Related Experiment Video
Updated: Jan 14, 2026

Setup and Execution Of the Blindfolded Code Training Exercise
Published on: March 29, 2019
Exploring the impact of road-based intensive care paramedic crewing configurations in Anglo-American paramedic
Ryan Glendwyr Davis1, Pieter Francsois Fouche2, Tim Makrides3
1College of Health and Medicine, School of Paramedicine, University of Tasmania, Rozelle Campus, Lilyfield, NSW 2040, Australia; Ambulance Tasmania, 89 Cambridge Park Drive, Hobart, TAS 7170, Australia.
Objectives:
This scoping review investigates Intensive Care Paramedic (ICP) crewing configurations within road-based Anglo-American paramedic systems, aiming to map and describe the existing literature and guide future research.
Methods:
Following Joanna Briggs Institute methodology and PRISMA-ScR guidelines, a comprehensive database and grey literature search was conducted up to May 2025.
Results:
The search yielded 3442 articles, of which 19 met inclusion criteria. Four categories emerged: patient outcomes, operational outcomes, provider experiences, and clinical performance. Most studies focused narrowly on OHCA, with limited attention to other patient outcomes. Operational outcomes emphasized response times and on-scene intervals; provider experiences highlighted professional isolation and limited support. Clinical performance centered on error rates, time to intervention, and deviations from guidelines.
Conclusions:
This synthesis indicates that literature on ICP crewing has traditionally focused on OHCA, and ICPs may be associated with improved outcomes in this cohort. The literature inferred tiered response models may facilitate faster response intervals. ICPs working in Professionally Autonomous systems operating within single-response structures report feelings of professional isolation, and dual ICP crews are not consistently linked to enhanced clinical performance. Future research should investigate ICP crewing configurations within the context of tailored healthcare frameworks, prioritizing meaningful outcome measures that optimize patient care, provider experiences, and operational efficiency.
More Related Videos
09:52Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide
Published on: January 15, 2017
10:38Observational Study Protocol for Repeated Clinical Examination and Critical Care Ultrasonography Within the Simple Intensive Care Studies
Published on: January 16, 2019
Related Concept Videos
Methods of Documentation VI: Case Management Model
For example, a patient with a chronic...
Acute Coronary Syndrome IV: Interprofessional Care
Cardiopulmonary Resuscitation IV: Pharmacological Management
Cardiopulmonary Resuscitation V: Advanced Airway Management Techniques
Cardiopulmonary Resuscitation II: ACLS Airway Management
Pulmonary Embolism II: Diagnostic Studies and Interprofessional Care