Community Paramedic Point of Care Testing – A Comprehensive Assessment and Technology Comparison

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Authors
  1. Kozicky, R.
  2. Blanchard, I.
  3. Lazarenko, G.
Corporate Authors
Defence Research and Development Canada, Centre for Security Science, Ottawa ON (CAN);EMS Mobile Integrated Healthcare, Calgary AB (CAN) Alberta Health Services
Abstract
Introduction: Community Paramedic (CP) programs provide a critical bridge between the health care system and the community. Additional treatments and assessments in the community by CPs often prevents transport of the patient to an acute care facility. One of the challenges CPs face is access to timely diagnostic tests such as blood analyses. Many CP programmes transport blood to a laboratory for analysis. This process is resource intensive, presents multiple opportunities for misidentification of patients/results, prevents CPs from providing timely treatment and coordinating additional patient care initiatives while on-scene, and may increase the time the CP is not available for another patient. Point of care testing (POCT) may offer a technological solution. Purpose: Address the Canadian Safety and Security Program (CSSP) priority of assessing the use of technology in CP programmes to inform policy and strategy by comparing CP POCT to a standard laboratory process, and contrasting two commercially available devices (Abbott i-STAT® and Alere epoc®). Methods: There were five broad methodological approaches to this study: 1. Device validation in the CP setting; 2. Time to results; 3. CP survey; 4. Human factors assessment; and 5. Descriptive cost and device summary. Seven analytes were assessed: sodium (Na), potassium (K), chloride (Cl), creatinine (Crea), hemoglobin (Hgb), hematocrit (Hct), and glucose (Glu). All statistical tests were considered significant at the 0.05 lev
Keywords
Paramedic service portfolio;Paramedic profession;Community Paramedicine;Point of Care;iStat
Report Number
DRDC-RDDC-2018-C073 — Contract Report
Date of publication
01 May 2018
Number of Pages
105
DSTKIM No
CA045975
CANDIS No
806442
Format(s):
Electronic Document(PDF)

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