Clinical Practice

Strategic Plan 2014: a five-year strategy for the College of Paramedics

‘The College of Paramedics’ Governing Council and Executive team have been working with Professor Barry Hunt to establish a strategy document that will lead the College's activities and effort...

Pulse oximetry in the pre-hospital setting

Oxygen transportation occurs when there is a diffusion of gases that move from higher concentrations to lower concentrations. The oxygen content of blood is bound to haemoglobin and is dissolved in...

An overview of the Medical Emergency Response Team (MERT) in Afghanistan: a paramedic's perspective

Individuals are required to complete a programme of military and medical training prior to deployment to enhance individual and team skills necessary in the MERT role. Once individuals have conducted...

Essex and Herts Air Ambulance: a focused case series for pre-hospital practice Case 2: tension pneumothorax

A 55-year-old man lost control and was ejected from his motorcycle at approximately 60 miles per hour on a country road. The patient was wearing a helmet and full protective clothing. When the first...

Paramedic perceptions and attitudes to working with patients with alcohol-related injury or illness

Although intervention to reduce excessive drinking might usually be seen as the remit of other health professionals, particularly general practitioners (GPs), the modern paramedic has options for...

Application of the iTClamp™ in the clinical management of haemorrhage: a case study

A male patient was stabbed below the jaw line to the left side of the face/neck. The initial call suggested a catastrophic haemorrhage. On scene, the male patient had an obvious and considerable...

Using clinical decision making and reflection strategies to support practice

According to Sibson (2009), the theory and practice of reflective practice is increasing amongst paramedics, with a greater awareness of the benefits of reflection to everyday practice..

Pre-hospital spinal immobilisation: an initial consensus statement

Prior to the Faculty meeting in March 2012, a review of the published literature was undertaken using PubMed to search the Medline database. Secondary searches were made using UK PubMed Central and...

The pre-hospital management of pelvic fractures: initial consensus statement

A review of the literature was undertaken prior to the consensus meeting. The Medline Database was searched using PubMed and Google Scholar was also used. The search terms were Pre-hospital management...

Pharmacologically assisted laryngeal mask insertion: a consensus statement

The PALM technique has been described in polytrauma patients with a reduced Glasgow Coma Scale (GCS) and ongoing airway obstruction as well as airway soiling from facial injuries. The patients have...

Twenty-five years of London's Air Ambulance paramedics

During the early years, London's Air Ambulance (LAA) functioned almost entirely as an aeromedical service during daylight hours. A range of drugs were used for anaesthesia and sedation, with...

Answering that frequently asked question

‘Why should I join my professional body when I'm already paying a subscription to the HCPC and to the Union?’.