Paramedic identification and management of victims of intimate partner violence: A literature review
PDF

Keywords

adult
emergency medical services
emergency medical technicians
domestic violence
spouse abuse
intimate partner violence

How to Cite

1.
Mackey B. Paramedic identification and management of victims of intimate partner violence: A literature review. Australasian Journal of Paramedicine [Internet]. 2017Nov.5 [cited 2023Feb.6];14(4). Available from: https://ajp.paramedics.org/index.php/ajp/article/view/510

Abstract

Introduction

Intimate partner violence (IPV) occurs between adults of the same or opposite sex in a current, or past, intimate relationship. The aim of this paper is to review the literature regarding paramedic confidence, capacity and accuracy when identifying adult victims of IPV and subsequent management of the scene when IPV is suspected or identified.

Methods

A review of the literature using Ovid MEDLINE was conducted; five articles met the inclusion and exclusion criteria. 

Results

Results show a consistency in findings across research areas in Australia, Canada and the United States and are clear in four separate areas: paramedics demonstrate a high degree of accuracy in identifying IPV victims; professional training effectively increases paramedic knowledge of IPV; greater than 50% of the paramedic population surveyed felt underprepared to deal with an IPV scene; and the majority of surveyed paramedics attend between one and 10 IPV scenes per year.

Conclusion

This review indicates that paramedics have the capacity to accurately identify IPV victims, and that paramedics recognise a deficit in their professional IPV training. Further research is required, using a robust sample size, to construct appropriate training packages and guide improvement to paramedic clinical practice guidelines.

 

https://doi.org/10.33151/ajp.14.4.510
PDF

References

Williams A, Williams B. The early recognition of intimate partner violence by paramedics. Emerg Med Australas 2010;22:575.

Edlin A, Williams B, Williams A. Pre-hospital provider recognition of intimate partner violence. J Forensic Leg Med 2010;17:359–62.

Weiss SJ, Ernst AA, Blanton D, Sewell D, Nick TG. EMT domestic violence knowledge and the results of an educational intervention. Am J Emerg Med 2000;18:168–71.

Sawyer S, Parekh V, Williams A, Williams B. Are Australian paramedics adequately trained and prepared for intimate partner violence? A pilot study. J Forensic Leg Med 2014;28:32–5.

Anonymous. Domestic violence: the role of emergency medical services personnel. American College of Emergency Physicians. Ann Emerg Med 1996;27:845.

Singleton A, Brewer KL, Goodman P. Domestic violence education and reporting: public attitudes about the roles of EMS. Prehosp Emerg Care 2003;7:312–5.

Dousek S, Parekh V, Williams A, Williams B. Are Australian paramedics prepared for intimate partner violence? Emerg Med Australas 2012;24:686–7.

Hall M, Becker V. The front lines of domestic violence: Training model for rural EMS personnel. J Psychosoc Nurs Mental Health Serv 2002;40:40–8.

Mason R, Schwartz B, Burgess R, Irwin E. Emergency medical services: a resource for victims of domestic violence? Emerg Med J 2010;27:561–4.

Bullock K. Domestic violence and EMS personnel. Ann Emerg Med 1998;31:286.

Weiss S, Garza A, Casaletto J, et al. The out-of-hospital use of a domestic violence screen for assessing patient risk. Prehosp Emerg Care 2000;4:24–7.

Kizer KW. Domestic violence: an EMS-targeted clinical condition in California. Ann Emerg Med 1984;13:1082.