Alberto Ardon, Elird Bojaxhi, Steven Clendenen, Robert McClain, Nigel Gillespie, Christopher Robards, Roy Greengrass
A Change in the Educational Landscape of Regional Anesthesia: A National Survey of Anesthesiology Residency Programs to Assess the Correlation Between the Frequency of Teaching a Block Technique and Clinical Importance
Cureus
acute behavioural disturbance abd sometimes called excited delirium medical emergency uk patients presenting abd managed advanced paramedics aps however little known aps make restraint decisions aim research explore decisions made aps managing restraint context abd uk prehospital ambulance setting seven semistructured interviews undertaken aps participants experienced aps postregistration postgraduate advanced practice education qualifications resulting data analysed using reflexive thematic analysis informed critical realism identified four interconnected themes interview data firstly managing complexity ambiguity relation identifying abd patients determining appropriate treatment plans secondly feeling vulnerable professional consequences patients deteriorating whilst care aps thirdly negotiating professionals different roles priorities finally establishing primacy care relation incidents involve police officers professionals key influence need characterise incidents medical enabler establishing clinical leadership decisionmaking control aps focused deescalation techniques sought reduce physical restraint intervening pharmacological interventions necessary achieve social relationships interactions patients professionals scene key success decisions source anxiety fears professional detriment accompanying poor patient outcomes results indicate aps would benefit education development specifically relation making abd decisions acknowledging context interprofessional relationships potential competing conflicting priorities focus joint highfidelity training police may helpful intervention