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EFIC Paramedic Attitude Survey

EFIC Paramedic Attitude Survey. R. Daniel Bledsoe, MD, FACEP Associate Medical Director, WellSpan EMS Director, Section of Prehospital Care & Disaster Medicine York Hospital Emergency Medicine Residency Program. What we think is obvious…. EMS Culture. Paramilitary

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EFIC Paramedic Attitude Survey

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  1. EFIC Paramedic Attitude Survey R. Daniel Bledsoe, MD, FACEP Associate Medical Director, WellSpan EMS Director, Section of Prehospital Care & Disaster Medicine York Hospital Emergency Medicine Residency Program

  2. What we think is obvious…

  3. EMS Culture • Paramilitary • Formal and Informal hierarchy • A lot of sharing with the fire service • “You said it, Lou.” • Protocol driven patient care

  4. Community Consultation • Civic groups • Houses of worship • Patient support/disease management groups • Hours of time asking potential patients

  5. What do paramedics think about EFIC? • We want to think they would like it… • But we want to think people wouldn’t • Eat the Silica Gel in packaging, too. • Place an RV in cruise control and go into the back • Etc. • Etc.

  6. Highlights • Anonymous survey • Exempted by Wellspan Health’s Medical/Surgical IRB • Focus group cognitive testing for validity • Could not both track and maintain agency anonymity (a condition of distribution) • Emailed with opportunity to enter incentive drawing ($50 gift cards) • 55 respondents with an average of nearly 17 years experience

  7. Respondents • Most responded over a year after study training

  8. Have YOU enrolled a patient?

  9. Would you enroll an eligible pt?

  10. When should a medic enroll??

  11. Autonomy vs. Societal Benefit

  12. Conclusions • This is a small, pilot study • A distinct minority of paramedics surveyed had reservations about enrolling under EFIC • A majority felt medics should enroll over personal objections • Generalizable and further research is needed • Field paramedics should be part of planning field EMS EFIC research

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