Work

Accuracy of early shock recognition by paramedics: a multicenter prospective observational study in Japan

Year: 2025

Type: article

Abstract: Objective: Early recognition of shock status by paramedics significantly affects patient prognosis; however, its accuracy remains unclear. This study assessed the diagnostic accuracy of paramedics in classifying shock and the characteristics of misdiagnoses. Materials and Methods: This multicenter prospective observational study compared the on-scene shock diagnoses of paramedics between July 2022 and June 2023 with those of physicians upon hospital arrival. Results: The overall diagnostic accuracy for shock revealed substantial agreement (k=0.64), whereas diagnosis by category ranged from slight to moderate agreement (k=0.11-0.51). Patients without systolic hypotension were more frequently missed during diagnosis. Conclusions: Enhanced clinical education is needed to improve the accuracy of shock diagnosis by paramedics.

Source: Journal of Rural Medicine

DOI: 10.2185/jrm.2024-053

Authors: Rina Tanohata, Katsutoshi Saito, Takehiko Nagano, Hidenobu Ochiai

Institutions: University of Miyazaki, University of Miyazaki Hospital

Language: English

Topic: Trauma and Emergency Care Studies

Subfield: Emergency Medicine

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: diamond

Funders: University of Miyazaki Hospital, University of Miyazaki