Matthew Metcalf

HART Paramedic, South Western Ambulance Service Foundation Trust, Bristol

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Changing perspectives in the prehospital management of patients with severe burns

A literature review of the CINAHL, Medline and Cochrane databases was carried out using the keywords ‘burn*’ AND ‘cooling’ OR ‘hypothermia’ OR ‘airway’ OR ‘inhalation’ AND ‘emergency’. The results...

Ketamine administration by HART paramedics: a clinical audit review

In the UK, ketamine is primarily used as an in-hospital anaesthetic agent; but when used in small doses, can be an effective and safe analgesic (Motov et al, 2015). Unlike morphine, ketamine maintains...

Paramedic management of out-of-hospital cardiac arrest secondary to hyperkalaemia

In this case study the author attended a 42-year-old male patient who complained of shortness of breath and fatigue. The patient's medical history was of intravenous drug use, myocardial infarction,...