Clinical Practice

ECG case series for paramedics: December 2024

In complete heart block, all atrial impulses are blocked at the atrioventricular (AV) node. Ventricular depolarisation may be maintained by an escape pacemaker. Nodal escape rhythms, originating above...

Spotlight on Research

Recent trials exploring the effectiveness of cardiac arrest drugs suggest that the effects are time-dependent, and that earlier drug administration may improve outcomes. Gaining intravenous (IV)...

Prehospital treatment of autonomic dysreflexia

The peripheral nervous system in the body is divided into two parts: the autonomic (automatic) and the somatic (conscious) nervous systems (Waugh and Grant, 2018). Here, we are concerned with the...

Medical emergencies in primary dental practice

Because of the busy nature of a primary dental practice, staff members can vary day to day. Consequently, the roles that individuals assume in a medical emergency can and do change.

Intranasal ketamine analgesia for non-physician prehospital clinicians

Ketamine was first synthesised in 1962 as a derivative of phencyclidine, which was deemed unsuitable for human use owing to its side effects, including extended emergence delirium (Domino and Luby,...

A novel approach to prehospital continuing professional development

WhatsApp was selected to host the group due to its end-to-end encryption, ubiquitous use and ability to host large private groups. A closed group was created with access requested via a QR code (only...

The other side of a rut

In my October column, I highlighted some of the negative experiences I had encountered as an NQP so far. I was unsure if I wanted to share this side of being an NQP, but I would be painting a false...

Settling into my role

With the days getting shorter and a little chill in the air, the rate of patients needing to attend with respiratory symptoms is definitely increasing! This increase in respiratory cases provides a...

Cord prolapse

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5 recent ECG case studies

Every issue of JPP includes an instalment of our ECG series. Each of these present a reflective patient case study to help you practice ECG interpretation, so you can build your confidence and skills...

ECG case series for paramedics: October 2024

There are however are a number of abnormalities with this 12-lead ECG:.

The importance of being an ‘ambulance driver’

Although clinical practice and patient communication are key elements of the paramedic role, being an ‘ambulance driver’ is also integral. Often, the public misconception is that members of the...