Evidence map›Paper›PMID 29499788›Full record

ArticleAmerican journal of infection control2018

Determining training and education needs pertaining to highly infectious disease preparedness and response: A gap analysis survey of US emergency medical services practitioners.

Aurora B Le, Sean A Buehler, Paul M Maniscalco, Pamela Lane, Lloyd E Rupp, Eric Ernest, Debra Von Seggern, Katherine West, Jocelyn J Herstein, Katelyn C Jelden and 3 more

Open access · bronzeAbstract read
In one paragraph

Article in American journal of infection control, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
2.7field-weighted citation impact, top 10% of its field
1 · What the graph read from it

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 36 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
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  5. Article
  6. Article
  7. Review
  8. Integration of aeromedicine in the response to the COVID-19 pandemic.Journal of the American College of Emergency Physicians open · 2020
    Article
  9. Article
  10. Article
  11. EMS Disease Exposure, Transmission, and Prevention: a Review Article.Current emergency and hospital medicine reports · 2019
    Review
  12. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors at 5 institutions in 1 country.

Aurora B LeDepartment of Environmental and Occupational Health, Indiana University School of Public Health-Bloomington, Bloomington, IN; Department of Applied Health Science, Indiana University School of Public Health-Bloomington, Bloomington, IN. Electronic address: able@indiana.edu.
Sean A BuehlerDepartment of Environmental and Occupational Health, Indiana University School of Public Health-Bloomington, Bloomington, IN; Department of Applied Health Science, Indiana University School of Public Health-Bloomington, Bloomington, IN.
Paul M ManiscalcoInternational Association of Emergency Medical Services Chiefs, Washington, DC.
Pamela LaneNational Association of Emergency Medical Technicians, Clinton, MS.
Lloyd E RuppEmergency Medical Services, Omaha Fire & Rescue, Omaha, NE.
Eric ErnestDepartment of Emergency Medicine, University of Nebraska Medical Center, Omaha, NE.
Debra Von SeggernCenter for Continuing Education, EMS and Trauma Program, University of Nebraska Center, Omaha, NE.
Katherine WestInfection Control/Emerging Concepts, Inc, Alexandria, VA.
Jocelyn J HersteinDepartment of Environmental, Agricultural & Occupational Health, College of Public Health, University of Nebraska Medical Center, Omaha, NE.
Katelyn C JeldenCollege of Medicine, University of Nebraska Medical Center, Omaha, NE.
Elizabeth L BeamCollege of Nursing, University of Nebraska Medical Center, Omaha, NE; Nebraska Biocontainment Unit, University of Nebraska Medical Center, Omaha, NE.
Shawn G GibbsDepartment of Environmental and Occupational Health, Indiana University School of Public Health-Bloomington, Bloomington, IN.
John J LoweDepartment of Environmental, Agricultural & Occupational Health, College of Public Health, University of Nebraska Medical Center, Omaha, NE; Nebraska Biocontainment Unit, University of Nebraska Medical Center, Omaha, NE.
Indiana University Bloomington · USNebraska Medical Center · USUniversity of Nebraska Medical Center · USEmerging Concepts (United States) · USNational Registry of Emergency Medical Technicians · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe Ebola virus disease outbreak highlighted the lack of consistent guidelines and training for workers outside of hospital settings. Specifically, emergency medical services (EMS) workers, who are frequently the first professionals to evaluate patients, often do not have advanced notice of patient diagnosis, and have limited time in their national curricula devoted to highly infectious disease (HID) identification and containment. All of these can place them at increased risk. To explore the depth of US EMS practitioners' HID training and education, a pilot gap analysis survey was distributed to determine where the aforementioned can be bolstered to increase occupational safety.

methodsElectronic surveys were distributed to EMS organization members. The survey collected respondent willingness to encounter HID scenarios; current policies and procedures; and levels of knowledge, training, and available resources to address HIDs.

resultsA total of 2,165 surveys were initiated and collected. Eighty percent of frontline personnel were aware that their agency had an HID standard operating guideline. Almost 85% of respondents correctly marked routes of exposure for select HIDs. More than half of respondents indicated no maximum shift times in personal protective equipment. DISCUSSION: This research suggests EMS practitioners could benefit from enhanced industry-specific education, training, and planning on HID mitigation and management.

conclusionStrengthening EMS preparedness in response to suspected or confirmed HID cases may not only improve patient outcomes, but also worker and community safety.

Indexed as

Communicable Disease ControlCommunicable DiseasesData CollectionEmergency Medical ServicesEmergency Service, HospitalEmergency TreatmentGuidelines as TopicHealth PersonnelHumansUnited StatesDisease transmissionFirst respondersOccupational safety

Identifiers

PMID29499788
PMCPMC7132664
OpenAlexW2791413028

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.