prehospital

Pre-hospital management of major haemorrhage following trauma: part one

Bleeding within the body affects two principal physiological systems:.

Peak expiratory flow rate

Peak expiratory flow rate (PEFR) is the volume of air forcefully expelled from the lungs in one quick exhalation. It is a reliable indicator of ventilation capacity as well as airflow obstruction...

Airway management and endotracheal intubation by paramedics for cardiac arrest

Paramedics are trained in airway management, including in the skill of endotracheal intubation (ETI) in practice. Guidance is available to support paramedics regarding when and how ETI should be...

Combat Application Tourniquet: best practice use

A ‘tourniquet’ or CAT is a device designed to specifically occlude arterial and venous blood flow in an extremity. To do this, it uses a mechanical advantage device, differing from ligature type...

A review of ketorolac as a prehospital analgesic

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...

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...

Stroke assessment and management in pre-hospital settings

The World Health Organization (WHO) defined a stroke as a ‘a clinical syndrome consisting of rapidly developing clinical signs of focal (or global in case of coma) disturbance of cerebral function...

Can paramedics avoid A&E departments with patients complaining of non-traumatic chest pain?

It is assumed paramedics can safely identify those chest pain patients who are critically ill: those that are hemodynamically unstable for example, as well as most of the life-threatening aetiologies...

Stay on the ambulance long enough and you'll go full circle: an evaluation of the clinical safety and effectiveness of non-emergency and multi-occupancy ambulance conveyance in non-emergency percutaneous coronary intervention patients

Identification of previous studies within UK Ambulance Services was undertaken initially to identify any data to support or refute the proposed study. A similar study was identified internally with...

Pre-hospital risk stratification using a modified thrombolysis in myocardial infarction score: a retrospective medical record review

A retrospective medical record review was conducted using an established methodological approach (Gearing et al, 2006)..