treatment

Prehospital neuromuscular blockade post OHCA: UK's first paramedic-delivered protocol

The aim of this study was to report on the administration of paramedic-delivered NMBA, which started on 1 April 2016 at SECAmb, and examine this practice innovation and its acceptability as an...

Changing perspectives in the prehospital management of patients with severe burns

A literature review of the CINAHL, Medline and Cochrane databases was carried out using the keywords ‘burn*’ AND ‘cooling’ OR ‘hypothermia’ OR ‘airway’ OR ‘inhalation’ AND ‘emergency’. The results...

Improving pressure ulcer risk identification: a pilot project by ambulance staff

The project adopted a pragmatic, systematic approach to methods and used a formal ‘Plan, Do, Study, Act’ improvement methodology. This was influenced by traditional models of quality and safety...

Are cervical collars effective and safe in prehospital spinal cord injury management?

A literature review was chosen to source up-to-date research and knowledge, in order to identify areas for further investigation and, ultimately, to gain more knowledge regarding a topic that is of...

Prehospital amputation: a scoping review

In cases in which extrication is not possible within a reasonable time frame to prevent the death of the patient, or because of clinical deterioration or a scene safety emergency, limb or extremity...

Maximising intraosseous flow rates: an in-vitro study

Three different methods of administration were examined: Fluid-giving set directly placed upon IO needle hub (direct-to-hub: DTH) (Figure 1)Fluid-giving set connected to the EZ-IO device extension...

Fascia iliaca compartment block versus IV morphine for femoral fracture pain

A systematic review of the literature was conducted in compliance with the PRISMA statement (Moher et al, 2009). The review was performed on the following databases: CINAHL, Medline, AMED, PubMed,...

Prehospital care in isolated neck of femur fracture: a literature review

The aim of the search was to identify appropriate literature and evidence which could be deemed to be useful to the prehospital management of NOF fracture..

Ketamine administration by HART paramedics: a clinical audit review

In the UK, ketamine is primarily used as an in-hospital anaesthetic agent; but when used in small doses, can be an effective and safe analgesic (Motov et al, 2015). Unlike morphine, ketamine maintains...

What is the most appropriate out-of-hospital opioid for adults with traumatic pain?

Major trauma is a minor element of the total workload in emergency care, with estimations of less than 0.2% of the total workload (National Audit Office (NAO), 2010). Trauma such as dislocation,...

Methamphetamine use and emergency services in Australia: a scoping review

This study used scoping review methodology which aimed to identify, map and review existing literature on a selected topic (Levac et al, 2010). The search was inclusive of both peer-reviewed research...