The provision of multimodal analgesia is a core concept in the management of acute and chronic pain. In the prehospital setting, non-steroidal anti-inflammatory drugs (NSAIDs) can be used alongside paracetamol and opioids to provide such analgesia. Ketorolac is an NSAID which can be administered by injection and is used internationally in civilian and military prehospital care. This CPD article discusses Ketorolac as an analgesic option 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.
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
In this two-part continuing professional development series, we explore the complex and often sensitive topic of clinical mistakes and events of avoidable patient harm—sometimes referred to as iatrogenic harm—which may occur in paramedic practice environments. As has been shown in part 1 of this series, the potential for mistakes and avoidable harm must be seen as a persisting risk within healthcare. Our response as paramedics must be one of empathy towards those involved in incidents of avoidable harm, and also one of duty to better understand the nature of risk and unintentional error within paramedic practice environments.
In this two-part continuing professional development series, we explore the complex and often sensitive topic of clinical mistakes and events of avoidable patient harm (sometimes referred to as iatrogenic harm), which may occur within the paramedic practice environment. Even the very best clinicians will make mistakes, and therefore we introduce the science behind why common unintentional mistakes can be made. We discuss how paramedics can better prepare themselves and their teams to more effectively prevent, respond to, and recover from unintentional mistakes that may occur in paramedic practice environments.
This article focuses on the physiological, emotional and behavioural response that is fear and considers how it impacts clinical practice. It may have some benefits; for example, the release of the stress hormone cortisol which can increase cognitive function and short-term memory improving information handling. Equally, it poses significant risks, such as loss of perspective, damage to clinician-patient rapport and information bias. The author considers how fear can affect the individual response to a threatening situation in the prehospital care environment and explores ways in which it can be managed.
What our readers say
- Monday, December 2, 2019
Background: Frontline paramedics are increasingly attending to non-emergency problems and calls...
- Monday, December 2, 2019
Background: Pelvic fractures occur in approximately 20% of all multi-system traumas and can lead to...
- Wednesday, October 2, 2019
The paramedic service responds to emergency calls for a variety of reasons, many relating to mental...
Leadership and management
- Monday, September 2, 2019
Introduction: A retrospective audit of electronic patient care records (ePCRs) highlighted the...
- Friday, August 2, 2019
Aim: The current review investigates the impacts of paramedic work on the family system. Paramedics...
- Tuesday, July 2, 2019
The NHS is a significant contributor to the UK's greenhouse gases and environmental pollution. The...