assessment

Moving sepsis care to the front line: knowledge and views of pre-hospital clinicians

‘Similar to an acute myocardial ischaemic attack and an acute brain attack, the speed and appropriateness of therapy administered in the initial hours after the syndrome develops are likely to...

A pilot study exploring the accuracy of pre-hospital sepsis recognition in the North East Ambulance Service

It is estimated there are at least 100 000 cases of severe sepsis each year in the UK, although the true prevalence of sepsis may be higher due to under recognition (Cronshaw et al, 2011). Mortality...

A brief guide to borderline personality disorder for pre-hospital clinicians in an emergency setting

Borderline personality disorder is termed a ‘serious psychiatric disorder’ (Perseius et al, 2007) and is associated with a high rate of suicide. It is associated with transient mood shifts,...

Infections of the heart and how they relate to the ambulance service

Pericarditis is the inflammation of the pericardium around the heart. Pericarditis can be broken down into two major groups that cause this disease: infectious (accounting for two thirds of the...

Airway management in UK ambulance services: results of the National Ambulance Service Airway Management Audit

An internet-based survey entitled the National Ambulance Service Airway Management Audit was created using the Bristol University Online Survey Tool (University of Bristol; www.survey.bris.ac.uk). The...

Adrenal insufficiency: improving paramedic practice

The prevalence of adrenal insufficiency in the UK is 110 to 120 per million and rising (Simmons–Holcomb, 2006). Chakera and Vaidya (2009) observe that Addison's disease has an incidence of 4.7–6.2 per...

Pre-hospital assessment and treatment of meningococcal meningitis

Because bacterial meningitis is life-threatening, early diagnosis and treatment is vital (Brouwer et al, 2012)—the necessity of which is underlined in a study that demonstrated an association between...

The use of telemedicine technology to support in pre-hospital patient care

Before reviewing the available technology, it is worth briefly outlining the history of technology in medicine, referred to as ‘telemedicine’. Utilising technology for health care is actually an old...

Pulse oximetry in the pre-hospital setting

Oxygen transportation occurs when there is a diffusion of gases that move from higher concentrations to lower concentrations. The oxygen content of blood is bound to haemoglobin and is dissolved in...

Is there scope for an observational pain scoring tool in paramedic practice?

Pain scoring and indeed pain management has widely been studied in the pre-hospital environment, with many different aspects explored. These include paramedic perspectives (Jones and Machen, 2003),...