Journal Paramedic Practice (JPP)

Pre-hospital lactate testing in the recognition and management of sepsis and septic shock

A small ambulance station within South Western Ambulance Service NHS Foundation Trust (SWAST) was purposively selected to participate in the study based on its size, location, usual patient numbers...

Pre-hospital care of the transgender patient

The Royal College of Psychiatrists Working Group, which comprises a multidisciplinary team collectively define gender dysphoria as ‘the distress associated with the experience of one's personal gender...

Principlism: when values conflict

The four principles approach to biomedical ethics provides a straightforward framework for considering moral dilemmas, and is based on four moral principles: respect for autonomy, beneficence,...

Can paramedics avoid A&E departments with patients complaining of non-traumatic chest pain?

It is assumed paramedics can safely identify those chest pain patients who are critically ill: those that are hemodynamically unstable for example, as well as most of the life-threatening aetiologies...

Non traumatic chest pain – pericarditis

‘Pericarditis is an inflammation of the two layers of the thin, sac-like membrane that surrounds the heart. This membrane is called the pericardium, so the term pericarditis means inflammation of...

Continuing Professional Development: Diabetes in pre-hospital care

After completing this module the paramedic will be able to:.

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...