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.
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
buccal midazolam and rectal diazepam are used as first-line drugs to control seizures in children. Immediate treatment and management of a continuing seizure is vital to ensure its safe, effective and prompt termination.
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 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.
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.
The paediatric assessment triangle (PAT) is an internationally accepted tool in paediatric life...
This article outlines changes that have been made to the patient assessment primary survey for...
In each issue, the paramedic education team at Edge Hill University focuses on the clinical skills...
CaseA paramedic team was requested to attend a children's party when a previously healthy...
Traumatic cardiac arrest (TCA) is a rare event in the pre-hospital setting and has a varied...
Background: Fascia iliaca blocks (FIBs) are an efficacious form of prehospital regional anaesthesia...
Background: There is increasing demand for access to mental health support services both for...
Background: Chest compressions are one of the few interventions proven to improve survival from...
Background: To protect healthcare providers during the COVID-19 pandemic, substantial changes were...
Background Mental ill health among ambulance staff is widespread. Evidence suggests that, with the...
Exsanguination places a considerable strain on trauma systems worldwide, and is estimated to be...
Vaccines are advocated as the best defence against COVID-19. While most NHS staff, including...
Comment
The biology of grief
Beyond hype to reality
Strike action
The Saunders report into the Manchester arena attack
Paramedic framework for learning and assessment
World AIDS day