Clinical Practice

Paramedic decision-making and the influence of bias: a case study

This incident was assigned to us at 22:25, 35 minutes before our shift was due to finish. We were tired, and our desire to finish on time made us acutely aware of how close this was to the end of our...

Prehospital management of sickle cell crisis: a case report

A 10-year-old Afro-Caribbean boy arrived home feeling unusually tired after playing football at school. He went straight to sleep but was woken at 17:00 with a sudden onset of intense pain (rated at...

Use of specialist paramedic dispatch in emergency ambulance control

The aim of this study was to highlight the key differences between the triage and dispatch processes of specialist resources, to establish if the findings support the use of one model over another to...

Excited delirium syndrome

While the pathophysiology of excited delirium syndrome is complex and poorly understood (Li et al, 2019), it has two common potential triggers: acute drug use; and psychiatric illness (Ordoobadi and...

Intravenous ketamine as an analgesia in prehospital adult trauma patients

The author independently chose to conduct a systematic literature review as it allows simultaneous searches of electronic databases while being the most effective method to find the best current,...

Assessment and management of issues in early pregnancy

Common benign causes of abdominal pain include bloating, constipation and round ligament syndrome (Hopcroft and Forte, 2003)..

Adrenal insufficiency: a review

A 21-year-old woman called 999 for an emergency ambulance complaining of dizziness, nausea, vomiting and mild abdominal discomfort. An advanced paramedic was dispatched to assess the patient with the...

Legal aspects of prescribing

Paramedic independent prescribers may currently legally prescribe all licensed medicines and off-licence/off-label licensed medicines for accepted clinical uses where no alternative is available, but...

Emergency primary and secondary systems of assessment

This study aimed to: Describe a system to identify the primary survey positive patientSignpost to guidance on the management of the primary survey positive patientIntroduce the SOAPC system for the...

An essential series on clinical decision-making on scene

The series will endeavour to address the key aspects of emergency and urgent care in the community setting, including an overview of trauma. Topics are set out in Box 1..

Pulse oximetry to predict the onset of acute mountain sickness: a literature review

The primary objective of this review is to establish the effectiveness and accuracy of pulse oximetry as a predictive tool for identifying the development of AMS during ascent to high altitudes..

Needle decompression in tension pneumothorax: anterior or lateral approach?

This literature review was conducted following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidance on identifying and including reviews of research and evaluation...