Features

Prehospital emergency anaesthesia: an introductory guide for paramedics

After completing this module, the paramedic will be able to: .

Cardiac arrest resources that improve patient outcomes

After completing this module, the paramedic will be able to:.

Mandatory vaccination for healthcare workers: an ethical dilemma?

Vaccine hesitancy is defined by the WHO as a ‘refusal or delay in vaccine acceptance despite availability of vaccine services’ (Butler and MacDonald, 2015)..

Ethics part 1: what do paramedics owe patients?

In 2013, a paramedic refused to attend a 999 call near the end of their shift, when no further resources were apparently available. It gained media attention, and following a 2-year suspension, the...

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...

Awareness and use of prone position for awake patients with suspected COVID-19

The study design was a cross-sectional survey, structured and reported using the ‘Strengthening the reporting of observational studies in epidemiology’ (STROBE) guidelines (Cuschieri, 2019) and...

Prehospital point-of-care biomarkers: missing link in acute myocardial infarction?

Preliminary searching of the extent of the literature determined that the body of evidence surrounding cardiac biomarkers in the prehospital setting was limited. Because the literature was so sparse,...

Spotlight on Research

Emergency medical services are frequently responding to care for younger children suffering from a convulsive disorder, but decision-making can be challenging in the out-of-hospital environment....

Spotlight on Research

Early recognition and defibrillation of shockable rhythms is strongly associated with survival in out-of-hospital cardiac arrest (OHCA), and is reliant upon rapid and accurate rhythm interpretation of...

Prehospital airway management

This commentary aims to critically appraise the methods used within the review by Carney et al (2021) and expand upon the findings in the context of clinical practice..

Point-of-care blood testing with secondary care decision support for frail patients

This pilot study evaluated a prototype service, which included immediate telephone decision support from senior physicians in paramedic assessments of frail patients in supportive care environments...

Acute medical condition of patients with femoral neck fracture

The age of patients with femoral neck fracture was significantly correlated with neurological condition (rho 0.10 (95% CI (0.07–0.13); P≤0.001; n=4701), indicating a rise in neurological impairment...