Journal Paramedic Practice (JPP)

Fascia iliaca compartment block versus IV morphine for femoral fracture pain

A systematic review of the literature was conducted in compliance with the PRISMA statement (Moher et al, 2009). The review was performed on the following databases: CINAHL, Medline, AMED, PubMed,...

Does digoxin cause more harm than good?

Digoxin has a very narrow therapeutic margin between toxicity and efficacy, which results in a high incidence of digoxin toxicity (Larsen, 2009). To avoid toxicity, digoxin dosage must be adjusted...

NHS winter workload and on/off switching of deaths

To this end, Figure 1 presents a calculation of excess winter mortality (EWM) for England and three local authorities in Berkshire. EWM is defined as the average deaths in the 4 months from December...

What is the paramedic's role in smoking cessation?

Train paramedics to give a brief intervention (very brief advice (VBA)) on smoking cessation using the three As (AAAs). The AAAs is an opportunistic brief intervention tool given to all smokers,...

Point-of-care blood tests in decision-making for people over 65 with acute frailty

National ‘see, treat and discharge’ rates for paramedics have increased since the Taking healthcare to the patient report was issued in 2005 (Department of Health and Social Care (DHSC), 2005), with...

End-of-life demand is highly volatile and shows unexpected trends

NHS demand is therefore highly sensitive to the volatility in deaths. The sad fact is that deaths are highly volatile and that the magnitude of this volatility is location-specific (Jones, 2012). This...

Management of cardiogenic shock complicating ST-segment elevation myocardial infarction: part 1

Several definitions exist in clinical guidelines and randomised controlled trials. van Diepen et al (2017) describe cardiogenic shock as a primary cardiac disorder causing a reduction in cardiac...

Methoxyflurane (Penthrox®)—a case series of use in the prehospital setting

These case reports are from prehospital settings and involve patients experiencing traumatic injuries who were attended by rapid response doctors. The cases are from the UK and Ireland..