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

Effects of nebulised beta-2 agonists on clinical observations in asthma exacerbations

Despite concerns over their side effects, short-acting beta-2 agonists are still used in high doses in prehospital care internationally to treat asthma exacerbations. This systematic review set out to identify the physiological effects associated with this treatment and determine their potential impact on the patient's presenting or underlying conditions.

Stroke: aetiology, identification, management and the future

Stroke is a significant clinical event and a medical emergency. More than 100 000 individuals in the UK experience a stroke annually, with one in four strokes occurring in people of working age. Stroke care costs the UK economy £25.6 billion a year. Evidence suggests that 90% of strokes are preventable, and there are some key modifiable risk factors. Stroke assessment and management are improving, with new pharmacological and surgical treatments, including mechanical thrombectomy. Recent advances in the use of technology and artificial intelligence for rapid radiological interpretation to aid decision making are fundamentally improving stroke management. A strategic stroke framework was launched in 2021, with the aim of improving care throughout the whole stroke pathway from prehospital management to rehabilitation and recovery. This paper outlines the aetiology of acute stroke in adults, related conditions, risk factors, assessment, treatments and financial implications, and discusses the new frameworks for stroke care as they apply to prehospital practice.

Rhabdomyolysis and elderly fallers

Elderly people who have fallen make up a large proportion of the ambulance workload: falls and fall-related injuries are prevalent within the older population, with half of those aged >80 years falling annually. Rhabdomyolysis is a common and potentially life-threatening condition, which has many causes. It occurs when the contents of skeletal muscle are released into the bloodstream and cause an obstructive cast in the glomerulus, leading to acute tubular necrosis and acute kidney injury. Of the multiple causes of rhabdomyolysis, significant ones are statin use and falls where elderly people are immobile for prolonged periods of time. However, a large number of patients are discharged by ambulance crews following long-lie falls, and they are more likely to request ambulance reattendance in the following month and have increased mortality rates following discharge from ambulance crews. Rhabdomyolysis often occurs after the initial fall, so emphasis should be placed on recognising not only the condition but also those at increased risk of developing it.

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