Joseph J Acker

Joseph J Acker
University of Tasmania · School of Paramedicine

About

23
Publications
7,395
Reads
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201
Citations
Introduction
Joe Acker is the Managing Director of Leader Tonic Solutions Inc, and the Governance Director of EMS Global. Previously he was the Deputy Secretary of Community, Mental Health and Wellbeing in the Tasmanian Department of Health and the Chief Executive of Ambulance Tasmania. Joe holds an Adjunct Professor appointment at the University of Tasmania and an Adjunct Senior Lecturer in Paramedicine appointment with Charles Sturt University.
Additional affiliations
March 2010 - September 2015
Charles Sturt University
Position
  • Senior Lecturer in Paramedicine
Education
March 2010 - November 2012
Charles Sturt University
Field of study
  • University Learning and Teaching
June 2007 - May 2009
Royal Roads University
Field of study
  • Leadership

Publications

Publications (23)
Article
Full-text available
Introduction British Columbia Emergency Health Service (BCEHS) trialed the use of intranasal (IN) ketamine given by Primary Care Paramedics (PCPs). Prior to this practice change, the PCPs had not performed weight-based drug calculations, given medications intranasally, nor been responsible for controlled and targeted substances. This study aimed to...
Article
Full-text available
Introduction In recent years, researchers have identified two new models of paramedicine within the Anglo-American paramedic system known as the Directive and Professionally Autonomous paramedic systems. The research team now seek to compare paramedic perception of system performance between the two systems using prehospital quality indicators. Met...
Article
Background: Over the past two decades, the demands placed on modern paramedic systems has changed. Paramedic services can no longer continue to operate on a traditional response model where more ambulances are deployed to meet the rising demand of patients calling for their health needs. Recent research has explored system design in paramedicine a...
Article
Full-text available
Introduction The aim of this study was to provide a snapshot of Australian remote and industrial paramedics’ patient clinical presentations, experience with physician consultations and options for patient transport to tertiary care. Methods This exploratory, cross-sectional descriptive study employed a purpose-built online survey. Participants wer...
Article
Background This narrative review presents a brief chronological history of the Anglo-American paramedic system, combining decades of stories from across ambulance services in western, English-speaking developed countries Methods Databases, including Embase, MEDLINE, Web of Science, CINAHL and Google Scholar were searched from the inception of the...
Article
Purpose This study aims to map and examine the existing evidence to provide an overview of what is known about the structure and characteristics of the Anglo-American paramedic system in developed countries. Design/methodology/approach The review includes results examining the structure and characteristics of the Anglo-American paramedic system in...
Article
Full-text available
Objectives This study aimed to characterize the clinical utilization of tranexamic acid (TXA) by paramedics in British Columbia (BC) for acute major trauma and to quantify the percentage of patients who received TXA among those who met the indications for administration. Methods A quality assurance review of eligible trauma patients across the prov...
Article
Introduction While brief and fragmented accounts of the differences between systems have been noted in the literature, until recently there has been a lack of research that explores and identifies new sub-models of paramedicine within the Anglo-American paramedic system. Methods A Delphi method was used to gain consensus among international parame...
Article
Full-text available
Introduction A large workforce is employed in remote environments in the Australian mining and fuel sectors. Whereas paramedics are increasingly assuming roles as healthcare providers in these locations, little is known about industrial paramedic practice. The aim of this exploratory study was to better understand the demographics, education, clini...
Article
Full-text available
Objective To date in the COVID-19 pandemic, there has been a decrease in patients accessing emergency health services, (EHS) but research has been conducted in areas with a very high incidence of COVID-19. In an area with a low COVID-19 incidence, we estimate changes in EHS use.Methods We compared EHS encounters in British Columbia from March 15 (t...
Article
Full-text available
Objectives This study aimed to characterize the clinical utilization of tranexamic acid (TXA) by paramedics in British Columbia (BC) for acute major trauma and to quantify the percentage of patients who received TXA among those who met the indications for administration.MethodsA quality assurance review of eligible trauma patients across the provin...
Article
Full-text available
p style="margin: 0cm 0cm 0pt; line-height: 200%;"> Background There are no published reports in Canada examining paramedic use of ketamine for highly agitated patients or excited delirium syndrome. We employed a Plan, Do, Study, Act (PDSA) quality improvement approach to evaluate the safety and effectiveness of advanced care paramedic administered...
Article
Full-text available
The development of degrees for paramedics in jurisdictions such as Australia, New Zealand, South Africa, and the United Kingdom were in direct response to developments within the paramedic profession, including emerging roles, increasing paramedic scope and increased demands on paramedics as healthcare professionals. Yet, similar to the challenges...
Article
Full-text available
p dir="LTR" align="LEFT"> Objective This study aimed to explore first year university paramedic students’ perceptions of volunteerism during a community placement. Methods In this exploratory study we employed a cross-sectional methodology utilising a convenience sample of first year undergraduate students. Administering a paper-based survey, we...
Article
Full-text available
Introduction: Patient advocacy is an often encountered term, but one for which no consistent definition seems to exist. Advocacy is a new and developing role of the paramedic that is closely linked to the developing professionalism of paramedicine, along with the expanding role of the paramedic as a healthcare professional in the community. This ro...
Article
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This editorial outlines the process as paramedics head towards registration
Article
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p>With evidence based practice now the norm, paramedics today can confidently and easily search for answers to clinical questions. For anyone seeking to better understand the non-clinical aspects of paramedic practice, however; looking to social theory can be a starting point. Understanding social theory gives paramedic researchers a lens through w...
Poster
Full-text available
Poster presentation at Mid North Coast Local Health District Research Conference, Australia
Poster
Full-text available
Emergency Medical Technicians (EMTs) are trained basic life support emergency care providers. A standard curriculum for EMT education includes patient assessment skills in addition to a variety of patient care and management skills. National Ambulance LLC provide EMT trained personnel for care and transportation of patients in various service areas...
Article
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Australian natural resource exploration and production companies are employing paramedics to provide emergency medical response, primary health care, injury prevention, and health promotion services in remote locations nationally and internationally. Although Australian paramedic practice has steadily evolved to include increasingly complex medical...
Article
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Objective: To determine the incidence of unrecognised oesophageal intubation by paramedics in a metropolitan setting. Methods: A retrospective observational analysis was conducted. Patient health care records from the Ambulance Service of New South Wales were used to identify patients who had been intubated by paramedics between 1 January 2007 and...
Article
Full-text available
Ambulance services around the world are facing significant management and leadership challenges associated with the rapid growth of call volumes; increasing adoption of sophisticated technology; a broadening scope of clinical practice; greater expectations of citizens, patients and system governors; and the ever increasing complexity of working in...

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