evidence

Paramedic practice in low light conditions: a scoping review

Suggestions from the professional panel to improve driving were limited. The use of a dark mode to reduce the glare from the mobile data terminal was suggested as was using the low-power mode for blue...

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Internationally, demand for emergency medical services (EMS) has changed, with increased activity often driven by patients with non-urgent medical conditions and those not requiring medical...

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HIV is a disease of major importance in the UK—and despite increased HIV testing and a move towards earlier initiation of antiretroviral therapy, a reduction in new cases each year proved hard to...

A mass distribution letter as an early intervention for potential frequent callers

This service evaluation was conducted using a pre-post design, for which ethical approval was not required. The data set was anonymised before review by the research team. Approval to access, analyse...

Paramedics’ perspectives of the community paramedic role in Ontario, Canada

There were 452 responses to the CP survey out of approximately 8000 paramedics in Ontario (Government of Ontario, 2017). Of the 387 respondents who provided their gender, 57.5% (n=260) were male. The...

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Current guidelines recommend that when right ventricular myocardial infarction (RVMI) is present, nitrates should not be administered. The advice is predicated upon the risk that decreasing preload in...

To what extent is end-tidal carbon dioxide a predictor of sepsis?

A systematic search was conducted to find strong primary quantitative research to determine to what extent low EtCO2 is a predictor of sepsis and if this has diagnostic value..

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Except for the RIGHT-2 study, pooled analyses of previous studies suggest that very early treatment with glyceryl trinitrate (GTN) of patients with acute ischaemic stroke or intracerebral haemorrhage...

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Prompt and accurate decision-making is a necessity to deliver effective patient care. However, the impact of sleepiness during a nightshift may reduce cognitive functioning and clinical performance....

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Femoral shaft and neck fractures are painful injuries which, if managed sub-optimally, can lead to a significant increase in length of hospital stay and overall mortality. Early management of these...

Prehospital administration of calcium in trauma

Calcium ions initiate actin-myosin filament binding, resulting in myofibril (muscle-fibre) shortening and muscle contraction. Depletion of calcium ions because of loss during haemorrhage and...

Prevalence, severity and preventability of prehospital patient safety incidents

This commentary aims to critically appraise the methods used within the review by O'Connor et al (2021) and expand upon the findings in the context of clinical practice..