The only practical CPD journal for paramedics

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About Journal of Paramedic Practice

Journal of Paramedic Practice (JPP) is the only monthly peer-reviewed journal dedicated to the clinical and professional needs of paramedics. It is a vital resource for helping paramedics enhance their professional knowledge and stay ahead of all their continuing professional development (CPD) requirements.

Latest CPD

Achieve your CPD with JPP We offer a programme of 12 online reflective practice CPD modules per year. In consultation with experts, the online CPD modules will aim to cover core topics of practice relevant for paramedics, including the key area of pharmacology. Website subscribers can access our latest and archive modules, a selection of which can be found below. Subscribe Today

α1-adrenoceptor antagonists and 5α-reductase inhibitors for urinary tract symptoms in benign prostatic hyperplasia

Benign prostatic hyperplasia is a condition that develops in the majority of men and is by some estimates is the most prevalent of all minor ailments. A healthily functioning prostate is important for the workings of the male reproductive and urinary systems. The most frequently prescribed first-line pharmacological treatments for lower urinary tract symptoms attributed to benign prostatic hyperplasia are α1-adrenoceptor antagonists and 5α-reductase inhibitors; surgery can also be carried out. Expert consensus and a strong body of evidence show these drugs are safe and effective. However, they come with a variety of side-effects so patients' priorities and lifestyles will influence pharmacological management.

Digital health evolution and application: astronauts, starlings and Hedwig Kiesler

Digital health technologies in the NHS have had a largely leisurely uptake over recent years. The COVID-19 pandemic, however, witnessed a sharp rise in their application, with remote clinical consultations in primary, secondary and tertiary care being undertaken using readily available software. Similar applications have supported the implementation of virtual wards, enabling early supported patient discharge, and numerous examples of home health technologies have enabled patients to be monitored remotely for range of health conditions. There are several terms for digital health, including telemedicine, e-health and telecare. While the pandemic contributed to the rise in digital healthcare, many of these technologies have been in existence for several years. This paper will briefly explore the history and evolution of digital health technology and discuss a number of key policies and guidance documents in some detail, including their impact on urgent and prehospital practice.

Respecting an autonomous decision to refuse life-saving treatment: a case study

Autonomy is a key principle in biomedical ethics, giving patients the right to be involved in their own care. Professional autonomy allows paramedics to make critical decisions around patient care in an emergency, enabling them to provide life-saving treatment. A patient's autonomy can conflict with that of a paramedic, leading to complex ethical challenges, which can affect the way a paramedic performs their duty of care. An autonomous patient has the right to refuse treatment, creating ethical challenges for paramedics. An autonomous patient's decision to refuse treatment, even if it may seem unwise, must be respected in accordance with the Human Rights Act 1998.

Mitigation of risk, effective communication and scene management of major incidents

Communication and collaborative working between emergency services at the scene of a major incident are paramount to gain the best outcome for patients and the wider public. This module aims to improve knowledge around joint emergency service interoperability principle (JESIP) and the importance of interoperable working between agencies, the various roles involved and the fundamental guidelines of risk assessment, safety, and management of a hazardous scene.

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