Journal Paramedic Practice (JPP)

The use of polyvinyl chloride film (clingfilm) with burn injury in the pre-hospital setting—the clear facts

In 1987 the use of clingfilm gained early research exposure by Wilson and French. In their abstract they state:.

Intra-cardiac arrest thrombolysis in the pre-hospital setting: four cases worth considering

This young man had recently taken up jogging. On the evening before his collapse he complained of a painful calf and presumed that he had pulled a muscle. The next morning when he awoke he still had...

Essex and Herts Air Ambulance: a focused case series for pre-hospital practice

We report the case of a 38-year-old male who was working on an industrial site loading 2-tonne paper rolls into the container of a heavy goods vehicle (HGV). When one of the paper rolls slipped off...

Clinical intuition: how paramedics make decisions, is experience always best? A case presentation

Firstly, it is important to consider why particular decisions are made, whether diagnoses are correct and what assumptions are made about the patient. It is pertinent to reflect on whether there were...

The expanding scope of EMS: decreasing emergency department overcrowding in the United States

Chronic disease is defined as a long-lasting condition that can be controlled, but not cured (Salzman et al, 2012). Interestingly, over half of the US population lives with a least one chronic...

An integrated ABCDE approach to managing medical emergencies using CRM principles

‘An unplanned life-threatening event in which there is a mismatch between the ambient level of resources and those that a patient needs to regain stability.’ .

Student paramedics' perceptions of action learning: a mixed-method study

Action learning is not a new concept. The phrase was coined by Professor Reginald Revans in the 1950s when trying to understand some of the routine challenges facing coal mine workers. Reginald Revans...

Delivering enhanced safety, productivity and experience: early results from a frequent caller management system

999 activity increased by 6.9% last year (Anderson, 2013) with incidents resulting in an ambulance service clinician attending scene increasing by 4% (Anderson, 2013) and patients discharged on scene...

Spotlight on Research

For decades there has been debate concerning the presence of lay people during resuscitation attempts. Predominantly the focus of the research has been in-hospital although in recent years we have...

Is it time to change? The use of intranasal fentanyl for severe pain in the pre-hospital setting

Cannulation is the main barrier to the administration of opioid analgesia, and this has been shown to be a problem in the young, the elderly, the shocked patient and the cognitively impaired. Studies...

Increasing objectivity in the assessment of interpersonal skills and attitude

To establish a structure to improve the development of essential non-practical skills..