Clinical Practice

Effect of blood pressure on stroke severity and outcomes in acute cases

To produce the evidence required for discussion of the research question, a literature search was carried out. CINAHL Complete and MEDLINE Complete were searched, using the terms in Table 1. The...

Cranial nerves: part 2

Following last month's article, which covered cranial nerves I–VI, cranial nerves VII–XII will be explored and their assessments detailed in this issue. The cranial nerve examination may form part of...

Triage system performance: consistency and accuracy in the emergency centre

Reliability in broad terms refers to the consistency of quality and performance (Oxford Dictionary, 2020a). Regarding triage, this concerns a measure of standardised application as well as the...

A rare condition with excellent outcome—if treated correctly: examining cardiac arrest from accidental hypothermia

I have been actively involved with accidental hypothermia since 2011, have co-authored several publications, lectured and recently updated the hypothermia section in the JRCALC Clinical Guidelines. I...

Cranial nerves: part 1

The articles in this series, which can be torn out for use in practice, are intended to support clinician development and to assist in the overall assessment of patient presentations. The information...

Physical health in mental health: considerations for paramedics

The World Health Organization (WHO) (2018) identifies three broad areas that influence health:.

Clinical exam: an introduction

The articles are intended to support clinician development and to assist in the overall assessment of patient presentations. The information should be used to support consideration of differential...

Salutogenesis: the case for a holistic tool for paramedic assessment of wellness

Salutogenesis is an approach to conceptualising wellness that examines health as a continuum and considers a multifactorial approach to determining an individual's health status (University West...

Non-invasive ventilation as a prehospital intervention for acute COPD exacerbation

The clinical forms of COPD are chronic bronchitis and emphysema, although guidelines discourage differentiation between the two forms when making a diagnosis (NICE, 2010). Chronic bronchitis is...

Oxygen titration therapy and hypercapnia risk in COPD

Evidence suggests that high amounts of oxygen administered to patients with COPD can lead to hypercapnia (high levels of arterial carbon dioxide), potentially resulting in respiratory acidosis (Perrin...

Clinical suspicion regarding needle decompression for patients with chest trauma

Needle decompression of the chest (also known as thoracocentesis or thoracentesis) is a manoeuvre to release abnormal air from the pleural space. Prehospital needle decompression is only indicated for...

Prehospital emergency anaesthesia: time taken to care for and respond to a critically injured patient

One of the first questions raised when researching PHEA is: what is it best referred to as? The SOP produced by Pinnell and Pountney (2015), followed by the ambulance trust, is so titled, but refers...