Clinical Practice

Pre-Hospital Advanced Cadaveric Trauma Skills (PHACTS) Course review

The course is specific to trauma skills training in the pre-hospital setting and focuses on providing delegates with exposure to those skills that are rarely performed. As well as hands on skills, the...

Where is the paramedic profession going with pain management?

As defined in the Oxford Dictionary, pain is a ‘highly unpleasant physical sensation caused by illness or injury’ (Stevenson, 2010). This is further compounded by Jones and Machen (2003) who identify...

Transporting the paediatric intensive care patient: an insight into CATS

St John Ambulance (SJA) is the sole provider of ambulance services to the paediatric retrieval team at CATS and the crews providing the service are based on site at the Great Ormond Street Hospital....

Analysis of pre-hospital consultations with crowd medical services at Premier League football club Fulham

Craven Cottage is the home stadium to Fulham FC, a Premiership football club situated in south west London, England. The club was started in 1879. In 1896, after two years of development, the club...

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...

A critical appraisal of the assessment and management of psoriasis

Psoriasis is a chronic inflammatory skin disease that is considered to have a genetic influence; however, Raychaudhuri (2013) suggests that the aetiology of psoriasis remains unknown, and that only a...

Pre-hospital resuscitation: what shall we tell the family?

Including family members during resuscitation has been shown to be beneficial. Relatives watching the efforts of emergency staff could be assured that great effort is being made to save the life of...

Legal and professional boundaries: a case study

Laura is 29 years old and has schizophrenia. She is also 30 weeks pregnant. Her partner (Simon) has called 999—she has not been taking her medication for several days as she wrongly believed it might...

Ambulance clinician assessment and management of transient loss of consciousness: a retrospective clinical audit

In August 2010, NICE published guidance on the management of T-LOC in adults and young people. The NICE guidance aims to ensure T-LOC patients are directed along the appropriate pathway to receive the...

Spotlight on Research

With the advent of stroke centres and the increasing use of reperfusion therapies in stroke management, the need to correctly identify strokes in a timely manner is vital in reducing subsequent...