case study

Respecting an autonomous decision to refuse life-saving treatment: a case study

‘in which autonomous patients are choosers who act intentionally, with understanding, and without controlling influences that determine their actions’. .

Paramedic management of out-of-hospital cardiac arrest secondary to hyperkalaemia

In this case study the author attended a 42-year-old male patient who complained of shortness of breath and fatigue. The patient's medical history was of intravenous drug use, myocardial infarction,...

Asthma, infection and the World Anti-Doping Agency: a case study

A medical model approach was used to examine the patient, which consisted of thorough history taking (Douglas, Nichol and Robertson 2013). This indicated a one-week history of productive cough with...

Diagnosing and imaging renal calculi: what can be done in the pre-hospital environment?

The case study describes a 48-year-old female who called 999 with symptoms descriptive of renal colic. The pain had started during the night, coming in waves and had worsened throughout the morning....

Legal and professional boundaries: a case study

Laura is 29 years old and has schizophrenia. She is also 30 weeks pregnant. Her partner (Simon) has called 999—she has not been taking her medication for several days as she wrongly believed it might...

Exploring the role that autonomy plays in achieving a good death: a case study

‘You matter because you are you, and you matter to the end of your life’ .

Essex and Herts Air Ambulance: a focused case series for pre-hospital practice

The EHAAT doctor-paramedic team were dispatched to a 10-year-old girl who had been struck by a medium-sized van travelling at an unknown speed. Upon arrival of the first ambulance crew, the patient...

Challenges of postpartum haemorrhage: a case study in the aeromedical retrieval environment

Postpartum haemorrhage (PPH) is the main cause of nearly 25% of maternal deaths worldwide (World Health Organization, 2012). The Royal College of Obstetricians and Gynaecologists (RCOG) categorise PPH...

Intra-cardiac arrest thrombolysis in the pre-hospital setting: four cases worth considering

This young man had recently taken up jogging. On the evening before his collapse he complained of a painful calf and presumed that he had pulled a muscle. The next morning when he awoke he still had...