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Patients (aged >50) who fall, call an ambulance, are attended by a study paramedic and give verbal consent will be asked FRAX and fall questions.
Patients are eligible for the trial if they: are aged 65 years or over; live in the catchment area of participating falls services; and are attended by a study paramedic following an emergency call to the ambulance service which is coded by a dispatcher as a fall without priority symptoms (Advanced Medical Priority Dispatch System code 17).
At least one study paramedic was present around the clock in the labor and delivery room to assess maternal risk factors: stage and duration of labor, rupture of membranes, intrapartum temperature, number of vaginal exams performed, amniotic fluid color, hand washing by health workers, and maternal reproductive tract colonization status during labor.
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Study paramedics observed and recorded any maternal receipt of intrapartum antibiotics.
Men and women aged over 50 who fall (inside or outside their place of residence), call an ambulance and are attended by study paramedics.
We will include: Men and women aged over 50 who fall (inside or outside their place of residence), call an ambulance and are attended by study paramedics.
Study paramedics collected data on maternal education, maternal age, antenatal care provider type, and receipt of tetanus toxoid as a proxy for access to health care.
In qualitative studies, paramedics in established emergency care systems identified poor organizational support, emotionally exhausting cases, chronic care, and lack of professional respect as sources of stress and dissatisfaction [36, 37].
This added value to the data as in most epidemiological studies paramedics usually collect the data.
Paramedic difficulty with destination decision-making has been highlighted in other studies: paramedics transport patients 'just in case' and rely more on intuition than formal decision-making procedures.
12 In that study a paramedic volunteer had a cervical collar applied for all extrication techniques and the least deviation recorded (6.60°±1.03°) was for controlled self-extrication.
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