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  1. Paramedics as allied health care providers in the pediatric emergency department.

    Article - En anglais


    To determine the frequency of use and scope of practice of paramedics in the pediatric emergency department (PED).


    Thirty-eight question mailed survey.


    One hundred eighty directors of pediatric emergency medicine departments.

    Main results 

    One hundred twelve (62%) pediatric emergency medicine directors completed the survey of which 87 (74%) had a physically distinct PED.

    The PEDs saw an mean volume of 29,563 patients per year.

    Twenty-one percent of the PEDs surveyed had paramedics who were employed as allied health personnel.

    Paramedic responsibilities in the PEDs included patient transport, 89% ; laboratory transport, 67% ; IV access, 78% ; medication administration, 22% ; suturing, 11% ; assisting, 94% ; intubation, 6% ; and narcotic administration, 11%. Paramedic mean starting salary was $9.55 (SD ± 1.90)/h) versus nurse mean starting salary of $15.03 (SD ± 3.58)/h (P<0.001).

    PED directors who employed paramedics rated the success of their paramedic program as 7.9 (SD ± 1.7) on a scale from 1 (not at all successful) to 10 (very successful).


    Paramedics can function successfully as members of the PED patient care team.

    In a resource-scarce health care environment the use of paramedics may be a cost-effective adjunct to nursing support.

    Mots-clés Pascal : Urgence, Service hospitalier, Pratique professionnelle, Evaluation, Equipe soignante, Analyse coût efficacité, Economie santé, Enfant, Homme

    Mots-clés Pascal anglais : Emergency, Hospital ward, Professional practice, Evaluation, Health care staff, Cost efficiency analysis, Health economy, Child, Human

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 99-0001667

    Code Inist : 002B27B14C. Création : 31/05/1999.