diagnostics

Point-of-care testing for C-reactive protein in acute cough presentations

Since 1964, anti-microbial resistance (AMR) has been identified as one of the major threats to modern medicine prompting national governments and scientific communities to design strategies to combat...

Pre-hospital risk stratification using a modified thrombolysis in myocardial infarction score: a retrospective medical record review

A retrospective medical record review was conducted using an established methodological approach (Gearing et al, 2006)..

The diagnosis and management of acute cluster headache in the out-of-hospital environment

A review of contemporary literature on cluster headaches has been conducted to inform this article, specifically keeping in mind that any development of practice needs be carefully balanced with...

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...

Clinical intuition: how paramedics make decisions, is experience always best? A case presentation

Firstly, it is important to consider why particular decisions are made, whether diagnoses are correct and what assumptions are made about the patient. It is pertinent to reflect on whether there were...

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...

Fundamentals of blood pressure measurement

The body relies in the main on two key systems to ensure that blood pressure is maintained at the correct level to meet the body's requirements. In the longer term, the renin angiotensin aldosterone...

Ambulance CPAP Saves Lives: why don't we use it?

Current UK ambulance guidelines (Joint Royal Colleges Ambulance Liaison Committee (JRCALC), 2013) advocate the use of nitrates (in particular, glyceryl trinitrate) as the first-line treatment of ACPE....

Understanding the difference between overweight, obese and bariatric

Various methods can be used to determine excess adipose tissue, in particular, Body Mass Index (BMI), waist measurement and waist-to-hip ratio..

The need for paramedics to be able to identify cauda equina syndrome

The spinal cord descends from the base of the medulla oblongata in the vertebral space, terminating approximately two thirds of the way down the vertebral column at the level of the second lumbar...

Diabetes mellitus: balancing blood glucose

Body cells need energy to function; glucose (sugar obtained from digestion and metabolism of carbohydrates) is the body's main energy source. The glucose in digested food is absorbed in the small...

‘A pain in the back’: Psoas abscess and the importance of red and yellow flags

A 19 year old man attended an ED in Wales (UK) with an eleven day history of low back pain. Following a five mile walk he developed bilateral heaviness in his legs, one day later he experienced...