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Wilderness Paramedic-A Practice Analysis.

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  • 1International Board of Specialty Certification, Red Rock, Texas.

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Summary
This summary is machine-generated.

Wilderness emergency medical services (WEMS) now has defined standards for competence. A practice analysis established a consensus definition and created a defensible exam to certify WEMS providers.

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Area of Science:

  • Emergency Medicine
  • Public Health
  • Medical Education

Background:

  • Emergency Medical Services (EMS) are crucial for public safety and healthcare access.
  • While urban EMS is established, wilderness EMS (WEMS) lacks standardized competence and validation.
  • This gap hinders the development of specialized WEMS practices.

Purpose of the Study:

  • To establish minimum competence standards for wilderness EMS (WEMS) practice.
  • To validate the necessary tasks and knowledge for WEMS specialists.
  • To develop a defensible examination for WEMS cognitive knowledge certification.

Main Methods:

  • A multi-step practice analysis involving subject matter experts and an industry-wide survey.
  • Survey data from 196 participants, primarily from North America (90.3%).
  • Analysis of 116 tasks and 175 knowledge statements, with subsequent pilot examination development and beta testing.

Main Results:

  • 107 of 116 tasks and 164 of 175 knowledge statements were validated.
  • High index of agreement (IOA > 0.9) across subgroups for tasks and knowledge.
  • Survey participants rated content coverage as 'adequate' to 'well' covered.

Conclusions:

  • The practice analysis successfully created a defensible exam for WEMS cognitive knowledge certification.
  • Wilderness EMS (WEMS) is solidified as a distinct subspecialty of out-of-hospital medicine.
  • Consensus definitions and standards for wilderness paramedicine are established for WEMS systems and regulators.