management

Pre-hospital paediatric seizures: midazolam versus diazepam

The aim of this article is to review the evidence for the use of diazepam and midazolam, and to determine which anticonvulsant is the most appropriate for termination of paediatric seizures by...

Pre-hospital assessment and treatment of meningococcal meningitis

Because bacterial meningitis is life-threatening, early diagnosis and treatment is vital (Brouwer et al, 2012)—the necessity of which is underlined in a study that demonstrated an association between...

Potential use of amiodarone to treat new-onset AF in the pre-hospital setting

AF is frequently associated with structural abnormalities in the heart or cardiac disease, or may result from damage to the heart tissue itself, from thoracic surgery or coronary artery bypass grafts...

Intranasal and buccal midazolam in the pre-hospital management of epileptic tonic-clonic seizures

Epilepsy is a homeostatic imbalance characterised by recurrent malfunctions in motor, sensory or psychological functions. These malfunctions are commonly described as a seizure (Tortora and...

The use of telemedicine technology to support in pre-hospital patient care

Before reviewing the available technology, it is worth briefly outlining the history of technology in medicine, referred to as ‘telemedicine’. Utilising technology for health care is actually an old...

Pre-hospital spinal immobilisation: an initial consensus statement

Prior to the Faculty meeting in March 2012, a review of the published literature was undertaken using PubMed to search the Medline database. Secondary searches were made using UK PubMed Central and...

The pre-hospital management of pelvic fractures: initial consensus statement

A review of the literature was undertaken prior to the consensus meeting. The Medline Database was searched using PubMed and Google Scholar was also used. The search terms were Pre-hospital management...

Pharmacologically assisted laryngeal mask insertion: a consensus statement

The PALM technique has been described in polytrauma patients with a reduced Glasgow Coma Scale (GCS) and ongoing airway obstruction as well as airway soiling from facial injuries. The patients have...

The challenges of pre-hospital paediatric trauma care

Who are the paediatric trauma experts? Prior to establishing trauma networks, the entire burden of paediatric trauma divided amongst receiving units led to an average of just over one case of major...

Fundamentals of blood pressure measurement

The body relies in the main on two key systems to ensure that blood pressure is maintained at the correct level to meet the body's requirements. In the longer term, the renin angiotensin aldosterone...

Anatomical and physiological mechanisms of heartblock associated with AMI

The heartbeat is initiated by an intrinsic electrical system composed of modified myocytes. These myocytes are organised into a group of spontaneously discharging pacemaker cells, situated in the...