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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

End-of-life care part 1: implications for paramedic practice

Caring for patients who are approaching the end of life is an important part of the paramedic's role. Patients' circumstances are individual; for some, death is expected and may even a welcome (albeit sad) relief from a long period of pain and distress, while for others it is a tragic, unexpected outcome after every effort to prevent it has been exhausted. Regardless of circumstances, paramedics have to make wide-ranging clinical decisions, underpinned by a complex legal and regulatory framework. Paramedics generally have to obtain a patient's informed consent before proceeding with any intervention. They may be challenged if a dying patient refuses life-sustaining treatment or no longer has the mental capacity to consent and need to know the law on decision-making in these cases. This article discusses issues around capacity and consent at the end of life. The next article in this series considers issues such as advance decisions to refuse treatment and do not attempt CPR decisions.

Full Access Ethics and law in paramedic practice: boundaries of capacity and interests

Decision-making is central to the everyday practice of paramedicine. Paramedics must deliver appropriate clinical care within the boundaries of the law, clinical guidelines and evidence-based standards. They must also deliver care that is consistent with ethical standards and respectful of the expectations, preferences and beliefs of the patient. Paramedics are required to make these decisions within settings that are often disordered, uncontrolled and unpredictable, where all the relevant information and circumstances are not fully known. Decision-making in this environment is intended to provide care and treatment in the best interests of the patient. However, what should paramedics do when their intended, evidence based course of treatment is different from the patient's own wishes? More speci∼cally, how should they navigate these situations in the presence of complexities such as diminished mental capacity and end-of-life care? This article addresses these questions by exploring the relationship between healthcare ethics, health law and evidence-based practice in paramedicine.

Exploring the concept of ‘informed consent’ within the context of paramedic practice

The phrase ‘informed consent’ is used widely in healthcare. Practitioners ask their patients for their consent to a treatment or a diagnostic or monitoring procedure and, if consent is given, will document this. There is a general understanding that consent is a prerequisite for care and signifies the patient’s permission for the paramedic to proceed with assessments and other therapeutic interventions. Obtaining the patient’s informed consent is fundamental to contemporary healthcare: what is informed consent and why is it so important? This article explores the meaning of consent in practice and the purpose it serves. It will then go on to consider complex circumstances, including emergencies, young people aged under 18 years, when a patient is unable to give consent or where a person has capacity to consent but refuses.

Hand hygiene and stopping the spread of COVID-19

Health professionals' lack of compliance with hand hygiene is a problem in both hospitals and emergency medical services. The 2019 coronavirus disease (COVID-19), caused by SARS-CoV-2, is spreading around the world and practitioners must play their part to contain the outbreak. Hand hygiene is one of the most important measures to prevent the transmission of SARS-CoV-2 and stop the spread of COVID-19. A range of products (including alcohol-based handrub and personal and respiratory protective equipment), procedures and strategies can improve compliance with hand hygiene in emergency medical services. Incorporating hand-hygiene strategies into policy can help providers to improve compliance. Effectiveness of infection prevention and control measures should be assessed by audit. All health professionals should contribute to improving infection prevention and control, including in the prehospital environment and during transfer between settings.

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