guidelines

Hand hygiene compliance in the pre-hospital setting

Health professionals' compliance with hand hygiene remains a universal problem in health care (Gould et al, 2017; Sunley et al, 2018). While poor hand hygiene is prevalent in the inpatient and...

Combat Application Tourniquet: best practice use

A ‘tourniquet’ or CAT is a device designed to specifically occlude arterial and venous blood flow in an extremity. To do this, it uses a mechanical advantage device, differing from ligature type...

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...

Clinical care in the warm zone: a responder's perspective upon clinical practice in support of UK tactical medical operations

Remaining effective within the tactical environment requires clinicians to assess the effectiveness of their clinical practice, while continuously ensuring that their safety is not being compromised....

A critical review of NICE Guideline 39—major trauma: assessment and initial management

It is widely recognised that airway management in trauma can be challenging (Deakin et al, 2010). The findings of the NCEPOD (2007) report suggest that one in eight patients arrived at hospital with a...

Pre-hospital resuscitation: what shall we tell the family?

Including family members during resuscitation has been shown to be beneficial. Relatives watching the efforts of emergency staff could be assured that great effort is being made to save the life of...

Pre-hospital spinal immobilisation: an initial consensus statement

Prior to the Faculty meeting in March 2012, a review of the published literature was undertaken using PubMed to search the Medline database. Secondary searches were made using UK PubMed Central and...

The pre-hospital management of pelvic fractures: initial consensus statement

A review of the literature was undertaken prior to the consensus meeting. The Medline Database was searched using PubMed and Google Scholar was also used. The search terms were Pre-hospital management...

Pharmacologically assisted laryngeal mask insertion: a consensus statement

The PALM technique has been described in polytrauma patients with a reduced Glasgow Coma Scale (GCS) and ongoing airway obstruction as well as airway soiling from facial injuries. The patients have...

Is paramedic practice ready to adopt the NICE Transient Loss of Consciousness Guideline?

TLoC, or ‘blackout’ as it commonly referred to, is defined as the sudden loss of consciousness with complete recovery (NICE, 2010). TLoC is not a condition but a symptom which is generated by multiple...