-1265 182:3<469 2013 182 11845 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer