Internationally, demand for emergency medical services (EMS) has changed, with increased activity often driven by patients with non-urgent medical conditions and those not requiring medical...
HIV is a disease of major importance in the UK—and despite increased HIV testing and a move towards earlier initiation of antiretroviral therapy, a reduction in new cases each year proved hard to...
Current guidelines recommend that when right ventricular myocardial infarction (RVMI) is present, nitrates should not be administered. The advice is predicated upon the risk that decreasing preload in...
Except for the RIGHT-2 study, pooled analyses of previous studies suggest that very early treatment with glyceryl trinitrate (GTN) of patients with acute ischaemic stroke or intracerebral haemorrhage...
Prompt and accurate decision-making is a necessity to deliver effective patient care. However, the impact of sleepiness during a nightshift may reduce cognitive functioning and clinical performance....
Femoral shaft and neck fractures are painful injuries which, if managed sub-optimally, can lead to a significant increase in length of hospital stay and overall mortality. Early management of these...
This commentary aims to critically appraise the methods used within the review by O'Connor et al (2021) and expand upon the findings in the context of clinical practice..
Recent studies suggest that in cases of serious trauma, reducing prehospital time could improve survivability of patients. An area of particular interest is the reduction in time spent on scene by...
As reports of violence against ambulance staff are increasing, this study is interesting. The researchers conducted a simulation-based study to evaluate the responses of emergency medical service...
Time to treatment is an important factor in the management of patients with traumatic haemorrhage, but the common perception that blood may be superior to saline in the prehospital setting is yet to...
Chest pain is a frequent reason for contact with the emergency medical services (EMS). However, it has multiple aetiologies and only a small number of patients are having a myocardial infarction (MI)....
Emergency medical services are frequently responding to care for younger children suffering from a convulsive disorder, but decision-making can be challenging in the out-of-hospital environment....