Table of Contents
A study of paramedics’ attitudes to the effects of speed humps on resuscitation of patients en route to hospital, including general patient care and ambulance response times
Or….
How speed humps affect
Sound familiar?
In the last week….
Methodology
Methodology (cont.)
Methodology (cont.)
Methodology (cont.)
Limitations
Results
All respondents drive over humps at least once per shift. Over half do it more than 4 times per shift
Response to 999 calls
67% actively avoid humps
Over half said time was a factor
30% would add 2 minutes, 55% between 1 and 5 minutes!
Humps slow you down, but respondents would add time to avoid humps
There is no published research concerning actual time delays that humps cause to U.K. ambulances
Transportation of medically unstable patients to a receiving facility
59% take a different route
31% are concerned with improved care, 25% with patient condition - 56% in total!
19 of 20 people would extend time to hospital. 75% would add up to 5 minutes - but 2 would add 10 minutes!
In Paramedics’ experiences, patient care and/or conditions suffer significantly over road humps. Times to receiving facilities and definitive care are increased.
Transportation of patients in cardiac arrest to A&E
All respondents had undertaken CPR whilst travelling over road humps
More than 50% would deviate
Of 18 people, 12 would add up to 5 minutes to A&E.
50% gave a poor CPR a reason, 25% crew safety
90%! Some won’t deviate, but most acknowledge a problem
Paramedics are the professionals at CPR. They know if it’s poor….
43% feel outcome was affected….
….due to poor CPR
Speed humps definitely affect CPR adversely…. ….and may affect outcomes in cardiac arrest.
Conditions affected by speed humps
PPT Slide
More than half of comments concern exacerbation of condition
Paramedics and patients agree: speed humps are not conducive to patient care
Intervention and treatment
Nearly half!
Some said they would stop the vehicle - but not all….
PPT Slide
10 of 27 people would neglect to undertake a procedure they felt was essential solely due to the presence of speed humps
This study found
This study found (cont.)
This is a direct result of speed humps
Humps present a potentially huge clinical risk
Speed humps affect
Recommendations
PPT Slide
Dissemination
PPT Slide
Grateful acknowledgements
PPT Slide
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