safety

Ethics part 1: what do paramedics owe patients?

In 2013, a paramedic refused to attend a 999 call near the end of their shift, when no further resources were apparently available. It gained media attention, and following a 2-year suspension, the...

Writing a prescription: the law and good practice

The legal requirements for writing a prescription are defined by regulation 217 of the Human Medicines Regulations 2012. For any prescription-only medicine to be sold or supplied, the prescription...

Patient confidentiality and safety: a classic conundrum

An ability to account for our actions with a clear evidence base is a crucial component of professional accountability (Gallagher and Hodge, 2012) and reflected in a healthcare professional's code of...

Paramedics and medicines: legal considerations

The HMR defines who can buy and possess medicines, and this is summarised in Appendix 1. There is an exemption for the purchase of general sales medicines; however, the supply chain for these...

Plan for quality improvement: the ‘Legal High’ Guide

‘Legal highs’ were highlighted by the media after suspected deaths across several countries were associated with the use of mephedrone (also known as ‘meow meow’ or M-CAT), with 70 in the UK. The...

Protecting ambulance staff against violence and aggression in the workplace

According to SA Health (2015b), challenging behaviour with the potential to physically or psychologically harm another person can occur anywhere but tends to take place more commonly in cases where...

Musculoskeletal injury risks for ambulance workers

As part of their job, ambulance workers perform many tasks that expose them to musculoskeletal risks, including adopting awkward postures (Doormaal et al, 1995; Ferreira and Hignett, 2005); moving...

Decision making for refusals of treatment—a framework to consider

In September 2009, a young adult Ms Wooltorton drank antifreeze, dialled 999 and presented the attending ambulance staff with a letter dated 14 September saying she wanted no lifesaving treatment but...

Is there a lawyer on board? In-flight emergencies and other Good Samaritan acts

‘Even though it is theoretically possible, to our knowledge, there have been no reported cases of a doctor ever being sued successfully for acting as a Good Samaritan in a medical emergency’ (Seddon,...

“Trojan Ambulances”: an emerging threat

An ambulance vehicle with blue lights illuminated and with its siren sounding is generally permitted access to locations other traffic may be barred from, and using that access detonates at its...

Not enough is done to ensure the safety of paramedics

‘You can never eliminate the risk of assault on staff. The risk of injury can, however, be minimised significantly by the provision of body armour for front-line ambulance personnel. Good radio...

Legal substances and their abuse: Legal highs

Stimulants such as caffeine, dextromethorphan in cough remedies, cough and cold remedies containing stimulants or antihistamines are misused and abused for improving performance and for their...