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Enhancing Mixed Reality Simulation Training Technology With Real-Time Performance Visualization: Mixed Methods Study With Medical First Responders

Studies comparing XR training to live simulations have found comparable efficacy in knowledge acquisition, decision-making skills, and user satisfaction, with no significant difference in the accuracy of triage decisions between paramedic students trained using XR and those who underwent live simulations [14,22]. Furthermore, XR offers a cost-effective and safe environment for learning, enabling repeated practice without real-world consequences [17,23].

Olivia Zechner, Helmut Schrom-Feiertag, Rafael Wespi, Daniele Pretolesi, Quynh Nguyen, Manfred Tscheligi

JMIR XR Spatial Comput 2024;1:e57655

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Overcoming Language Barriers in Paramedic Care With an App Designed to Improve Communication With Foreign-Language Patients: Nonrandomized Controlled Pilot Study

This paper reports on the results of a nonrandomized controlled pilot study using this app for the first time in a real-life setting, evaluating the paramedic-rated communication with foreign-language patients [23]. This study was conducted as a nonrandomized controlled pilot study to explore general feasibility and assess the app’s effect on communication with non–German-speaking patients.

Frank Müller, Dominik Schröder, Eva Maria Noack

JMIR Form Res 2023;7:e43255

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Violence Against Paramedics: Protocol for Evaluating 2 Years of Reports Through a Novel, Point-of-Event Reporting Process

All data used in the research will be scrubbed of direct identifiers (eg, patient or paramedic names, addresses of call locations, and call identification numbers). Anonymized alphanumeric participant identification codes will be substituted for paramedic names and the original linkages destroyed after deidentification.

Justin Mausz, Elizabeth A Donnelly

JMIR Res Protoc 2023;12:e37636

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Interrater Agreement on National Institutes of Health Stroke Scale Between Paramedics and Stroke Physicians: Validation Study for the Digital Training Model in the Paramedic Norwegian Acute Stroke Prehospital Project

For the Paramedic Norwegian Acute Stroke Prehospital Project (Para NASPP)—a stepped-wedge, randomized trial of stroke screening using NIHSS in the ambulance—we developed a complete digital training model for paramedics [18]. An e-learning program was combined with unique videos for scoring NIHSS in the (native) Norwegian language. The aim of this study was to validate the training model in the Para NASPP clinical trial.

Mona Guterud, Helge Fagerheim Bugge, Jo Røislien, Karianne Larsen, Erik Eriksen, Svein Håkon Ingebretsen, Martin Lerstang Mikkelsen, Jo Kramer-Johansen, Kristi G Bache, Else Charlotte Sandset, Maren Ranhoff Hov

JMIR Neurotech 2022;1(1):e39444

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Complete and Resilient Documentation for Operational Medical Environments Leveraging Mobile Hands-free Technology in a Systems Approach: Experimental Study

Failure to report initial findings and interventions in the field may result in clinical errors such as inadvertent overdose due to duplicate administration of the same medication by paramedic and emergency department physicians [4-6]. However, prehospitalization documentation is a challenging task and prone to loss of information, as paramedics operate under urgent and disruptive environments requiring their constant attention to the patient [6-9].

MinJae Woo, Prabodh Mishra, Ju Lin, Snigdhaswin Kar, Nicholas Deas, Caleb Linduff, Sufeng Niu, Yuzhe Yang, Jerome McClendon, D Hudson Smith, Stephen L Shelton, Christopher E Gainey, William C Gerard, Melissa C Smith, Sarah F Griffin, Ronald W Gimbel, Kuang-Ching Wang

JMIR Mhealth Uhealth 2021;9(10):e32301

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Designing an App to Overcome Language Barriers in the Delivery of Emergency Medical Services: Participatory Development Process

In emergencies, it is therefore crucial for the paramedic staff to understand the patients’ acute complaints, pre-existing conditions, allergies, or drug treatments. However, at the emergency scene, accurate translation by professional interpreters is rarely available. Therefore, paramedics mostly rely on nonverbal communication, use a third language, or rely on lay interpreters [6,7].

Eva Maria Noack, Jennifer Schulze, Frank Müller

JMIR Mhealth Uhealth 2021;9(4):e21586

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Pragmatic Strategy Empowering Paramedics to Assess Low-Risk Trauma Patients With the Canadian C-Spine Rule and Selectively Transport Them Without Immobilization: Protocol for a Stepped-Wedge Cluster Randomized Trial

Paramedic services in each sequence will cross from the control condition (usual care) to the intervention condition (CCR implementation) at intervals of 3 months until all communities have crossed to the intervention. Data will be collected on all eligible patients in each paramedic service for a total duration of 12 months. Diagram of the study and stepped-wedge design.

Christian Vaillancourt, Manya Charette, Monica Taljaard, Kednapa Thavorn, Elizabeth Hall, Brent McLeod, Dean Fergusson, Jamie Brehaut, Ian Graham, Lisa Calder, Tim Ramsay, Peter Tugwell, Peter Kelly, Sheldon Cheskes, Refik Saskin, Amy Plint, Martin Osmond, Colin Macarthur, Sharon Straus, Paula Rochon, Denis Prud'homme, Simone Dahrouge, Susan Marlin, Ian G Stiell

JMIR Res Protoc 2020;9(6):e16966

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