assessment

Can paramedics avoid A&E departments with patients complaining of non-traumatic chest pain?

It is assumed paramedics can safely identify those chest pain patients who are critically ill: those that are hemodynamically unstable for example, as well as most of the life-threatening aetiologies...

Non traumatic chest pain – pericarditis

‘Pericarditis is an inflammation of the two layers of the thin, sac-like membrane that surrounds the heart. This membrane is called the pericardium, so the term pericarditis means inflammation of...

Ultrasound: A potential new approach for cardiac arrest management

Eight studies were evaluated to review the use of pre-hospital ultrasound. The OHCA studies reviewed evaluate the use of US both in and out-of-hospital. The evidence was reviewed using the Critical...

Frank's Sign as a clinical marker of cardiovascular disease

A diagonal earlobe crease (DELC) or Frank's Sign, has been linked with ischaemic heart disease since it was first described in 1973 by Dr. Sanders Frank (Frank, 1973). A classification system has...

Stay on the ambulance long enough and you'll go full circle: an evaluation of the clinical safety and effectiveness of non-emergency and multi-occupancy ambulance conveyance in non-emergency percutaneous coronary intervention patients

Identification of previous studies within UK Ambulance Services was undertaken initially to identify any data to support or refute the proposed study. A similar study was identified internally with...

Appropriate pain assessment tools for use in patients with dementia in the out-of-hospital environment

Defining pain is complex; however, it is generally agreed to be an unpleasant, emotive and personal experience (Briggs, 2010; Steeds, 2013). Pain is generally split into two categories: nociceptive...

Pre-hospital risk stratification using a modified thrombolysis in myocardial infarction score: a retrospective medical record review

A retrospective medical record review was conducted using an established methodological approach (Gearing et al, 2006)..

The diagnosis and management of acute cluster headache in the out-of-hospital environment

A review of contemporary literature on cluster headaches has been conducted to inform this article, specifically keeping in mind that any development of practice needs be carefully balanced with...

A critical appraisal of the assessment and management of psoriasis

Psoriasis is a chronic inflammatory skin disease that is considered to have a genetic influence; however, Raychaudhuri (2013) suggests that the aetiology of psoriasis remains unknown, and that only a...

Ambulance clinician assessment and management of transient loss of consciousness: a retrospective clinical audit

In August 2010, NICE published guidance on the management of T-LOC in adults and young people. The NICE guidance aims to ensure T-LOC patients are directed along the appropriate pathway to receive the...

Spotlight on Research

With the advent of stroke centres and the increasing use of reperfusion therapies in stroke management, the need to correctly identify strokes in a timely manner is vital in reducing subsequent...