evidence

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)....

Adult intraosseous access: a comparison of devices

The following medical literature databases were searched: Allied and Complementary Medicine Database (AMED); British Nursing Index (BNI); CINAHL Plus; Cochrane Library; Medline; and PubMed. A range of...

Secondary traumatic stress and resilience among EMS

The Brief Resilience Scale (BRS) assesses the ability to recover from stressful situations. The BRS is a validated self-report 6-item scale rating one of the highest levels of quality for measuring...

Cooling of thermal burn injuries: a literature review

The use of the PICO technique (O'Connor et al, 2008) determined initial keywords around the topic and further synonyms were then generated. The chosen search strategy was ‘burns AND cool* AND outcome...

Medical vs. true physical traffic collision entrapment

This article reports data collected during a prospective, observational study carried out in the West Midland Fire Service's metropolitan area from October 2010–March 2012. All cases were patients who...

Fitness-to-practise concerns and preventative strategies

Paramedics function at the frontline of emergency care practice. A literature review identified a number of themes that illuminate their practice:.

What is the most appropriate out-of-hospital opioid for adults with traumatic pain?

Major trauma is a minor element of the total workload in emergency care, with estimations of less than 0.2% of the total workload (National Audit Office (NAO), 2010). Trauma such as dislocation,...

Therapeutic hypothermia in cardiac arrest

It is important to understand how the body is affected at the time of cardiac arrest and during the reperfusion that occurs following successful resuscitation. While achieving a ROSC in OHCA is not a...

Is diazepam or lorazepam the most effective benzodiazepine for use in paramedic management of convulsive seizures in adults?

The focus of this review is to compare benefits of diazepam and lorazepam in the pre-hospital care setting. As there is limited evidence, the search criteria were widened to allow data from other...