Clinical Practice

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...

Settling into my role

With the days getting shorter and a little chill in the air, the rate of patients needing to attend with respiratory symptoms is definitely increasing! This increase in respiratory cases provides a...

Cord prolapse

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5 recent ECG case studies

Every issue of JPP includes an instalment of our ECG series. Each of these present a reflective patient case study to help you practice ECG interpretation, so you can build your confidence and skills...

ECG case series for paramedics: October 2024

There are however are a number of abnormalities with this 12-lead ECG:.

The importance of being an ‘ambulance driver’

Although clinical practice and patient communication are key elements of the paramedic role, being an ‘ambulance driver’ is also integral. Often, the public misconception is that members of the...

Maternity emergencies 2: normal birth

Births attended by the ambulance service are generally those where the mother has been caught off guard and labour has progressed particularly rapidly or where the mother has been unaware of her...

ECG case series for paramedics: September 2024

This ECG shows the patient to be in atrial flutter with a variable ventricular response and left bundle branch block configuration. His high sensitivity troponin was moderately elevated..

Inappropriate use of nocebic language in prehospital care: a cautionary tale

The working assumption of this pilot study was that emergency responders would display a high level of clinically appropriate communication, largely devoid of nocebic words and inappropriate language...

To err is an opportunity

However, the week before graduation, while on a day shift, I made my first major error. I attended to a patient who was fitting. In the London Ambulance Service (LAS), we administer Midazolam to...