Implementation of new guidelines in the prehospital services: a nationwide survey of Norway

Background A debate regarding the potential harmful effects of rigid neck collar and backboard usage among prehospital and hospital care providers in Norway provoked the development of an evidence-based guideline. “The Norwegian guideline for the prehospital management of adult trauma patients with potential spinal injury” was developed with rigorous scientific methods and published in 2016. An e-learning course was developed in parallel. The aim of this study is to explore whether emergency medical services personnel in Norway have implemented the guideline, and to what extent the e-learning course was applied during the implementation process. Method An electronic survey was distributed individually to registered prehospital personnel in Norway 18 months after publication of the guideline. Results In all, 938 of 5500 (17%) EMS personnel responded to the survey. More than one-half confirmed knowledge of the guideline; among these, 56% claimed that the guideline was implemented in the service they work. Not having responded to trauma cases in real life was the main reason for not having executed the guideline. The e-learning course had been completed by 18% of respondents. Conclusion Although the guideline has not been authorized or made compulsory by national authorities, one-half of respondents with knowledge of the guideline reported it as implemented. E-learning did not seem to have affected the implementation. The guideline was developed based on perceived needs among care providers, and this probably facilitated implementation of the guideline.publishedVersio

Elektroniske læringsressurser som supplerende metode i akuttmedisinkurs tilpasset allmennleger og turnusleger - et pilotprosjekt

Fra 2012 innføres et krav om obligatorisk akuttmedisinkurs for spesialister i allmennmedisin hvert 5. år. Det har satt fokus på innholdet i disse kursene. Mye praktisk trening er helt sentralt, men noe teorikunnskap er også nødvendig for at den praktiske treningen skal bli meningsfull. Et elektronisk forkurs kan bidra til økt teoretisk kunnskap, og det kan gjennomføres før det oppmøtebaserte kurset. Slik kan kursdeltakerne både få et bedre teoretisk grunnlag for akuttmedisinkurset og mer tid til trening på kurset. Prosjektgruppen har utarbeidet en pilotversjon av et slikt kurs som er gratis og fritt tilgjengelig for alle kursarrangører og kursdeltakere som ønsker å bruke dette i forbindelse med akuttmedisinkurs for allmennleger, eller andre formål. Kurset er tilgjengelig på www.nakos.nopublishedVersio