Clinical Practice

Emergency primary and secondary systems of assessment

This study aimed to: Describe a system to identify the primary survey positive patientSignpost to guidance on the management of the primary survey positive patientIntroduce the SOAPC system for the...

An essential series on clinical decision-making on scene

The series will endeavour to address the key aspects of emergency and urgent care in the community setting, including an overview of trauma. Topics are set out in Box 1..

Pulse oximetry to predict the onset of acute mountain sickness: a literature review

The primary objective of this review is to establish the effectiveness and accuracy of pulse oximetry as a predictive tool for identifying the development of AMS during ascent to high altitudes..

Needle decompression in tension pneumothorax: anterior or lateral approach?

This literature review was conducted following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidance on identifying and including reviews of research and evaluation...

Patient-centred prescribing, autonomy and concordance

The following patient example provides a framework for discussion. The patient's name has been changed to ensure confidentiality, and only the information relevant to this article is presented. The...

Diabetic ketoacidosis in paediatrics: tools to assist in recognition of a sick child

Diabetes is a disorder of carbohydrate, protein and fat metabolism resulting from a lack of insulin or a reduction in its biological effects..

Happy hypoxia in COVID-19: pathophysiology and pulse oximetry accuracy

Dyspnoea is characterised by the sensation of uncomfortable or difficult breathing, breathlessness or experiencing air hunger (American Thoracic Society, 1999)..

Prescribing in mental health

Anxiety and depression are primarily managed with the use of selective serotonin reuptake inhibitors (SSRIs) such as sertraline and citalopram. The risk-benefit ratio of SSRIs has been shown to be...

Focused ultrasound in out-of-hospital cardiac arrest by advanced paramedics

Of the total number of OHCA emergency calls attended by the LAS for 2018, 1444 were also attended by an APP. The numbers of patients who underwent FoCUS were similar to those who did not (744/1,444:...

Non-medical prescribing by paramedics in emergency, urgent and critical care

In contrast to paramedic practice within primary care settings, advanced paramedics practising in emergency departments and in prehospital settings are more likely to encounter patients who require an...

Non-medical prescribing for paramedics in primary care

The scope of practice of a paramedic in primary care will vary between employer, and depend to some extent on what the paramedic is used for. Speaking from experience, the author's practice is mostly...

Clinical case review: out-of-hospital cardiac arrest following thyroid storm

The patient, a woman in her late 20s, suddenly collapsed at home without warning and was found to be unconscious and not breathing by her partner. Immediate basic life support was given via ambulance...