Clinical Practice

Regulatory impediments to the implementation of a community paramedicine programme in Virginia

What is CP? Put simply, it could be considered an expansion or realignment in the focus of EMS. An effective graphic representation of this change was included in the 2013 CP briefing for the EMS on...

Critical evaluation of advance statements from patients lacking mental capacity

In a series of cases, the English courts have recognised the legal effect at common law of advance statements. In the case of validity of an advance refusal of life-saving treatment, the courts will...

Paramedics and medicines: legal considerations

The HMR defines who can buy and possess medicines, and this is summarised in Appendix 1. There is an exemption for the purchase of general sales medicines; however, the supply chain for these...

Primum non nocere: first, do no harm

Protecting the public and enhancing patient safety is the first concern of the paramedic (Health and Care Professions Council, 2016). Patient safety is a challenge globally and requires knowledge and...

Flippin’ education: a new pedagogy for paramedic students?

More traditional methods of teaching teach the basics of a concept during classroom time and the student is expected to learn more deeply about the concept in self-directed study time. The basis of...

Exploring a possible incidence of neurogenic pulmonary oedema

Neurological conditions that cause an abrupt and rapid increase in ICP are closely correlated with, and therefore at greatest risk of, NPO (Davison et al, 2012).

Industrial paramedic: an emerging speciality?

‘155 workers killed annually—equating to three per week’ .

Which factors most influence demand for ambulances in South West England?

The model predicts that the number of regular fallers among older people is the most influential contributor to demand for ambulances in South West England. This factor is predicted to be over three...

Clinical care in the warm zone: a responder's perspective upon clinical practice in support of UK tactical medical operations

Remaining effective within the tactical environment requires clinicians to assess the effectiveness of their clinical practice, while continuously ensuring that their safety is not being compromised....