Clinical Practice

Which resuscitated patients benefit from PPCI after out of hospital cardiac arrest?

“Which resuscitated patients benefit from PPCI after an out of hospital cardiac arrest?” .

Pre-hospital management of pain associated with an acute sickle cell crisis

In 2004, the London Ambulance Service conducted a clinical audit of SCD patients. The review showed that subjective pain scoring was recorded poorly by crews and that eligible patients did not receive...

Future of digital technology in paramedic practice: blue light of discernment in responsive care for patients?

In an ever-increasingly digital society, the profile of IT literacy of patients seen in everyday paramedic practice is a significant factor in how they approach understanding their medical conditions...

PTSD, available support and development of services in the UK Ambulance Service

A methodical literature search using well known related databases was undertaken to acquire access to a sufficient information pool, enabling the exploration and formulation of practice...

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,...

Appropriateness of action learning in the physical and virtual spaces: a discussion

Action learning is attributed to the British researcher Reginald Revans, who during his time as a research student at Cambridge University in the 1940s (Revans, 1982), worked alongside a talented...

Community paramedics: need of legal education specific to the pre-hospital non-emergency environment (discussion based on Texas)

Community paramedicine institutes medical monitoring, treatment, and interventions performed by a paramedic into the home setting (White and Wingrove, 2012). However, community paramedicine also...

Patient confidentiality and safety: a classic conundrum

An ability to account for our actions with a clear evidence base is a crucial component of professional accountability (Gallagher and Hodge, 2012) and reflected in a healthcare professional's code of...

Can paramedics avoid A&E departments with patients complaining of non-traumatic chest pain?

It is assumed paramedics can safely identify those chest pain patients who are critically ill: those that are hemodynamically unstable for example, as well as most of the life-threatening aetiologies...

Non traumatic chest pain – pericarditis

‘Pericarditis is an inflammation of the two layers of the thin, sac-like membrane that surrounds the heart. This membrane is called the pericardium, so the term pericarditis means inflammation of...

Ultrasound: A potential new approach for cardiac arrest management

Eight studies were evaluated to review the use of pre-hospital ultrasound. The OHCA studies reviewed evaluate the use of US both in and out-of-hospital. The evidence was reviewed using the Critical...

Efficacy and safety of methoxyflurane: managing trauma associated pain in UK SAR helicopter paramedic practice

The PRISMA system is the accepted methodology for systematic reviews; it is primarily focused on evaluating randomised trials and synthesising meta-analysis (PRISMA, 2015). It became apparent early in...