patient care

A qualitative exploration of current paramedic cardiac auscultation practices

CA is a skill using both the bell and diaphragm of a stethoscope on the praecordium to identify both normal and abnormal sounds emanating from the heart. This is part of a complete examination of the...

Cooling of thermal burn injuries: a literature review

The use of the PICO technique (O'Connor et al, 2008) determined initial keywords around the topic and further synonyms were then generated. The chosen search strategy was ‘burns AND cool* AND outcome...

Paramedic views on clinical research in cardiac arrest

Of the paramedics who were eligible, 60% responded to the exit survey (n=101)..

What is the most appropriate out-of-hospital opioid for adults with traumatic pain?

Major trauma is a minor element of the total workload in emergency care, with estimations of less than 0.2% of the total workload (National Audit Office (NAO), 2010). Trauma such as dislocation,...

Norms of staff responses to falls in residential care

Through the current study, the authors aim to illustrate the first-line response to patient falls that is operational in the independent care sector in a specific region of North East England. This...

‘Have you had Viagra within the past 24 hours?’

Glyceryl trinitrate (GTN) is a nitric oxide (NO) donor, which can be used to provide immediate relief for cardiac chest pain, and lower blood pressure. Cardiac chest pain is usually as a result of...

Cardiac arrest and the role of transthoracic echocardiography

Massive acute pulmonary emboli (PE) is a reversible cause of cardiac arrest, with thrombolysis being the first line of treatment (British Thoracic Society, 2003). Occlusion of pulmonary blood flow is...

Reduction of a finger in the out-of-hospital arena?

Kovacs and Croskerry (1999) point out that clinicians use a variety and range of clinical decision-making approaches. These are dependent largely on the unique characteristics of individual clinical...

Paramedic management of out-of-hospital cardiac arrest secondary to hyperkalaemia

In this case study the author attended a 42-year-old male patient who complained of shortness of breath and fatigue. The patient's medical history was of intravenous drug use, myocardial infarction,...

Pre-hospital lactate testing in the recognition and management of sepsis and septic shock

A small ambulance station within South Western Ambulance Service NHS Foundation Trust (SWAST) was purposively selected to participate in the study based on its size, location, usual patient numbers...