diagnostics

Physical health in mental health: considerations for paramedics

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

Clinical exam: an introduction

The articles are intended to support clinician development and to assist in the overall assessment of patient presentations. The information should be used to support consideration of differential...

Clinical suspicion regarding needle decompression for patients with chest trauma

Needle decompression of the chest (also known as thoracocentesis or thoracentesis) is a manoeuvre to release abnormal air from the pleural space. Prehospital needle decompression is only indicated for...

Point-of-care blood tests in decision-making for people over 65 with acute frailty

National ‘see, treat and discharge’ rates for paramedics have increased since the Taking healthcare to the patient report was issued in 2005 (Department of Health and Social Care (DHSC), 2005), with...

Hyperventilation syndrome: diagnosis and reassurance

The term hyperventilation syndrome (HVS) was first mentioned in 1938 by Kerr et al who attributed their patients' tetany to hyperventilation associated with anxiety. Since then, the term has been...

Recognising ECG landmarks

Electrocardiograms (ECGs) have become an integrated part of an ambulance clinician's toolkit, with thousands being performed each year (Brady et al, 2012). Invented in 1903 by Willem Einthoven, a...

A brief guide to borderline personality disorder in an emergency setting

OverviewParamedics and ambulance staff are frequently in contact with patients who have mental health diagnoses This may be the primary reason for contacting the emergency services (e.g. self-harm,...

Cardiac arrest and the role of transthoracic echocardiography

Massive acute pulmonary emboli (PE) is a reversible cause of cardiac arrest, with thrombolysis being the first line of treatment (British Thoracic Society, 2003). Occlusion of pulmonary blood flow is...

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...