Clinical Practice

Gastrointestinal system

The clinical examination is an important part of any patient consultation. After the primary survey and taking the patient history, a more in-depth examination is sometimes required to aid making a working diagnosis and help negate other differential diagnoses. The extent of this depends on the stability of the patient and may not be possible in time-critical circumstances. However, clinical examination is an increasing part of paramedic practice owing to the continued expansion of the scope of...

Respiratory system

The clinical examination is an important part of any patient consultation. After the primary survey and taking the patient history, a more in-depth examination is sometimes required to aid making a working diagnosis and help negate other differential diagnoses. The extent of this depends on the stability of the patient and may not be possible in time-critical circumstances. However, clinical examination is an increasing part of paramedic practice owing to the continued expansion of the scope of...

Paramedic emotional labour during COVID-19

Emotional preparedness is required for emergency paramedic practice. Emotional labour underpins the role of paramedics at the frontline of patient care. During the COVID-19 pandemic where patients are at their most vulnerable, it is imperative that paramedics can offer both reassurance to parents and be empowered in the face of the virus. Dealing with COVID-19 has put stress on paramedics, for whom psychological wellbeing is imperative to their capacity to cope in exceptionally challenging...

Musculoskeletal system part 2

The clinical examination is an important part of any patient consultation. After the primary survey and taking the patient history, a more in-depth examination is sometimes required to aid making a working diagnosis and help negate other differential diagnoses. The extent of this depends on the stability of the patient and may not be possible in time-critical circumstances. However, clinical examination is an increasing part of paramedic practice owing to the continued expansion of the scope of...

COVID-19: experiences of roadside logistics from a UK air ambulance service

The COVID-19 pandemic is so widespread that any patient in the prehospital environment is considered a significant transmission risk. UK charity air ambulances are affected by challenges regarding air equipment decontamination, staff redeployment and acquisition of personal protective equipment. This has led services to change their mode of operation and contribute to other areas of healthcare that have sprung up in response to the pandemic. Implementing adapted processes and assuming a clear...

Targeted temperature management: beneficial or not?

Targeted temperature management (TTM), formerly known as therapeutic hypothermia, has been shown to improve survival and neurological recovery in patients following cardiac arrest. Following successes with its in-hospital implementation, many guidelines now advocate its use in the prehospital domain for all out-of-hospital cardiac arrests (OHCAs). It has been suggested that patients presenting with shockable rhythms who receive early initiation of TTM have better survival rates. TTM can be...

Paramedic use of PPE and testing during the COVID-19 pandemic

COVID-19 is the disease caused by the SARS-CoV-2 virus. Paramedics are at the frontline of healthcare delivery, including during the SARS-CoV-2 pandemic. The virus poses specific problems for paramedics. These involve treating and transporting infected patients, as well as considerations around decontamination and disinfection of ambulances and medical equipment. All respiratory infections should be considered COVID-19 until proven otherwise so paramedics should wear personal protective...

Musculoskeletal system part 1

The clinical examination is an important part of any patient consultation. After the primary survey and taking the patient history, a more in-depth examination is sometimes required to aid making a working diagnosis and help negate other differential diagnoses. The extent of this depends on the stability of the patient and may not be possible in time-critical circumstances. However, clinical examination is an increasing part of paramedic practice owing to the continued expansion of the scope of...

The new coronavirus disease: what do we know so far?

Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is a novel coronavirus that causes the new disease COVID-19. Symptoms range from mild to severe with a higher incidence of severe cases in patients with risk factors such as older age and comorbidities. COVID-19 is mainly spread through the inhalation of respiratory droplets from coughing or sneezing or via contact with droplet-contaminated surfaces. Paramedics should be aware that some aerosol-generating procedures may put them at a...

Peripheral vascular system

The clinical examination is an important part of any patient consultation. After the primary survey and taking the patient history, a more in-depth examination is sometimes required to aid making a working diagnosis and help negate other differential diagnoses. The extent of this depends on the stability of the patient and may not be possible in time-critical circumstances. However, clinical examination is an increasing part of paramedic practice owing to the continued expansion of the scope of...

Paramedics and pneumonia associated with COVID-19

Paramedics are at the frontline of healthcare delivery and this includes during the current coronavirus pandemic. This pandemic poses specific problems for paramedics, which include not only treating and transporting infected patients, but also issues around decontamination and disinfection of ambulances and medical equipment. Of particular concern is the pneumonia associated with the 2019 novel coronavirus. Data on COVID-19 pneumonia are developing. Ongoing research demonstrates that almost all...

Cardiovascular examination

The clinical examination is an important part of any patient consultation. After the primary survey and taking the patient history, a more in-depth examination is sometimes required to aid making a working diagnosis and help negate other differential diagnoses. The extent of this depends on the stability of the patient and may not be possible in time-critical circumstances. However, clinical examination is an increasing part of paramedic practice owing to the continued expansion of the scope of...

Effect of blood pressure on stroke severity and outcomes in acute cases

Background: Stroke results in impairment of cerebral autoregulation. Systemic blood pressure (BP), whether low or high, may affect cerebral blood flow and cause damage to brain tissue, so is important in the context of stroke. Effective management of BP may result in less severe strokes and better outcomes for patients. Methods: A literature search was performed to answer the research question, using the CINAHL Complete and MEDLINE Complete databases. Inclusion and exclusion criteria were...

View all Clinical Practice

Keep up to date with Journal of Paramedic Practice!

Sign up to Journal of Paramedic Practice’s regular newsletters and keep up-to-date with the very latest clinical research and CPD we publish each month.