Clinical Practice

Musculoskeletal injury risks for ambulance workers

As part of their job, ambulance workers perform many tasks that expose them to musculoskeletal risks, including adopting awkward postures (Doormaal et al, 1995; Ferreira and Hignett, 2005); moving...

Airway management in UK ambulance services: results of the National Ambulance Service Airway Management Audit

An internet-based survey entitled the National Ambulance Service Airway Management Audit was created using the Bristol University Online Survey Tool (University of Bristol; www.survey.bris.ac.uk). The...

Should the Kendrick Extrication Device have a place in pre-hospital care?

Essentially the KED is a flexible mini back board that, when in position on the casualty, extends from their lower back to above their head. It also extends laterally to encompass the flanks and head,...

Challenges of postpartum haemorrhage: a case study in the aeromedical retrieval environment

Postpartum haemorrhage (PPH) is the main cause of nearly 25% of maternal deaths worldwide (World Health Organization, 2012). The Royal College of Obstetricians and Gynaecologists (RCOG) categorise PPH...

The postgraduate paramedic: meeting the demands of an evolving profession

‘It is essential that the profession is led by paramedics, for the benefit of those who are the recipients of paramedic-delivered care: the public’ .

Independent prescribing: a journey to provide the best possible care

The Review of Prescribing, Supply and Administration of Medicines (Department of Health (DH), 1999), chaired by Dr June Crown, proposed that prescribing rights should be extended to a range of health...

Paramedic prescribing: a potion for success or a bitter pill to swallow?

Paramedics traditionally operate in high-risk and often unpredictable environments, dealing with a range of illnesses and injuries from the critically ill, to those patients with low acuity, yet often...

Pain: understanding the biopsychosocial model and the paramedic's role within the multi-disciplinary team

The biopsychosocial model is a term to describe the combination of three important factors that heavily influence the lives of patients suffering a disease or illness:.

Pre-hospital technology research: reflecting on a collaborative project between ambulance service and academia

The MIME technology consisted of two key components: i) lightweight medical sensors that were simple to apply and operate (see Figure 1), and ii) novel software that presented these data very simply,...

Adrenal insufficiency: improving paramedic practice

The prevalence of adrenal insufficiency in the UK is 110 to 120 per million and rising (Simmons–Holcomb, 2006). Chakera and Vaidya (2009) observe that Addison's disease has an incidence of 4.7–6.2 per...