management

Challenges of prehospital silver trauma patients

Falls are the primary cause of trauma in older people, causing a multifactorial geriatric syndrome including major trauma despite low mechanism of injury (Saxton et al, 2019). Factors such as frailty,...

Paramedic decision-making and the influence of bias: a case study

This incident was assigned to us at 22:25, 35 minutes before our shift was due to finish. We were tired, and our desire to finish on time made us acutely aware of how close this was to the end of our...

Prehospital management of sickle cell crisis: a case report

A 10-year-old Afro-Caribbean boy arrived home feeling unusually tired after playing football at school. He went straight to sleep but was woken at 17:00 with a sudden onset of intense pain (rated at...

Assessment and management of issues in early pregnancy

Common benign causes of abdominal pain include bloating, constipation and round ligament syndrome (Hopcroft and Forte, 2003)..

Needle decompression in tension pneumothorax: anterior or lateral approach?

This literature review was conducted following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidance on identifying and including reviews of research and evaluation...

Diabetic ketoacidosis in paediatrics: tools to assist in recognition of a sick child

Diabetes is a disorder of carbohydrate, protein and fat metabolism resulting from a lack of insulin or a reduction in its biological effects..

Non-medical prescribing by paramedics in emergency, urgent and critical care

In contrast to paramedic practice within primary care settings, advanced paramedics practising in emergency departments and in prehospital settings are more likely to encounter patients who require an...

Should ascorbic acid be a primary therapy for sepsis in prehospital settings?

The objectives of this review are to: explore the potential value of intravenous ascorbic acid as a primary treatment for sepsis in the prehospital environment; and find out whether it can reduce...

Miscarriage, SUDI and neonatal death: paramedic experience and practice

The literature review was conducted using Google search and focused on paramedic practice and baby loss. The search included a focus on academic papers and books from across the social and medical...

Paramedic use of IV amiodarone to terminate supraventricular tachycardia

Transient SVTs are known as paroxysmal SVTs (PSVTs). Table 1 outlines the commonly encountered regular and irregular narrow complex tachyarrhythmias. Atrial flutter can be either regular or irregular,...

Neurological examination 2

The articles in this series, which can be torn out for use in practice, are intended to support clinician development and to assist in the overall assessment of patient presentations. The information...

How accurate is the prehospital diagnosis of hyperventilation syndrome?

The study included a consecutive series of patients and was similar to a cohort study, which corresponds to a single-gate diagnostic accuracy study design (Rutjes et al, 2005). A retrospective...