patient care

Pre-hospital care of the transgender patient

The Royal College of Psychiatrists Working Group, which comprises a multidisciplinary team collectively define gender dysphoria as ‘the distress associated with the experience of one's personal gender...

Therapeutic hypothermia in cardiac arrest

It is important to understand how the body is affected at the time of cardiac arrest and during the reperfusion that occurs following successful resuscitation. While achieving a ROSC in OHCA is not a...

The new Red 1 ambulance response time definition: evaluating clinical impact

The aim of the evaluation was to assess whether the new Red 1 definition had an impact on the patients that receive a Red 1 response..

Integrating the 6Cs of nursing into paramedic practice

After taking it to the wider team, we could see where it linked to each area of practice we were teaching and set about embedding it into all of our practice placements and linking it to our teaching...

What are family member experiences of the resuscitation of a relative?

A systematic review methodology was used to examine primary research studies from a qualitative perspective, and gain insight into the feelings and perceptions of family members who witness an adult...

Is full pre-hospital spinal immobilisation best for the patient? A review of current controversies

Porth and Matfin (2008) describe SCI as damage to the neural elements of the spinal cord. SCIs are commonly classified using the American Spinal Injury Association (ASIA) Impairment Scale (Figure 1)...

Care of dying adults in the last days of life: NICE clinical guideline

This guideline, which in part replaces content and the format of the recently disfavoured Liverpool Care Pathway, aims to improve EoLC for people in their last days of life, where paramedics are...

End-tidal CO2 monitoring in the pre-hospital environment: more than just endotracheal tube placement confirmation

Measurement of carbon dioxide in expired ventilation gases has been used in anaesthesia practice since the late 1970s (Sinclair, 1998) and is mandatory practice in anaesthesia departments across the...

Mass-gathering medical care: a retrospective analysis

‘Protecting the health and wellbeing of the participants and spectators from infection and intentional injuries related to improper food, water, waste, land and road traffic management’ .

Challenges of postpartum haemorrhage: a case study in the aeromedical retrieval environment

Postpartum haemorrhage (PPH) is the main cause of nearly 25% of maternal deaths worldwide (World Health Organization, 2012). The Royal College of Obstetricians and Gynaecologists (RCOG) categorise PPH...