patient care

Organisational structural predictors of ambulance crashes: an analysis

This study's results add to the collective understanding of factors associated with ambulance crashes, which may inform future action to intervene and create a safer environment of care for EMS...

Paramedic adult pain assessment: pilot study

There were 30 (85.7%) male and 5 (14.3%) female participants. Thirty-two (91.4%) of the 35 participants were ambulance paramedics and three (8.6%) were CCPs. Thirteen (37.1%) of the participants had...

Chest compression efficacy of child resuscitators

In a cardiac arrest, a 911 dispatcher can often coach a bystander to perform chest compressions if CPR has not been initiated. In the case that a lightweight resuscitator such as a child has made the...

Racial disparities in emergency care for seizures in the United States

This study uses EMS data from the 2017–2019 NEMSIS V3.5.0 database to perform a retrospective cross-sectional analysis. NEMSIS is a national database funded by the National Highway Traffic Safety...

Community paramedicine home visits: patient perceptions and experiences

The main aim of this research was to ascertain patient perspectives and experiences of SP-delivered home visits, achieved through the following objectives:.

Prehospital osmotherapy in isolated traumatic brain injury: a systematic review

TBI is the leading contributor to mortality, morbidity and disability globally, accounting for 30% of injury-related deaths in those aged 18–45 (Mangat, 2018). TBI is a national health priority, as...

Focused cardiac ultrasound in out-of-hospital cardiac arrest: a literature review

Although the use of ultrasound is well established in hospitals, it did not emerge in the prehospital environment until the 1990s in the United States. Furthermore, paramedic use of ultrasound has...

Feasibility of phenytoin as a paramedic-led second-line anti-epileptic drug

Although phenytoin is common in emergency department management, prehospital research and published evidence of its use is limited. A literature search was conducted using PubMed and Google Scholar...

Prehospital thrombolysis for STEMI where PPCI delays are unavoidable

Benger's (2016) research for the National Institute For Health Research (NIHR) noted that more than 30 000 cardiac arrests occurred outside the hospital in England every year (Benger, 2016; Out of...

Development of V-FAST: a vision screening tool for ambulance staff

A prospective, cross-sectional comparative study was undertaken in two geographically separate ambulance services in the NWAS. Members of this ambulance service had completed the online education...

Prehospital sepsis care in Ireland: an audit

All PCRs from patients assessed by DFB prehospital practitioners in the week starting 27 March 2017 were manually examined by an independent researcher to identify patients with potential sepsis or...

Treating sepsis in the emergency prehospital setting with IV antibiotics

The aim of this study was to illuminate the views of medical directors in NHS ambulance services, associated with the use of IV antibiotics to treat prehospital sepsis..