Research

Understanding the correct assessment and management of lightning injuries

A lightning strike injures patients in three main ways: electrical current, heat production and concussive forces (Table 2)..

Examining current trends and research in pre-hospital hypotensive resuscitation

Jackson and Nolan (2009) note that although the understanding of hypotensive resuscitation as described in the literature is clear, there are a number of discrepancies with regards to how much of...

Sources of wellbeing: sharpening a sociological tool for diverse populations

Discussions of specific religions are a gateway to topics such as inclusiveness, prejudice and tolerance, consent and the patients’ rights to choose. Such discussions provides students with more...

Evaluating the incidence of unrecognised oesophageal intubation by paramedics

During the study period, 245 patients were identified as being intubated by intensive care paramedics. This was indicted by the marking of ETI data fields on patient health care records from the...

SQIFED: A new reflective model for action learning

Although a form of group work, the focus of action learning is the individual. The individual brings a real-life problem to the group known as the ‘set’ and receives the full attention of the set as...

Death notification education for paramedics: Past, present and future directions

Paramedics in an urban and urban/rural area of Ontario were recruited to participate in focus group sessions after ethics approval was obtained from the University of Toronto. Participant and focus...

Ischaemic strokes and treatment with thrombolysis: The key lies with paramedics

In the case of an embolic cause, which creates an ischaemic stroke, alteplase (Actilyse® manufactured by Boehringen Ingelheim) can be used—this is a drug developed to break down clots. Although...

Pre-mature babies born in the pre-hospital setting: A challenging situation

The UK Ambulance Service Clinical Practice Guidelines (2006) recommend that paramedic teams should make every effort to transport a mother where the delivery is imminent between 20 to 37 weeks of...

‘A pain in the back’: Psoas abscess and the importance of red and yellow flags

A 19 year old man attended an ED in Wales (UK) with an eleven day history of low back pain. Following a five mile walk he developed bilateral heaviness in his legs, one day later he experienced...

Pre-hospital coronary heart disease: Analysing performance indicators

Ischemic heart disease is a condition characterised by inadequate myocardial perfusion caused by reduced blood supply, increased myocardial oxygen demand, or both (Falk et al. 2011). Coronary heart...

The introduction of the intubating laryngeal mask into paramedic practice

The study was conducted to fulfil the requirement of a master of medical science by research. Ethics approval for this study was obtained from the University of Tasmania Human Research Ethics...