Clinical Practice

Allied health professional confidence in giving prehospital fascia iliaca blocks

The primary aim of this study was to determine factors affecting AHPs' confidence in administering FIBs in patients with a suspected neck of femur fracture in a prehospital setting..

Challenges of prehospital silver trauma patients

Falls are the primary cause of trauma in older people, causing a multifactorial geriatric syndrome including major trauma despite low mechanism of injury (Saxton et al, 2019). Factors such as frailty,...

Prehospital emergency health services in Qatar

Qatar is located on a 160 km-long peninsula on the west coast of the Persian Gulf. Islands included, it occupies 11 493 km2 of land (Bener and Mazroei, 2010). While the country's economy was based on...

Attempting to prevent hyperoxaemia after out-of-hospital resuscitation

This literature review has limitations. A systematic review was not possible because of financial restraints. However, by following a detailed methodology and recording the steps taken, a valid...

Paramedic decision-making and the influence of bias: a case study

This incident was assigned to us at 22:25, 35 minutes before our shift was due to finish. We were tired, and our desire to finish on time made us acutely aware of how close this was to the end of our...

Prehospital management of sickle cell crisis: a case report

A 10-year-old Afro-Caribbean boy arrived home feeling unusually tired after playing football at school. He went straight to sleep but was woken at 17:00 with a sudden onset of intense pain (rated at...

Use of specialist paramedic dispatch in emergency ambulance control

The aim of this study was to highlight the key differences between the triage and dispatch processes of specialist resources, to establish if the findings support the use of one model over another to...

Excited delirium syndrome

While the pathophysiology of excited delirium syndrome is complex and poorly understood (Li et al, 2019), it has two common potential triggers: acute drug use; and psychiatric illness (Ordoobadi and...

Intravenous ketamine as an analgesia in prehospital adult trauma patients

The author independently chose to conduct a systematic literature review as it allows simultaneous searches of electronic databases while being the most effective method to find the best current,...

Assessment and management of issues in early pregnancy

Common benign causes of abdominal pain include bloating, constipation and round ligament syndrome (Hopcroft and Forte, 2003)..

Adrenal insufficiency: a review

A 21-year-old woman called 999 for an emergency ambulance complaining of dizziness, nausea, vomiting and mild abdominal discomfort. An advanced paramedic was dispatched to assess the patient with the...

Legal aspects of prescribing

Paramedic independent prescribers may currently legally prescribe all licensed medicines and off-licence/off-label licensed medicines for accepted clinical uses where no alternative is available, but...