How much should ethnographers involve themselves with the people, places, and processes they study? One answer has become increasingly popular: invert the standard method of participant observation into observant participation. This article draws on an ethnography of ambulance work to consider the trade-offs between these approaches. My fieldwork…

There is an increasing international focus on multi-user virtual reality (VR) training for all emergency medical technicians within the framework of their respective disaster medical preparedness initiatives. While multiuser VR is often deployed in a variety of digital educational settings, it has not been meaningfully explored in emergency…

Objective: The objective of this study was to identify out-of-hospital cardiac arrest characteristics for patients treated by collegiate-based emergency medical services (CBEMS) organizations. Participants: CBEMS organizations provided data via the National Collegiate EMS Foundation Cardiac Arrest Data Registry. Methods: CBEMS organization…

Clinical supervisors play key roles in facilitating trainee learning. Yet combining that role with patient care complicates both roles. So, we need to know how both roles can effectively co-occur. When facilitating their trainees' learning through practice, supervisors draw on their skills - clinical and supervisory - and available opportunities…

The goal of a triathlon is to provide a challenge to the athlete, but this comes with inherent risks. The drowning rate of triathlon participants has increased exponentially over the years in open water triathlon venues. This study sought to understand the decision-making process of experienced lifeguards in the unique conditions of the open water…

Purpose: The purpose of this paper is to study how learning within the fire and rescue services may be conceptualized, with special attention paid to tunnel fire safety. Previous studies have developed a model to understand learning in emergency response work. The concept of learning is extended from observed changes in relevant settings to also…

This study aims to emergency medical services(EMS) and their efficacy within the purview of Local Administrative Organizations (LAOs) in Thailand. As the responsibility for EMS has transitioned from public hospitals to LAOs, it has prompted inquiries into their efficiency. This research endeavors to scrutinize the determinants influencing the…

The purpose of this paper is to share information on The Learning EMS Ethics Project, referred to as the LEEP project. LEEP is a long-term study of paramedic navigation of ethical dilemmas and decision making in prehospital care. The project additionally aims to contribute to the future development of future paramedic capacity building from…

This study examines and describe the ambulance nurse's experience of nursing documentation in single responder and the transfer of the documentation to other care levels. A qualitative design was used with focus group interviews as data collection method to enhance knowledge of the everyday experience of nursing documentation. The ambulance…

This research study examined the implementation of an extended reality (XR) lab on a community college campus to facilitate student and faculty access to immersive learning resources. The study, conducted during one skills day, involved 46 students and was designed to understand if integrating immersive VR into emergency medical technician (EMT)…

Objective: A Mental Health Task Force (MHTF) was implemented in 2016 by a collegiate-based emergency medical services (CBEMS) organization to (1) improve mental health emergency response and to (2) address concerns for the mental health of CBEMS providers. Participants: Skidmore College EMS is a Basic Life Support First Response service staffed by…

The cornerstones of prehospital provider education include didactic instruction, psychomotor skills training, and hospital and ambulance clinical rotations. Increasing enrollment in healthcare education programs, limited clinical opportunities, and an increasingly technologically savvy student body are compelling educators to pursue supplementary…

Background: In rural and regional areas, older Australians have poorer health outcomes and higher rates of potentially preventable hospital admissions than their metropolitan counterparts. Paramedics may be uniquely placed to improve health outcomes of rural-dwelling older adults through involvement in primary and preventive healthcare, health…

Indiana's state grant application for participation in the Occupational Licensing Policy Learning Consortium identified increasing portability of licensure for targeted professionals as an area of focus. The 2019 Indiana General Assembly passed the Enhanced Nurse Licensing Compact (eNLC) legislation, which went into effect July 1, 2019. The eNLC…

Emergency response services are vital for enhancing public safety by safeguarding the environment, property, and human lives. As frontline members of these services, 9-1-1 dispatchers have a direct impact on response times and the overall effectiveness of emergency operations. However, traditional dispatcher training methods, which rely on…