Clinical Practice

Ultrasound: A potential new approach for cardiac arrest management

Eight studies were evaluated to review the use of pre-hospital ultrasound. The OHCA studies reviewed evaluate the use of US both in and out-of-hospital. The evidence was reviewed using the Critical...

Efficacy and safety of methoxyflurane: managing trauma associated pain in UK SAR helicopter paramedic practice

The PRISMA system is the accepted methodology for systematic reviews; it is primarily focused on evaluating randomised trials and synthesising meta-analysis (PRISMA, 2015). It became apparent early in...

Using consensus group methods to improve simulation using immersive media in paramedicine

Weighted participant feedback is shown in figure 3. Two areas of consensus emerged in the focus group that indicated the value of the use of immersive media within simulations according to the...

‘Secondary spine injury’: how language affects future research and treatment

Early studies on the management of spinal trauma paid close attention to how they defined secondary injury. In a case series from 1966, Geisler et al aimed specifically to determine the frequency of...

Crisis resource management in relation to empowering people to speak up in emergency medical service clinical practice settings

The population of Qatar is in excess of 2.42 million (76.2% male versus 23.8% female) (MDPS, 2016). Almost 90% of the country's population comprises expatriate workers. The country's most populous...

Paramedics and their role in end-of-life care: perceptions and confidence

An anonymous electronic survey was distributed by Survey Monkey® offering a pragmatic approach as the participants were based across a large geographical area. This also provided a degree of...

Informed consent in paramedic practice

The discussion that follows is concerned only with consent as it relates to a competent adult patient receiving treatment in England. Patients who lack capacity, are under 18 years of age, or...

Frank's Sign as a clinical marker of cardiovascular disease

A diagonal earlobe crease (DELC) or Frank's Sign, has been linked with ischaemic heart disease since it was first described in 1973 by Dr. Sanders Frank (Frank, 1973). A classification system has...

Barriers to paramedic education in black and ethnic minority (BME) groups

A literature search was conducted (circa 2000 to mid-2013) with the purpose of gaining a better understanding of the potential barriers for BME groups to accessing paramedic education. Literature...

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...