Conference poster
Paramedic Student Treatment of Intrapartum Pain
NAEMSE Conference (Washington DC, United States, 07-Aug-2017–12-Aug-2017)
National Association of EMS Educators
2017
Abstract
Studies concerning women who experience an unplanned out-of-hospital birth, commonly referred to as a 'birth before arrival' at hospital or BBA, state that approximately 75-86% of these births occur with paramedic attendance. Data obtained from the National EMS Information System (NEMSIS) in 2015 reported 0.45% (136,370) of overall responses were obstetric cases attended by paramedics, with 65.4% reporting pain as the primary complaint. Consequently, paramedics have an infrequent role in providing intrapartum care to women in the community, however, with changes to maternity care systems the frequency of out-of-hospital birth is increasing, unplanned births before arrival are clinically significant events and in most cases paramedics will be the first health care provider in attendance. There is a dearth of literature concerning the out-of-hospital management of intrapartum cases attended by paramedics and very little exists concerning the paramedic management of intrapartum pain. It is well documented that the use of systemic medications in labor can have serious side effects to both the mother and baby. Systemic medications have been known to cause maternal sedation and respiratory depression, loss of protective airway reflexes, and the risk of neonatal depression. It is therefore imperative for paramedics to practice the safe administration of systemic medications to laboring women. This safe administration should be guided by evidence based clinical guidelines, drug therapy protocols that include intrapartum precautions and contraindications, appropriate curriculum design and further training opportunities for the management of intrapartum pain.
Details
- Title
- Paramedic Student Treatment of Intrapartum Pain
- Authors
- Belinda Flanagan (Author) - University of the Sunshine Coast, Queensland, School of Nursing, Midwifery and Paramedicine - LegacyRon Lawler (Author) - Sanford Health
- Conference details
- NAEMSE Conference (Washington DC, United States, 07-Aug-2017–12-Aug-2017)
- Publisher
- National Association of EMS Educators
- Date published
- 2017
- Organisation Unit
- University of the Sunshine Coast, Queensland; School of Nursing, Midwifery and Paramedicine - Legacy
- Language
- English
- Record Identifier
- 99478507402621
- Output Type
- Conference poster
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