Trial reportBioMed research international2014
Downtime after critical incidents in emergency medical technicians/paramedics.
Trial report in BioMed research international, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
11 citing papers in PubMed.
- Association between workload and support utilisation - a longitudinal study on emergency medical service personnel.BMC emergency medicine · 2026Article
- Dynamic bidirectional relationships between perceived stress and emotion regulation in emergency medical service clinicians.Npj mental health research · 2026Article
- Prevalence and Characteristics of Violence against Paramedics in a Single Canadian Site.International journal of environmental research and public health · 2023Article
- A qualitative, cross-cultural investigation into the impact of potentially traumatic work events on Saudi and UK ambulance personnel and how they cope.BMC emergency medicine · 2022Article
- Protected 911: Development, Implementation, and Evaluation of a Prehospital COVID-19 High-Risk Response Team.International journal of environmental research and public health · 2022Article
- Mental health and help seeking among trauma-exposed emergency service staff: a qualitative evidence synthesis.BMJ open · 2022Review
- Differences in Perceived Occupational Stress by Demographic Characteristics, of European Emergency Medical Services Personnel during the COVID-19 Virus Pandemic-An International Study.Healthcare (Basel, Switzerland) · 2021Article
- Emergency Medical Service Providers' Perception of Health-Threatening Stressors in Emergency Missions: A qualitative Study.Ethiopian journal of health sciences · 2021Article
- A systematic review: what factors predict Post-Traumatic Stress Symptoms in ambulance personnel?British paramedic journal · 2021Article
- The Most and Least Stressful Prehospital Emergencies from Emergency Medical Technicians' View Point; a Cross-Sectional Study.Archives of academic emergency medicine · 2019Article
- Pediatric Critical Event Debriefing in Emergency Medicine Training: An Opportunity for Educational Improvement.AEM education and training · 2017Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Effective workplace-based interventions after critical incidents (CIs) are needed for emergency medical technicians (EMT)/paramedics. The evidence for a period out of service post-CI (downtime) is sparse; however it may prevent posttraumatic stress disorder (PTSD) and burnout symptoms. We examined the hypothesis that downtime post-CI is associated with fewer symptoms of four long-term emotional sequelae in EMT/paramedics: depression, PTSD, burnout, and stress-related emotional symptoms (accepted cut-offs defined high scores). Two hundred and one paramedics completed questionnaires concerning an index CI including downtime experience, acute distress, and current emotional symptoms. Nearly 75% received downtime; 59% found it helpful; 84% spent it with peers. Downtime was associated only with lower depression symptoms, not with other outcomes. The optimal period for downtime was between <30 minutes and end of shift, with >1 day being less effective. Planned testing of mediation of the association between downtime and depression by either calming acute post-CI distress or feeling helped by others was not performed because post-CI distress was not associated with downtime and perceived helpfulness was not associated with depression. These results suggest that outcomes of CIs follow different pathways and may require different interventions. A brief downtime is a relatively simple and effective strategy in preventing later depression symptoms.
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What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.