title: Pre-hospital thrombolysis for acute ST segment elevation myocardial infarction: A survey of paramedics' perceptions of their role.
abstract: BACKGROUND
  The effectiveness of pre-hospital thrombolysis (PHT) in reducing mortality following ST segment elevation myocardial infarction (STEMI) is well established. In England, PHT is provided to around 17% of STEMI patients, and responsibility for treatment rests largely with paramedics rather than physicians as in some other countries, but little is known about how paramedics perceive their role, or whether age or experience influence such perceptions.
  
  
  OBJECTIVE
  To describe paramedics' perceptions of PHT.
  
  
  METHODS
  Questionnaire survey to all 106 paramedics working within a single ambulance service in England.
  
  
  RESULTS
  60 (56.6%) paramedics responded. Overall, there were few significant differences by age or length of service in responses given. However, paramedics who had administered PHT gave more positive responses compared to those who had not, in relation to duty of care, professional image, individuals' influence on paramedic role development, and preparedness for practice.
  
  
  CONCLUSIONS
  Paramedics hold a range of views and perceptions of their role in delivering PHT; some of which appear to be related to age and length of experience, and actual administration of PHT. The vast majority view PHT as a positive step to providing patient care that is evidence based.
authors.affiliation: Faculty of Health and Medical Sciences, University of Surrey, Guildford, UK. t.quinn@surrey.ac.uk
authors.forename: Tom
authors.initials: T
authors.lastname: Quinn
authors.forename: John W
authors.initials: JW
authors.lastname: Albarran
authors.forename: Helen
authors.initials: H
authors.lastname: Cox
authors.forename: Lesley
authors.initials: L
authors.lastname: Lockyer
mesh_terms: D000328:Adult; D000488:Allied Health Personnel / Q000592:standards*; D004562:Electrocardiography; D004632:Emergency Medical Services / Q000379:methods* / Q000592:standards; D005260:Female; D005343:Fibrinolytic Agents / Q000627:therapeutic use*; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000188:drug therapy* / Q000503:physiopathology; D011795:Surveys and Questionnaires; D016896:Treatment Outcome; D055815:Young Adult
chemical_list: D005343:Fibrinolytic Agents