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Cardiac emergencies are critical situations involving the heart that require immediate medical intervention to prevent severe complications or death. These emergencies often arise from underlying heart conditions that impair the heart's ability to function correctly.Types of Cardiac EmergenciesThe most common types of cardiac emergencies include Acute Coronary Syndrome (ACS), myocardial infarction (MI), cardiac arrest, and heart failure.Acute Coronary Syndrome (ACS)Acute Coronary Syndrome (ACS)...
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IntroductionThe management of Acute Coronary Syndrome (ACS) aims to minimize myocardial damage, preserve myocardial function, and prevent complications.Initial ManagementInpatient management involves continuous cardiac monitoring, preferably in an ICU, focusing on blood pressure, serum sodium, potassium, and creatinine levels, and urine output. Ongoing pharmacologic management is crucial for stabilizing the patient.Supplemental Oxygen: Administer supplemental oxygen if oxygen saturation is...
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Paramedics and serious illness: communication training.

Nikki Jane Pease1, Jenifer Jeba Sundararaj2, Edward O'Brian3

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Ambulance Service staff training in serious illness conversations significantly improved confidence in end-of-life care communication. This project empowered staff, enhancing patient care and resource utilization.

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Area of Science:

  • Emergency medicine
  • Palliative care
  • Healthcare communication

Background:

  • Empowering ambulance service staff in end-of-life care (EoLC) is critical.
  • The Welsh Ambulance Service Trust (WAST) project focused on enhancing EoLC delivery.
  • Training addressed communication skills, symptom control, and shared decision-making.

Purpose of the Study:

  • To describe the delivery and outcomes of a Serious Illness Conversation project for WAST staff.
  • To assess the impact of training on staff self-confidence and perception of their role in EoLC.
  • To identify challenges and barriers in EoLC communication for ambulance personnel.

Main Methods:

  • A mixed-methods approach was used for data analysis.
  • 368 WAST staff attended 18 months of face-to-face training.
  • Data explored staff roles, challenges, and the impact of training on confidence and service delivery.

Main Results:

  • Staff perceive key roles as facilitators, support providers, and liaisons in EoLC.
  • Communication barriers were identified as predominant challenges.
  • Statistically significant improvements in self-assessed confidence across six communication domains were observed.

Conclusions:

  • Training customization based on perceived roles and challenges is recommended.
  • The project demonstrates increased confidence in handling communication issues for WAST staff.
  • Initial findings suggest a positive impact on end-of-life patient care.