Clinical Practice

Pulse oximetry: SpO2 and SaO2

Arterial oxygen saturation or the discovered oxygen level in arterial blood (SaO2) is invasive, and it is difficult to monitor trends in a practice setting. In 1972, the idea of a non-invasive pulse...

Peak expiratory flow rate

Peak expiratory flow rate (PEFR) is the volume of air forcefully expelled from the lungs in one quick exhalation. It is a reliable indicator of ventilation capacity as well as airflow obstruction...

Airway management and endotracheal intubation by paramedics for cardiac arrest

Paramedics are trained in airway management, including in the skill of endotracheal intubation (ETI) in practice. Guidance is available to support paramedics regarding when and how ETI should be...

Combat Application Tourniquet: best practice use

A ‘tourniquet’ or CAT is a device designed to specifically occlude arterial and venous blood flow in an extremity. To do this, it uses a mechanical advantage device, differing from ligature type...

A review of ketorolac as a prehospital analgesic

Ketorolac is an NSAID, which has its action through the inhibition of prostaglandin synthesis. As an NSAID, ketorolac inhibits the action of the cyclooxygenase enzymes (COX-1 and COX-2), which...

Time for Dementia: an innovation in education

Time for Dementia (Banerjee et al, 2016) is an educational programme for undergraduate healthcare students including medical, adult and mental health nursing, and allied health professionals, as well...

Norms of staff responses to falls in residential care

Through the current study, the authors aim to illustrate the first-line response to patient falls that is operational in the independent care sector in a specific region of North East England. This...

‘Have you had Viagra within the past 24 hours?’

Glyceryl trinitrate (GTN) is a nitric oxide (NO) donor, which can be used to provide immediate relief for cardiac chest pain, and lower blood pressure. Cardiac chest pain is usually as a result of...

SAR helicopter paramedic practice: EtCO2 measuring to assist with CPR attempts

EtCO2 is the concentration of CO2 in exhaled air, and approximates the partial pressure of CO2 in arterial blood (PaCO2). Values of PaCO2 usually range between 4.6-6 KPa (Valente, 2010; Pantazopoulos...

Cardiac arrest and the role of transthoracic echocardiography

Massive acute pulmonary emboli (PE) is a reversible cause of cardiac arrest, with thrombolysis being the first line of treatment (British Thoracic Society, 2003). Occlusion of pulmonary blood flow is...

NICE: Advanced paramedics to ease pressures on A&E?

In order to make these recommendations, the guideline committee investigated whether enhancing the competencies of paramedics resulted in a reduction in hospital admissions and demand for emergency...