medication

Impact of paramedics carrying just-in-case end-of-life care medication

A review of parenteral medicines commonly prescribed at the end of life (Johnstone, 2017) was undertaken. This identified the appropriate JIC medications to manage the symptoms of severe COVID-19...

Paramedic adult pain assessment: pilot study

There were 30 (85.7%) male and 5 (14.3%) female participants. Thirty-two (91.4%) of the 35 participants were ambulance paramedics and three (8.6%) were CCPs. Thirteen (37.1%) of the participants had...

Feasibility of phenytoin as a paramedic-led second-line anti-epileptic drug

Although phenytoin is common in emergency department management, prehospital research and published evidence of its use is limited. A literature search was conducted using PubMed and Google Scholar...

Prehospital thrombolysis for STEMI where PPCI delays are unavoidable

Benger's (2016) research for the National Institute For Health Research (NIHR) noted that more than 30 000 cardiac arrests occurred outside the hospital in England every year (Benger, 2016; Out of...

Treating sepsis in the emergency prehospital setting with IV antibiotics

The aim of this study was to illuminate the views of medical directors in NHS ambulance services, associated with the use of IV antibiotics to treat prehospital sepsis..

Prehospital neuromuscular blockade post OHCA: UK's first paramedic-delivered protocol

The aim of this study was to report on the administration of paramedic-delivered NMBA, which started on 1 April 2016 at SECAmb, and examine this practice innovation and its acceptability as an...

Prehospital care in isolated neck of femur fracture: a literature review

The aim of the search was to identify appropriate literature and evidence which could be deemed to be useful to the prehospital management of NOF fracture..

Ketamine administration by HART paramedics: a clinical audit review

In the UK, ketamine is primarily used as an in-hospital anaesthetic agent; but when used in small doses, can be an effective and safe analgesic (Motov et al, 2015). Unlike morphine, ketamine maintains...

What is the most appropriate out-of-hospital opioid for adults with traumatic pain?

Major trauma is a minor element of the total workload in emergency care, with estimations of less than 0.2% of the total workload (National Audit Office (NAO), 2010). Trauma such as dislocation,...

‘Have you had Viagra within the past 24 hours?’

Glyceryl trinitrate (GTN) is a nitric oxide (NO) donor, which can be used to provide immediate relief for cardiac chest pain, and lower blood pressure. Cardiac chest pain is usually as a result of...

Paramedic management of out-of-hospital postpartum haemorrhage with TXA

The RCOG (2009) recognises that PPH is the leading cause of obstetric haemorrhage and suggested that the incidence of PPH is rising in the UK. Sentilhes et al. (2015a) outlines that PPH, of either...

TXA for HEMS patients with suspected haemorrhage

A service evaluation was performed with analysis of patient outcome by the review of patient report forms (PRFs). Patients who received pre-hospital TXA were identified and further analysis of their...