Clinical Practice

Prescribing for paramedics: pharmacodynamics

Many drugs exert their effect on the body via an action on cells. The net effect of this can be to:.

Pharmacokinetics in paramedic prescribing

Absorption is the process a drug undergoes to enter the circulation. The most common route is the oral route, where drugs are ingested orally, and then absorbed from the gastrointestinal tract into...

Understanding right ventricular myocardial infarction in prehospital care

To understand RVMI, it is necessary to look at the function of the right ventricle. According to Gupta et al (2013), the dominance of the coronary artery can be either right, left or balance. A study...

The prescribing paramedic: a pharmacology series

Pharmacology is a key component of undergraduate paramedic programmes. The HCPC (2014) and the College of Paramedics (CoP, 2019) curriculum guidance include pharmacology explicitly in standards and...

Integrating research and evidence-based guidance into prescribing practice

Both the College of Paramedics (CoP) (2018) and the Royal Pharmaceutical Society (RPS) (2016) are clear that, as non-medical prescribers, advanced paramedics are required to review and critically...

Should ascorbic acid be a primary therapy for sepsis in prehospital settings?

The objectives of this review are to: explore the potential value of intravenous ascorbic acid as a primary treatment for sepsis in the prehospital environment; and find out whether it can reduce...

Miscarriage, SUDI and neonatal death: paramedic experience and practice

The literature review was conducted using Google search and focused on paramedic practice and baby loss. The search included a focus on academic papers and books from across the social and medical...

Paramedic use of IV amiodarone to terminate supraventricular tachycardia

Transient SVTs are known as paroxysmal SVTs (PSVTs). Table 1 outlines the commonly encountered regular and irregular narrow complex tachyarrhythmias. Atrial flutter can be either regular or irregular,...

Neurological examination 2

The articles in this series, which can be torn out for use in practice, are intended to support clinician development and to assist in the overall assessment of patient presentations. The information...

Challenges of SARS-CoV-2 and conflicting PPE guidelines

The early 21st century gave rise to two epidemics: between 2002–2003, a new deadly infectious disease known as SARS emerged, which was a global concern (da Costa et al, 2020). Ten years later in 2012,...

How accurate is the prehospital diagnosis of hyperventilation syndrome?

The study included a consecutive series of patients and was similar to a cohort study, which corresponds to a single-gate diagnostic accuracy study design (Rutjes et al, 2005). A retrospective...

Neurological examination

The articles in this series, which can be torn out for use in practice, are intended to support clinician development and to assist in the overall assessment of patient presentations. The information...