Clinical Practice

Time for Dementia: an innovation in education

Time for Dementia (Banerjee et al, 2016) is an educational programme for undergraduate healthcare students including medical, adult and mental health nursing, and allied health professionals, as well...

Norms of staff responses to falls in residential care

Through the current study, the authors aim to illustrate the first-line response to patient falls that is operational in the independent care sector in a specific region of North East England. This...

‘Have you had Viagra within the past 24 hours?’

Glyceryl trinitrate (GTN) is a nitric oxide (NO) donor, which can be used to provide immediate relief for cardiac chest pain, and lower blood pressure. Cardiac chest pain is usually as a result of...

SAR helicopter paramedic practice: EtCO2 measuring to assist with CPR attempts

EtCO2 is the concentration of CO2 in exhaled air, and approximates the partial pressure of CO2 in arterial blood (PaCO2). Values of PaCO2 usually range between 4.6-6 KPa (Valente, 2010; Pantazopoulos...

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...

NICE: Advanced paramedics to ease pressures on A&E?

In order to make these recommendations, the guideline committee investigated whether enhancing the competencies of paramedics resulted in a reduction in hospital admissions and demand for emergency...

A day in the life of a paramedic advanced clinical practitioner in primary care

The paramedic profession has formally existed in the UK for less than two decades (Newton 2011). Historically, the role of the paramedic has been two-fold (Paranjape 2017):.

Paramedic management of out-of-hospital postpartum haemorrhage with TXA

The RCOG (2009) recognises that PPH is the leading cause of obstetric haemorrhage and suggested that the incidence of PPH is rising in the UK. Sentilhes et al. (2015a) outlines that PPH, of either...

TXA for HEMS patients with suspected haemorrhage

A service evaluation was performed with analysis of patient outcome by the review of patient report forms (PRFs). Patients who received pre-hospital TXA were identified and further analysis of their...

Reduction of a finger in the out-of-hospital arena?

Kovacs and Croskerry (1999) point out that clinicians use a variety and range of clinical decision-making approaches. These are dependent largely on the unique characteristics of individual clinical...