UK heatwaves are becoming more frequent due to anthropogenic climate change. July 2023 was globally the hottest month on record, with the temperature exceeding the long-term average by 1.8°C, topping...
The transition from student to qualified healthcare practitioner can be challenging, with previous studies identifying the initial transition phase as an especially emotionally turbulent time. It is...
The History, Electrocardiogram (ECG), Age, Risk factors and Troponin (HEART) score is widely used in emergency departments to categorise risk in patients with chest pain that is suspicious for a...
Prehospital acute pain management research in adults often focuses on analgesic administration: ‘what proportion of patients received an analgesic?’, ‘did a meaningful pain score reduction occur?’,...
Many paramedics will have raised their eyebrows upon entering the scene of a cardiac arrest to find bystanders performing chest compressions while the patient is lying supine on a springy mattress....
The practice of prehospital critical care teams has evolved rapidly over the last decade or more, but there remains only limited research to inform its practice..
Unplanned out-of-hospital births occur in approximately 0.5% of all UK births. They are associated with unfavourable perinatal outcomes and increased mortality. It is estimated that the UK ambulance...
Internationally, demand for emergency medical services (EMS) has changed, with increased activity often driven by patients with non-urgent medical conditions and those not requiring medical...
HIV is a disease of major importance in the UK—and despite increased HIV testing and a move towards earlier initiation of antiretroviral therapy, a reduction in new cases each year proved hard to...
Current guidelines recommend that when right ventricular myocardial infarction (RVMI) is present, nitrates should not be administered. The advice is predicated upon the risk that decreasing preload in...
Except for the RIGHT-2 study, pooled analyses of previous studies suggest that very early treatment with glyceryl trinitrate (GTN) of patients with acute ischaemic stroke or intracerebral haemorrhage...
Prompt and accurate decision-making is a necessity to deliver effective patient care. However, the impact of sleepiness during a nightshift may reduce cognitive functioning and clinical performance....
Femoral shaft and neck fractures are painful injuries which, if managed sub-optimally, can lead to a significant increase in length of hospital stay and overall mortality. Early management of these...
Recent studies suggest that in cases of serious trauma, reducing prehospital time could improve survivability of patients. An area of particular interest is the reduction in time spent on scene by...