Al. BMJ Open 2016;6:e014022. doi:10.1136/bmjopen-2016-Open AccessFigure 1 Paramedic Pathfinder tool

doi:ten.1136/bmjopen-2016-Open AccessFigure 1 Paramedic Pathfinder tool for health-related sufferers (reproduced with permission of North West Ambulance Service). ABCD, airway, breathing, circulation, disability; PHEW, prehospital warning score; PR, perirectal; UCC, urgent care centre; ED, emergency department.data collection method was best suited to our aims because it offers a medium by which the world could be understood from a participant's point of view.22 Participants are capable to raise what they regard as important troubles and concerns, as opposed to the researcher imposing predetermined structures and assumptions.Noble AJ, et al. BMJ Open 2016;six:e014022. doi:ten.1136/bmjopen-2016-The interviews had been introduced to participants as trying to explore paramedic's views concerning seizure management and what, if any, had been their help wants. Following Riessman,24 an interview topic guide was developed on the basis from the literature and refined via the iterative approach of conducting two pilotOpen AccessTable two Overview of sections of interview topic guide relevant to this present report and interviewer Following a short introduction plus the participant being asked about their background and role, they were asked about their views of and experiences of managing seizures. The main themes relevant to this present report with examples of prompts are provided under: Theme Example questions Perceptions of challenges faced when managing seizure What are the major challenges you perceive ambulance crews face in managing seizures? What factors influence care-decisions? Why? What sort of self-confidence do you/paramedics have in managing seizures? What accounts for this? What alternatives are available when an individual will not must be conveyed to ED? What are your experiences and views of making use of and accessing these? In what way are paramedics supported in their clinical decision-making by their organisation (eg, on-scene/after-scene support/protocols/guidance)? What are your experiences/views of those?Discharge selections for persons who did not will need ED Potential strengths/weakness in relation to help offered to crewsED, emergency division.interviews (table 2).25 Locations covered included: (1) an introductory phase; (two) participants perceptions from the challenges crews face when managing seizures; (three) availability of discharge alternatives for persons who didn't have to be conveyed to ED; (four) education and/or support provided to crews from their organisation; (five) possible strengths and weakness in relation for the assessment tools provided to paramedics by the service and (6) views in relation to added instruction wants on seizure management for paramedics. The use of the subject guide, primarily as a conversational agenda in lieu of a procedural directive,26 enabled the researcher to clarify uncertainties with follow-up concerns and to make use of the responses offered by participants to continually inform the evolving conversation.23 27 FCS (PhD), a university-based qualitative researcher with a specialist interest in well being services research but no specialist Hod. On an inverted microscope, an optical fiber was placed on understanding with the ambulance service, conducted the interviews. Participants were informed that participation was anonymous and told the study final results would be published. No non-participants had been present during the interviews. To market transparency, meticulous records from the interviews have been kept, interviews audio-taped and subsequently transcribed verbatim.28 To assist validate the data, parti.