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KMID : 1140520230270020079
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Korean Journal of Emergency Medical Services
2023 Volume.27 No. 2 p.79 ~ p.89
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The development and validation of a prehospital emergency delivery protocol for paramedics
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Kim Keun-Young
Kim Byung-Soo
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Abstract
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Purpose: This study aimed to develop a standardized protocol of systematic and explicit roles and procedures for paramedics for the maternal and newborn management during prehospital emergency delivery situations.
Methods: This study is a methodological study with detailed step-by-step items proposed by an expert group based on evidence from a literature review. The content validity of the proposed preliminary prehospital emergency delivery protocol was verified before the final protocol was confirmed.
Results: All 23 detailed items of the preliminary protocol met the reference cut-off (CVI value of 0.8 or higher). After considering, revising, and supplementing expert opinions for each of the 23 items 23 detailed in the proposed protocols, four steps were confirmed. The steps included five items for the management of the imminent mother, 10 items for delivery progress, five items for newborn management, and three items for postpartum management of the mother.
Conclusion: This study’s findings may serve as reference for developing future specialized training programs for paramedics, to ensure enhanced competence in prehospital emergency delivery situations. The protocol should be reviewed and revised periodically to ensure currency.
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KEYWORD
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Paramedic, Prehospital, Delivery, Protocol
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