treatment

Spotlight on Research

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...

Troponin testing in primary care: can it improve diagnosis and prevent admission?

The limitations of this systematic review largely concern the quality of the included studies. With all studies scoring either three or below on the Oxford Centre for Evidence-Based Medicine Levels of...

‘Just little tricks’: an exploration of treating children in pain

The aim of this study was to explore UK paramedics’ experience of treating paediatric patients in pain..

Prehospital administration of calcium in trauma

Calcium ions initiate actin-myosin filament binding, resulting in myofibril (muscle-fibre) shortening and muscle contraction. Depletion of calcium ions because of loss during haemorrhage and...

Paramedic adult pain assessment: pilot study

There were 30 (85.7%) male and 5 (14.3%) female participants. Thirty-two (91.4%) of the 35 participants were ambulance paramedics and three (8.6%) were CCPs. Thirteen (37.1%) of the participants had...

Racial disparities in emergency care for seizures in the United States

This study uses EMS data from the 2017–2019 NEMSIS V3.5.0 database to perform a retrospective cross-sectional analysis. NEMSIS is a national database funded by the National Highway Traffic Safety...

Prehospital osmotherapy in isolated traumatic brain injury: a systematic review

TBI is the leading contributor to mortality, morbidity and disability globally, accounting for 30% of injury-related deaths in those aged 18–45 (Mangat, 2018). TBI is a national health priority, as...

Focused cardiac ultrasound in out-of-hospital cardiac arrest: a literature review

Although the use of ultrasound is well established in hospitals, it did not emerge in the prehospital environment until the 1990s in the United States. Furthermore, paramedic use of ultrasound has...

Feasibility of phenytoin as a paramedic-led second-line anti-epileptic drug

Although phenytoin is common in emergency department management, prehospital research and published evidence of its use is limited. A literature search was conducted using PubMed and Google Scholar...

Prehospital thrombolysis for STEMI where PPCI delays are unavoidable

Benger's (2016) research for the National Institute For Health Research (NIHR) noted that more than 30 000 cardiac arrests occurred outside the hospital in England every year (Benger, 2016; Out of...

Prehospital sepsis care in Ireland: an audit

All PCRs from patients assessed by DFB prehospital practitioners in the week starting 27 March 2017 were manually examined by an independent researcher to identify patients with potential sepsis or...

Treating sepsis in the emergency prehospital setting with IV antibiotics

The aim of this study was to illuminate the views of medical directors in NHS ambulance services, associated with the use of IV antibiotics to treat prehospital sepsis..