prehospital

Allied health professional confidence in giving prehospital fascia iliaca blocks

The primary aim of this study was to determine factors affecting AHPs' confidence in administering FIBs in patients with a suspected neck of femur fracture in a prehospital setting..

Challenges of prehospital silver trauma patients

Falls are the primary cause of trauma in older people, causing a multifactorial geriatric syndrome including major trauma despite low mechanism of injury (Saxton et al, 2019). Factors such as frailty,...

Prehospital emergency health services in Qatar

Qatar is located on a 160 km-long peninsula on the west coast of the Persian Gulf. Islands included, it occupies 11 493 km2 of land (Bener and Mazroei, 2010). While the country's economy was based on...

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...

Paramedic decision-making and the influence of bias: a case study

This incident was assigned to us at 22:25, 35 minutes before our shift was due to finish. We were tired, and our desire to finish on time made us acutely aware of how close this was to the end of our...

Use of specialist paramedic dispatch in emergency ambulance control

The aim of this study was to highlight the key differences between the triage and dispatch processes of specialist resources, to establish if the findings support the use of one model over another to...

Intravenous ketamine as an analgesia in prehospital adult trauma patients

The author independently chose to conduct a systematic literature review as it allows simultaneous searches of electronic databases while being the most effective method to find the best current,...

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..

Needle decompression in tension pneumothorax: anterior or lateral approach?

This literature review was conducted following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidance on identifying and including reviews of research and evaluation...

Non-medical prescribing for paramedics in primary care

The scope of practice of a paramedic in primary care will vary between employer, and depend to some extent on what the paramedic is used for. Speaking from experience, the author's practice is mostly...

Prescribing for paramedics: pharmacodynamics

Many drugs exert their effect on the body via an action on cells. The net effect of this can be to:.