Clinical Practice

Ethics part 3: paramedic distribution, or ‘the good, the quick, the cheap’

The fair distribution of finite resources or ‘goods’ is distributive justice in its simplest form (Campbell, 2017). Rawls is perhaps the most influential contemporary figure who presented a...

Managing ambiguity and uncertainty in clinical decision-making

When paramedics are uncertain about exactly what is going on with a patient, they should start with what they do know. Even when managing a very uncertain situation, practitioners often know more than...

ECG Case Series for Paramedics: April 2023

The heart rate is approximately 50 beats per minute and in sinus rhythm. There is left axis deviation..

Allied health professional confidence in giving prehospital fascia iliaca blocks

The primary aim of this study was to determine factors affecting AHPs' confidence in administering FIBs in patients with a suspected neck of femur fracture in a prehospital setting..

Challenges of prehospital silver trauma patients

Falls are the primary cause of trauma in older people, causing a multifactorial geriatric syndrome including major trauma despite low mechanism of injury (Saxton et al, 2019). Factors such as frailty,...

Prehospital emergency health services in Qatar

Qatar is located on a 160 km-long peninsula on the west coast of the Persian Gulf. Islands included, it occupies 11 493 km2 of land (Bener and Mazroei, 2010). While the country's economy was based on...

Attempting to prevent hyperoxaemia after out-of-hospital resuscitation

This literature review has limitations. A systematic review was not possible because of financial restraints. However, by following a detailed methodology and recording the steps taken, a valid...

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...