Clinical Skills Degradation in Paramedicine Specific to Trauma Management: A Critical Review of the Literature

Hobbs, Lisa ORCID: and Devenish, Scott and Clark, Michele and Tippett, Vivienne (2015) Clinical Skills Degradation in Paramedicine Specific to Trauma Management: A Critical Review of the Literature. Australasian Journal of Paramedicine, 12 (5). -58. ISSN 2202-7270


Degradation of clinical skills in medicine, nursing and allied health has been well canvased in the literature. However, within the paramedic paradigm, research appears to concentrate on skills degradation in critical interventions only (eg: advanced airway management and cardiac arrest, both paediatric and adult). Inadequate exploration has been conducted more broadly on skills decay specific to multi-system trauma management in the pre-hospital environment.

A review of the pre-hosptal care literature was undertaken using Cambridge Journals Online; Informa; MEDLINE; Ovid; ProQuest; PubMed; and Wiley Online Library.

A total of 129 studies on clinical skills degradation were located. From this, 49 related to paramedics and skill degradation. Of these, six related to paediatrics; 14 to advanced airway management and cardiac arrest.

Very few peer-reviewed articles focused on skills specific to adult multi-system trauma, or trauma management such as needle thoracocentesis, haemorrhage control, fracture and traumatic brain injury management. Subsequently, a gap in the literature has been highlighted in relation to pre-hospital skills retention in adult trauma management. This presentation discusses the current state of the evidence on the tenets of skills retention in adult trauma care as they relate to the paramedic profession.

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Item Type: Article (Commonwealth Reporting Category C)
Refereed: Yes
Item Status: Live Archive
Faculty/School / Institute/Centre: No Faculty
Faculty/School / Institute/Centre: No Faculty
Date Deposited: 07 Feb 2021 23:35
Last Modified: 07 Feb 2021 23:35
Uncontrolled Keywords: paramedicine; pre-hospital; trauma management; clinical skills; skills retention; degradation; literature review
Fields of Research (2008): 11 Medical and Health Sciences > 1199 Other Medical and Health Sciences > 119999 Medical and Health Sciences not elsewhere classified
Fields of Research (2020): 42 HEALTH SCIENCES > 4299 Other health sciences > 429999 Other health sciences not elsewhere classified
Identification Number or DOI: doi:10.33151/ajp.12.5.499

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