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

Understanding the risks associated with obesity and bariatrics

There has been an increase in the number of overweight patients over the last two decades. This article describes the differences between people who are overweight, obese or bariatric and explores how this can affect a person's health and wellbeing. It also provides guidance on manual handling and the management of service delivery for oversized patients.

A prehospital approach to intravenous fluid therapy in patients with sepsis

Sepsis is a life-threatening, acute condition that can lead to septic shock and haemodynamic instability; it can be fatal if not treated. It is usually a complication of a viral, bacterial and fungal infection. Patients may have severe chest, kidney and abdominal infections. Hypovolaemia is common in patients with sepsis and may lead to a poorer outcome, and early fluid expansion is often the first step in treating these patients, in line with the Sepsis Six guidance. Paramedics are often the first practitioners to attend these patients so are well placed to provide live-saving fluid resuscitation. This article focuses on intravenous fluid therapy in the prehospital setting for critically ill patients with sepsis, including considerations regarding a need for early fluid resuscitation and the choice and administration of fluid, as well as monitoring and assessing the patient response to this.

Prehospital triage tools in major trauma: a critical appraisal of a systematic review

Effective triage is critical to ensure patients suffering major trauma are identified and access a pathway to definitive major trauma care, which is typically provided in a major trauma centre as part of an established major trauma system. The prehospital triage of trauma patients often relies upon the use of major trauma triage tools; this commentary critically appraises a recent systematic review that sought to evaluate and compare the accuracy of prehospital triage tools for major trauma.

Headaches in emergency and urgent care

Headaches are a common disorder, are the fourth commonest reason for attending an emergency department (ED) and account for around 1% of 999 calls. They are often poorly managed. Paramedics will encounter patients with headache disorders regardless of where they work. These presentations, however, can challenge clinicians because of the complexities of assessment and the potential repercussions of missing a significant pathology. The vast majority of headaches that present to the ED are primary migraines. Nonetheless, paramedics need to be aware of the potential for sinister causes; around 0.5% of sinister headache pathologies are missed at first presentation. This article gives an overview of headache categorisation and diagnosis, discusses the characteristics of migraines given their prevalence, and outlines how to assess and manage patients in emergency and urgent care settings.

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