paramedic

A good death: key conceptual elements to end of life care

Achieving a “good death for all” is a prominent social and political priority across the western world (Ellershaw et al, 2010); however despite this prominence the concepts of such a death remain...

Clinical handover of the trauma and medical patient: a structured approach

‘The aim of any handover is to achieve the efficient communication of high-quality clinical information at any time when the responsibility for patient care is transferred’ (Yong et al, 2008)..

Is paramedic practice ready to adopt the NICE Transient Loss of Consciousness Guideline?

TLoC, or ‘blackout’ as it commonly referred to, is defined as the sudden loss of consciousness with complete recovery (NICE, 2010). TLoC is not a condition but a symptom which is generated by multiple...

Automated external defibrillation: implications for paramedic practice

‘The majority of sudden cardiac deaths are of ischaemic aetiology secondary to atherosclerotic coronary artery disease and affect the older section (35 years) of the population. In a significant...

Appropriate morphine administration by paramedics: a review of the literature

Full text online and English articles accessible through EBSCO, Medline, CINAHL and PubMed between 1997 and 2013 were included in the overall review of the literature..

The need for paramedics to be able to identify cauda equina syndrome

The spinal cord descends from the base of the medulla oblongata in the vertebral space, terminating approximately two thirds of the way down the vertebral column at the level of the second lumbar...

Diabetes mellitus: balancing blood glucose

Body cells need energy to function; glucose (sugar obtained from digestion and metabolism of carbohydrates) is the body's main energy source. The glucose in digested food is absorbed in the small...

Management of patients following cold water immersion

Golden and Hervey's four stage theory (Golden and Hervey, 1981) begins during immediate contact with the water. On initial immersion, an autonomic reflex is triggered involving uncontrollable...

Exploring paramedic patient assessment

Records of battlefield first aid can be evidenced on Grecian pottery from as early as 500 BC, demonstrating early records of ambulances in alignment with military activities (Pearn, 1994). With global...

Evaluating the incidence of unrecognised oesophageal intubation by paramedics

During the study period, 245 patients were identified as being intubated by intensive care paramedics. This was indicted by the marking of ETI data fields on patient health care records from the...

Death notification education for paramedics: Past, present and future directions

Paramedics in an urban and urban/rural area of Ontario were recruited to participate in focus group sessions after ethics approval was obtained from the University of Toronto. Participant and focus...