The influence of paramedic qualification level on the administration of analgesia in the prehospital setting

Irish Journal of Paramedicine

View Publication Info
 
 
Field Value
 
Title The influence of paramedic qualification level on the administration of analgesia in the prehospital setting
 
Creator Lord, Bill
Keene, Toby
Luck, Cassie
 
Subject Paramedicine
analgesia; pain management; paramedic; emergency medial service
 
Description BackgroundUndertreatment of pain has been reported in the paramedic literature, and reasons for these disparities are not well understood.AimsAs the qualification level of the paramedic may affect analgesia administration, the primary aim of this study was to determine the impact of paramedic qualification on the provision of any analgesia for patients reporting pain.MethodsRetrospective study of de-identified patient care records from one Australian ambulance service over a period of 6 months. Inclusion criteria were age was > 17 years, initial pain severity score was > 3/10 and Glasgow Coma Score >13. Data were descriptively analysed for analgesia administration and type of analgesic by predictor variables: age, sex, pain score and case nature. Pearson’s chi-square test was used to test for associations between the outcome of interest and predictor variables. Adjusted logged odds of patients receiving analgesia was tested with binomial logistic regression.Findings3173 patient records met the inclusion criteria. ICP treated 86% of the sample population. Of those treated by an AP, 76.2% (n=340) received analgesia, whereas 71.6% (n=1952) of patients treated by an ICP received analgesia (p=0.042). Methoxyflurane was the most frequently administered analgesic, with 39.9% of the patients (n=1,264) receiving this agent; 31.1% of patients (n=988) received morphine, and 14.2% (n=452) received fentanyl. The unadjusted regression model found that AP have higher odds of administering analgesia than ICP paramedics (OR 1.264, p <0.05). However, once other covariates are included in the logistic regression, the significance no longer exists.ConclusionParamedic qualification is not associated with the administration of analgesia in this setting. This study contributes to the gap in knowledge regarding disparities in analgesia for adults experiencing pain and may inform future research that aims to identify and reduce barriers to appropriate pain management in the paramedic practice setting.
 
Publisher Irish College of Paramedics
 
Contributor
 
Date 2019-09-05
 
Type info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
Original Research

 
Format application/pdf
 
Identifier http://irishparamedicine.com/index.php/ijp/article/view/187
10.32378/ijp.v4i2.187
 
Source Irish Journal of Paramedicine; Vol 4, No 2 (2019)
2009-938X
 
Language eng
 
Relation http://irishparamedicine.com/index.php/ijp/article/view/187/272
 
Coverage


 
Rights Copyright (c) 2019 Bill Lord, Toby Keene, Cassie Luck
http://creativecommons.org/licenses/by/4.0
 

Contact Us

The PKP Index is an initiative of the Public Knowledge Project.

For PKP Publishing Services please use the PKP|PS contact form.

For support with PKP software we encourage users to consult our wiki for documentation and search our support forums.

For any other correspondence feel free to contact us using the PKP contact form.

Find Us

Twitter

Copyright © 2015-2018 Simon Fraser University Library