Home Paediatrics Community paramedics for paediatric concussion follow-up
Paediatrics
Community paramedics for paediatric concussion follow-up
Feasibility and Acceptability of Mobilizing Community Paramedics to Provide the Standard of Care for Pediatric Concussion: Mobile Integrated Health Programming for Pediatric Patients
Prehospital Emergency Care · Added 29 August 2026
Experimental mixed-methods study demonstrated that a Mobile Integrated Health program using community paramedics for paediatric concussion follow-up was feasible and acceptable, with 19% patient enrolment and improvement in Post-Concussion Symptoms Scale scores.
- Study type
- Other
- Design
- Experimental mixed-methods feasibility study
- Participants
- 15 community paramedics; 30 of 156 eligible patients enrolled
- Main finding
- 19% (30/156) enrolment; 28 home visits completed; PCSS improved from mean 15.2 pre-visit to 8.8 post-visit (p<0.05); high satisfaction (patients/parents mean 4.4/5, CPs 4.0/5)
- Caveat
- Small, uncontrolled feasibility study with no clinical outcome comparison
- Bottom line
- Hypothesis-generating
Why it matters in Australia (Medium relevance). MIH and community paramedic models are conceptually relevant to Australian services, though ACTAS doesn't have a formal CP tier—the feasibility and satisfaction data inform potential program development.
Learning goal
Understand how community paramedicine models can support paediatric concussion follow-up in Australian practice.
More
- Topic: Paediatrics
- Daily scan: 29 August 2026
Related papers on Paediatrics
-
Paediatric trauma diagnosis accuracy in Swiss HEMS
Multi-centre Swiss HEMS study of 282 paediatric trauma patients found moderate diagnostic accuracy between prehospital and in-hospital diagnoses (Cohen's κ=0.64), with polytrauma underdiagnosed and extremity/pelvic injuries overdiagnosed, and overall survival of 92.2%.
-
Adrenaline given in only 60% of paediatric OHCA
Retrospective analysis of US NEMSIS data found adrenaline was administered in only 60% of paediatric out-of-hospital cardiac arrests, with longer scene times, advanced airway attempts, and defibrillation associated with higher odds of administration, while public settings and female sex correlated with lower odds.
-
Caller triage score for paediatric breathing calls
Development of the PREP score, a caller-reported decision-support tool for children aged 0-4 with breathing problems in a Welsh dispatch system — moderate discrimination (AUC 0.73) with high negative predictive value (93%) for identifying low-risk calls.
-
Paediatric teleconsultation during ambulance transport
Simulated RCT testing teleconsultation for paediatric ambulance transports — paramedics found it acceptable (TUS 5.8/7) and experienced less frustration (p=0.03) with 94% attempting physician contact, though physicians reported higher workload (p=0.01) and 92% connected in ≤2 attempts.