patient care

Paramedics' perceptions and experiences of NHS 111 in the south west of England

A qualitative research design was adopted, and seven frontline paramedics working within South Western Ambulance Service Foundation Trust (SWASFT) were recruited to the study. They met the inclusion...

Point-of-care testing by paramedics using a portable laboratory: an evaluation

The specific aim of the current project was to safely reduce the number of patients conveyed by SECAmb to the ED and thereby improve the patient experience. Having reliable pathology diagnostics...

Changing perspectives in the prehospital management of patients with severe burns

A literature review of the CINAHL, Medline and Cochrane databases was carried out using the keywords ‘burn*’ AND ‘cooling’ OR ‘hypothermia’ OR ‘airway’ OR ‘inhalation’ AND ‘emergency’. The results...

Improving pressure ulcer risk identification: a pilot project by ambulance staff

The project adopted a pragmatic, systematic approach to methods and used a formal ‘Plan, Do, Study, Act’ improvement methodology. This was influenced by traditional models of quality and safety...

Improving post-resuscitation care after out-of-hospital cardiac arrest

With the aim of identifying literature and evidence relevant to OHCA and post-resuscitation care, online searches of PubMed, the National Institute for Health and Care Excellence (NICE) using NHS...

A cross-sectional study of child injury ambulance call-out characteristics and their utility in surveillance

In 2016–2017, there were 16 285 injury-related ambulance call-outs to 0–14 year-olds in the north west of England (20.6% of all call-outs to 0–14 year-olds). The majority were unintentional injuries...

Is prehospital lactate testing useful in improving clinical assessment?

A literature search was conducted on several occasions between October 2017 and May 2018, using the Medline, CINAHL, Sciencedirect, Scopus and Academic Search Premier databases, which were accessed...

Fascia iliaca compartment block versus IV morphine for femoral fracture pain

A systematic review of the literature was conducted in compliance with the PRISMA statement (Moher et al, 2009). The review was performed on the following databases: CINAHL, Medline, AMED, PubMed,...

Cerebral oximetry monitoring in OHCA

Cerebral oximetry uses near infrared spectroscopy (NIRS) to measure transcutaneous cerebral tissue oxygen saturation. This reflects perfusion in the cerebral microcirculation (Genbrugge et al, 2016)....

Adult intraosseous access: a comparison of devices

The following medical literature databases were searched: Allied and Complementary Medicine Database (AMED); British Nursing Index (BNI); CINAHL Plus; Cochrane Library; Medline; and PubMed. A range of...