Paramedic questionnaire results
| Beliefs | Correct answer (%) | Overestimate (%) | Underestimate (%) |
|---|---|---|---|
| Treatment of AMI | |||
| What is the overall risk of death in untreated AMI? | 32 | 42 | 26 |
| How many lives are saved giving aspirin in AMI? | 25 | 3 | 72 |
| How many lives are saved if thrombolysis is given | |||
| in the first 1 hour? | 28 | 49 | 23 |
| between 4–12 hours? | 34 | 42 | 24 |
| Risks of prehospital thrombolysis | |||
| Extra deaths are directly related to thrombolysis | 29 | 71 | 0 |
| Extra strokes are directly related to thrombolysis | 42 | 34 | 24 |
| Extra major bleeds (ex CVA) are directly related to thrombolysis | 9 | 91 | 0 |
| What is the future role of paramedics in managing patients with suspected AMI? | (%) | ||
| Autonomous diagnosis & paramedic administration of PHT | 42 | ||
| Telemedicine link to hospital—advice to administer PHT | 46 | ||
| Transport to hospital with no PHT | 12 | ||
| Where should training for thrombolysis take place? | (%) | ||
| Hospital | 79 | ||
| Prehospital | 2 | ||
| Training school | 19 | ||
| Do you: | Yes (%) | No (%) | |
| Believe PHT will have any significant saving in pain to needle time? | 66 | 34 | |
| Believe PHT is safe for use by paramedics? | 64 | 36 | |
| Think you will see enough patients with AMI to feel confident to give PHT? | 71 | 29 | |
| Feel this skill should attract a pay increase? | 95 | 5 | |
| Think training should be recognised by a National CPD Certificate? | 96 | 4 | |
| Agree/strongly agree (%) | Neutral (%) | Disagree/strongly disagree (%) | |
| I think paramedics are capable of performing PHT | 83 | 11 | 6 |
| I would feel confident to record a 12 lead ECG in the prehospital setting | 89 | 7 | 4 |
| I would feel confident in my interpretation of a 12 lead ECG | 83 | 6 | 11 |
| On average how frequently do you see patients with suspected cardiac chest pain? | (%) | ||
| Fewer than 1 per shift | 36 | ||
| 1 per shift | 32 | ||
| 2 per shift | 23 | ||
| 3 per shift | 7 | ||
| More than 3 per shift | 2 | ||
| How often do you think you would need to give thrombolysis in order to retain skills? | (%) | ||
| 1 per shift | 3 | ||
| 1 per week | 19 | ||
| 1 per month | 63 | ||
| 1 per year | 13 | ||
| Less than once per year | 2 |