Clinical Practice

Building a picture of patients' health status one assessment at a time

The findings of various patient assessments must be combined to make sense of the patient's overall condition.

Continuous monitoring of cuffed tube pressure: a craft solution?

Crafted device for continuous monitoring of cuffed tube pressure.

ECG case series for paramedics: January 2025

ECG of a 75-year-old man presenting with central chest pain.

Spotlight on Research

In prehospital emergency care, the evidence of underuse of analgesics in the face of valid indication (oligoanalgesia) remains a problem. Where issues around vascular access contribute to...

ECG case series for paramedics: December 2024

In complete heart block, all atrial impulses are blocked at the atrioventricular (AV) node. Ventricular depolarisation may be maintained by an escape pacemaker. Nodal escape rhythms, originating above...

Spotlight on Research

Recent trials exploring the effectiveness of cardiac arrest drugs suggest that the effects are time-dependent, and that earlier drug administration may improve outcomes. Gaining intravenous (IV)...

Prehospital treatment of autonomic dysreflexia

The peripheral nervous system in the body is divided into two parts: the autonomic (automatic) and the somatic (conscious) nervous systems (Waugh and Grant, 2018). Here, we are concerned with the...

Medical emergencies in primary dental practice

Because of the busy nature of a primary dental practice, staff members can vary day to day. Consequently, the roles that individuals assume in a medical emergency can and do change.

Intranasal ketamine analgesia for non-physician prehospital clinicians

Ketamine was first synthesised in 1962 as a derivative of phencyclidine, which was deemed unsuitable for human use owing to its side effects, including extended emergence delirium (Domino and Luby,...

A novel approach to prehospital continuing professional development

WhatsApp was selected to host the group due to its end-to-end encryption, ubiquitous use and ability to host large private groups. A closed group was created with access requested via a QR code (only...

The other side of a rut

In my October column, I highlighted some of the negative experiences I had encountered as an NQP so far. I was unsure if I wanted to share this side of being an NQP, but I would be painting a false...