clinical skills

A pilot of the Paramedic Advanced Resuscitation of Children (PARC) course

The Royal College of Paediatrics and Child Health (RCPCH) recently produced the fourth edition of its Facing the Future publication, which sets standards for the provision of emergency care to...

Maximising intraosseous flow rates: an in-vitro study

Three different methods of administration were examined: Fluid-giving set directly placed upon IO needle hub (direct-to-hub: DTH) (Figure 1)Fluid-giving set connected to the EZ-IO device extension...

Examining the type and frequency of incidents attended by UK paramedics

The aim of this study was to identify the frequency of incidents attended with a view to highlighting potential issues that may exist for paramedic practice. This aim has been achieved through the...

Is prehospital lactate testing useful in improving clinical assessment?

A literature search was conducted on several occasions between October 2017 and May 2018, using the Medline, CINAHL, Sciencedirect, Scopus and Academic Search Premier databases, which were accessed...

‘Do not attempt CPR’ in the community: the experience of ambulance clinicians

Three databases were searched—CINAHL, Medline and PubMed—because of their relevance and accessibility (National Institute for Health and Care Excellence (NICE), 2019). The databases were searched,...

Fascia iliaca compartment block versus IV morphine for femoral fracture pain

A systematic review of the literature was conducted in compliance with the PRISMA statement (Moher et al, 2009). The review was performed on the following databases: CINAHL, Medline, AMED, PubMed,...

Prehospital care in isolated neck of femur fracture: a literature review

The aim of the search was to identify appropriate literature and evidence which could be deemed to be useful to the prehospital management of NOF fracture..

Cerebral oximetry monitoring in OHCA

Cerebral oximetry uses near infrared spectroscopy (NIRS) to measure transcutaneous cerebral tissue oxygen saturation. This reflects perfusion in the cerebral microcirculation (Genbrugge et al, 2016)....

Pelvic binder placement in a regional trauma centre

Major trauma cases attending the University Hospitals of Coventry and Warwickshire (UHCW) were identified from the Trauma Audit and Research Network (TARN) database. The time periods assessed were 6...

A qualitative exploration of current paramedic cardiac auscultation practices

CA is a skill using both the bell and diaphragm of a stethoscope on the praecordium to identify both normal and abnormal sounds emanating from the heart. This is part of a complete examination of the...