out-of-hospital

Attempting to prevent hyperoxaemia after out-of-hospital resuscitation

This literature review has limitations. A systematic review was not possible because of financial restraints. However, by following a detailed methodology and recording the steps taken, a valid...

Legal aspects of prescribing

Paramedic independent prescribers may currently legally prescribe all licensed medicines and off-licence/off-label licensed medicines for accepted clinical uses where no alternative is available, but...

An essential series on clinical decision-making on scene

The series will endeavour to address the key aspects of emergency and urgent care in the community setting, including an overview of trauma. Topics are set out in Box 1..

Clinical case review: out-of-hospital cardiac arrest following thyroid storm

The patient, a woman in her late 20s, suddenly collapsed at home without warning and was found to be unconscious and not breathing by her partner. Immediate basic life support was given via ambulance...

Targeted temperature management: beneficial or not?

TTM is not a novel phenomenon, with concepts of hypothermia as a therapeutic measure having been applied historically (Marion et al, 1996). In ancient Greece, the physician Hippocrates favoured...

Correct pulse measurement

When the heart contracts and blood is ejected from the left ventricle, a pressure wave is generated and transmitted into the aorta and arterial tree. The flexible and elastic nature of artery walls...

Cardiac arrest and the role of transthoracic echocardiography

Massive acute pulmonary emboli (PE) is a reversible cause of cardiac arrest, with thrombolysis being the first line of treatment (British Thoracic Society, 2003). Occlusion of pulmonary blood flow is...

Reduction of a finger in the out-of-hospital arena?

Kovacs and Croskerry (1999) point out that clinicians use a variety and range of clinical decision-making approaches. These are dependent largely on the unique characteristics of individual clinical...

Which resuscitated patients benefit from PPCI after out of hospital cardiac arrest?

“Which resuscitated patients benefit from PPCI after an out of hospital cardiac arrest?” .

Ultrasound: A potential new approach for cardiac arrest management

Eight studies were evaluated to review the use of pre-hospital ultrasound. The OHCA studies reviewed evaluate the use of US both in and out-of-hospital. The evidence was reviewed using the Critical...

Appropriate pain assessment tools for use in patients with dementia in the out-of-hospital environment

Defining pain is complex; however, it is generally agreed to be an unpleasant, emotive and personal experience (Briggs, 2010; Steeds, 2013). Pain is generally split into two categories: nociceptive...

The diagnosis and management of acute cluster headache in the out-of-hospital environment

A review of contemporary literature on cluster headaches has been conducted to inform this article, specifically keeping in mind that any development of practice needs be carefully balanced with...