Pete Gregory

Consultant Editor, Journal of Paramedic Practice; Worcestershire, UK

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Capillary refill time measurement

Traditionally, CRT is measured on the pulp of a digit; however, the sternum and forehead are also areas of common usage. In the assessment of tissue perfusion below the site of an injury, naturally,...

Building a picture of patients' health status one assessment at a time

The findings of various patient assessments must be combined to make sense of the patient's overall condition.

Spotlight on Research

In prehospital emergency care, the evidence of underuse of analgesics in the face of valid indication (oligoanalgesia) remains a problem. Where issues around vascular access contribute to...

Spotlight on Research

Recent trials exploring the effectiveness of cardiac arrest drugs suggest that the effects are time-dependent, and that earlier drug administration may improve outcomes. Gaining intravenous (IV)...

Spotlight on Research

Alcohol-related harm—whether acute or long-term—has provided a significant challenge for populations and healthcare services across the UK..

Spotlight on Research

Recent reports of the Lancet Countdown on health and climate change discuss the unequivocal contribution of ill-health and healthcare towards rising global temperatures and vice versa. The NHS has a...

Spotlight on Research

Acute heart failure (AHF) is characterised by new onset of heart failure or worsening heart failure presenting with cardiorespiratory symptoms. It is difficult to diagnose in the prehospital...

Spotlight on Research

Peripheral intravenous catheters (PIVCs) are invasive devices that are widely used by paramedics for the administration of intravenous (IV) therapy; however, adverse events including PIVC-associated...

Spotlight on Research

In recent years, the technology of performing point-of-care ultrasound (POCUS) has become increasingly accessible and has found increasing application in ambulances, helicopters, wilderness, and other...

Spotlight on Research

Data indicate that adult patients suffering from suspected seizures are often conveyed to the emergency department (ED) with no clinical need. In England, ambulance services respond to around 211 000...

Spotlight on Research

Everybody has an opinion on NHS 111, especially those working in ambulance services. Following piloting, the system was formally launched in 2014 to alleviate the burden on emergency departments and...