Clinical Practice

A day in the life of a paramedic advanced clinical practitioner in primary care

The paramedic profession has formally existed in the UK for less than two decades (Newton 2011). Historically, the role of the paramedic has been two-fold (Paranjape 2017):.

Paramedic management of out-of-hospital postpartum haemorrhage with TXA

The RCOG (2009) recognises that PPH is the leading cause of obstetric haemorrhage and suggested that the incidence of PPH is rising in the UK. Sentilhes et al. (2015a) outlines that PPH, of either...

TXA for HEMS patients with suspected haemorrhage

A service evaluation was performed with analysis of patient outcome by the review of patient report forms (PRFs). Patients who received pre-hospital TXA were identified and further analysis of their...

Reduction of a finger in the out-of-hospital arena?

Kovacs and Croskerry (1999) point out that clinicians use a variety and range of clinical decision-making approaches. These are dependent largely on the unique characteristics of individual clinical...

Durham and Cleveland police firearms unit tactical team medics: lessons from the first six years

Training in this curriculum is provided by military and civilian doctors and paramedics along with the forces own training team. Importantly, whilst the main aim of the course was to provide emergency...

Should oral steroids be routinely supplied to prevent asthmatic relapse?

A specialist paramedic was called to attend a local police station where a 32 year old police officer was experiencing a ‘tight and wheezy chest’. Three hours earlier he had apprehended a criminal...

Development of clinical and inter-personal skills to support people living with dementia

Three themes emerged from the thematic analysis: challenges of communication students' negative emotional response, and lack of social care and pathways. Themes and subthemes emerged from both first...

Stroke assessment and management in pre-hospital settings

The World Health Organization (WHO) defined a stroke as a ‘a clinical syndrome consisting of rapidly developing clinical signs of focal (or global in case of coma) disturbance of cerebral function...

Live tweeting by ambulance services: a growing concern

A brief analysis of a convenience sample of existing tweets found numerous breaches of professionalism and potential risks to public confidence using the legal and ethical measures identified above....

Emotional labour in paramedic practice: student awareness of professional demands

Hochschild defines the term ‘emotional labour’ as ‘the management of feeling to create a publicly observable facial and bodily display’ (Hochschild, 2012). Where this exists as an integral part of...

Exploratory study into the views of paramedics on paramedic prescribing.

In 1999, a Department of Health medicines review chaired by Dr June Crown identified that there was overwhelming support for the extension of prescribing rights for a range of health professionals,...