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

12/12/03


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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

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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….

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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

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Dissemination

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Grateful acknowledgements

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Author: mark

Home Page: www.belchamber.org/speedhumps

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