medications

Paramedics and medicines: legal considerations

The HMR defines who can buy and possess medicines, and this is summarised in Appendix 1. There is an exemption for the purchase of general sales medicines; however, the supply chain for these...

Where is the paramedic profession going with pain management?

As defined in the Oxford Dictionary, pain is a ‘highly unpleasant physical sensation caused by illness or injury’ (Stevenson, 2010). This is further compounded by Jones and Machen (2003) who identify...

A review of a self-prescribed medication regime in undiagnosed diabetes

Details of the medications reviewed in this article can be found in Box 1..

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...

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...

A brief history of analgesia in paramedic practice

Important advances in the prevention and management of pain occurred in the mid-1800s, when drugs that produced anaesthesia were first used during surgery. These drugs included nitrous oxide, ether...

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...

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...