To produce the evidence required for discussion of the research question, a literature search was carried out. CINAHL Complete and MEDLINE Complete were searched, using the terms in Table 1. The...
Evidence suggests that high amounts of oxygen administered to patients with COPD can lead to hypercapnia (high levels of arterial carbon dioxide), potentially resulting in respiratory acidosis (Perrin...
One of the first questions raised when researching PHEA is: what is it best referred to as? The SOP produced by Pinnell and Pountney (2015), followed by the ambulance trust, is so titled, but refers...
FICB is a simple technique, and allows a high quality of analgesia to be given without the side effects of opiate analgesia. FICB is the current gold standard in the management of neck of femur...
Digoxin has a very narrow therapeutic margin between toxicity and efficacy, which results in a high incidence of digoxin toxicity (Larsen, 2009). To avoid toxicity, digoxin dosage must be adjusted...
These case reports are from prehospital settings and involve patients experiencing traumatic injuries who were attended by rapid response doctors. The cases are from the UK and Ireland..
In this month's Clinical Skills article, best practice for the administration of intramuscular (IM) injections will be discussed. It is important to re-visit clinical skills as many are taught during...
Ketorolac is an NSAID, which has its action through the inhibition of prostaglandin synthesis. As an NSAID, ketorolac inhibits the action of the cyclooxygenase enzymes (COX-1 and COX-2), which...
A specialist paramedic was called to attend a local police station where a 32 year old police officer was experiencing a ‘tight and wheezy chest’. Three hours earlier he had apprehended a criminal...
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...
Since 1964, anti-microbial resistance (AMR) has been identified as one of the major threats to modern medicine prompting national governments and scientific communities to design strategies to combat...
Each year approximately 6,000 new cases of HIV are diagnosed within the United Kingdom, adding to over 100,000 people who are known to be living with HIV (Skingsley et al, 2015; Terrence Higgins...