Clinical Practice

Durham and Cleveland police firearms unit tactical team medics: lessons from the first six years

Training in this curriculum is provided by military and civilian doctors and paramedics along with the forces own training team. Importantly, whilst the main aim of the course was to provide emergency...

Should oral steroids be routinely supplied to prevent asthmatic relapse?

A specialist paramedic was called to attend a local police station where a 32 year old police officer was experiencing a ‘tight and wheezy chest’. Three hours earlier he had apprehended a criminal...

Development of clinical and inter-personal skills to support people living with dementia

Three themes emerged from the thematic analysis: challenges of communication students' negative emotional response, and lack of social care and pathways. Themes and subthemes emerged from both first...

Stroke assessment and management in pre-hospital settings

The World Health Organization (WHO) defined a stroke as a ‘a clinical syndrome consisting of rapidly developing clinical signs of focal (or global in case of coma) disturbance of cerebral function...

Live tweeting by ambulance services: a growing concern

A brief analysis of a convenience sample of existing tweets found numerous breaches of professionalism and potential risks to public confidence using the legal and ethical measures identified above....

Emotional labour in paramedic practice: student awareness of professional demands

Hochschild defines the term ‘emotional labour’ as ‘the management of feeling to create a publicly observable facial and bodily display’ (Hochschild, 2012). Where this exists as an integral part of...

Exploratory study into the views of paramedics on paramedic prescribing.

In 1999, a Department of Health medicines review chaired by Dr June Crown identified that there was overwhelming support for the extension of prescribing rights for a range of health professionals,...

Which resuscitated patients benefit from PPCI after out of hospital cardiac arrest?

“Which resuscitated patients benefit from PPCI after an out of hospital cardiac arrest?” .

Pre-hospital management of pain associated with an acute sickle cell crisis

In 2004, the London Ambulance Service conducted a clinical audit of SCD patients. The review showed that subjective pain scoring was recorded poorly by crews and that eligible patients did not receive...

Future of digital technology in paramedic practice: blue light of discernment in responsive care for patients?

In an ever-increasingly digital society, the profile of IT literacy of patients seen in everyday paramedic practice is a significant factor in how they approach understanding their medical conditions...

PTSD, available support and development of services in the UK Ambulance Service

A methodical literature search using well known related databases was undertaken to acquire access to a sufficient information pool, enabling the exploration and formulation of practice...

Paramedic management of out-of-hospital cardiac arrest secondary to hyperkalaemia

In this case study the author attended a 42-year-old male patient who complained of shortness of breath and fatigue. The patient's medical history was of intravenous drug use, myocardial infarction,...