care pathway

Prehospital management of sickle cell crisis: a case report

A 10-year-old Afro-Caribbean boy arrived home feeling unusually tired after playing football at school. He went straight to sleep but was woken at 17:00 with a sudden onset of intense pain (rated at...

Excited delirium syndrome

While the pathophysiology of excited delirium syndrome is complex and poorly understood (Li et al, 2019), it has two common potential triggers: acute drug use; and psychiatric illness (Ordoobadi and...

Adrenal insufficiency: a review

A 21-year-old woman called 999 for an emergency ambulance complaining of dizziness, nausea, vomiting and mild abdominal discomfort. An advanced paramedic was dispatched to assess the patient with the...

Understanding right ventricular myocardial infarction in prehospital care

To understand RVMI, it is necessary to look at the function of the right ventricle. According to Gupta et al (2013), the dominance of the coronary artery can be either right, left or balance. A study...

Miscarriage, SUDI and neonatal death: paramedic experience and practice

The literature review was conducted using Google search and focused on paramedic practice and baby loss. The search included a focus on academic papers and books from across the social and medical...

Paramedic use of IV amiodarone to terminate supraventricular tachycardia

Transient SVTs are known as paroxysmal SVTs (PSVTs). Table 1 outlines the commonly encountered regular and irregular narrow complex tachyarrhythmias. Atrial flutter can be either regular or irregular,...

How accurate is the prehospital diagnosis of hyperventilation syndrome?

The study included a consecutive series of patients and was similar to a cohort study, which corresponds to a single-gate diagnostic accuracy study design (Rutjes et al, 2005). A retrospective...

Triage system performance: consistency and accuracy in the emergency centre

Reliability in broad terms refers to the consistency of quality and performance (Oxford Dictionary, 2020a). Regarding triage, this concerns a measure of standardised application as well as the...

Physical health in mental health: considerations for paramedics

The World Health Organization (WHO) (2018) identifies three broad areas that influence health:.

Salutogenesis: the case for a holistic tool for paramedic assessment of wellness

Salutogenesis is an approach to conceptualising wellness that examines health as a continuum and considers a multifactorial approach to determining an individual's health status (University West...

Decision making for patients categorised as ‘amber’ in a rural setting

The study explored the experiences of paramedics working in rural areas. A qualitative design was used to provide depth and richness. Data were analysed through inductive thematic analysis (Braun and...

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...