Clinical Practice

Appropriateness of action learning in the physical and virtual spaces: a discussion

Action learning is attributed to the British researcher Reginald Revans, who during his time as a research student at Cambridge University in the 1940s (Revans, 1982), worked alongside a talented...

Community paramedics: need of legal education specific to the pre-hospital non-emergency environment (discussion based on Texas)

Community paramedicine institutes medical monitoring, treatment, and interventions performed by a paramedic into the home setting (White and Wingrove, 2012). However, community paramedicine also...

Patient confidentiality and safety: a classic conundrum

An ability to account for our actions with a clear evidence base is a crucial component of professional accountability (Gallagher and Hodge, 2012) and reflected in a healthcare professional's code of...

Can paramedics avoid A&E departments with patients complaining of non-traumatic chest pain?

It is assumed paramedics can safely identify those chest pain patients who are critically ill: those that are hemodynamically unstable for example, as well as most of the life-threatening aetiologies...

Non traumatic chest pain – pericarditis

‘Pericarditis is an inflammation of the two layers of the thin, sac-like membrane that surrounds the heart. This membrane is called the pericardium, so the term pericarditis means inflammation of...

Ultrasound: A potential new approach for cardiac arrest management

Eight studies were evaluated to review the use of pre-hospital ultrasound. The OHCA studies reviewed evaluate the use of US both in and out-of-hospital. The evidence was reviewed using the Critical...

Efficacy and safety of methoxyflurane: managing trauma associated pain in UK SAR helicopter paramedic practice

The PRISMA system is the accepted methodology for systematic reviews; it is primarily focused on evaluating randomised trials and synthesising meta-analysis (PRISMA, 2015). It became apparent early in...

Using consensus group methods to improve simulation using immersive media in paramedicine

Weighted participant feedback is shown in figure 3. Two areas of consensus emerged in the focus group that indicated the value of the use of immersive media within simulations according to the...

‘Secondary spine injury’: how language affects future research and treatment

Early studies on the management of spinal trauma paid close attention to how they defined secondary injury. In a case series from 1966, Geisler et al aimed specifically to determine the frequency of...

Crisis resource management in relation to empowering people to speak up in emergency medical service clinical practice settings

The population of Qatar is in excess of 2.42 million (76.2% male versus 23.8% female) (MDPS, 2016). Almost 90% of the country's population comprises expatriate workers. The country's most populous...

Paramedics and their role in end-of-life care: perceptions and confidence

An anonymous electronic survey was distributed by Survey Monkey® offering a pragmatic approach as the participants were based across a large geographical area. This also provided a degree of...

Informed consent in paramedic practice

The discussion that follows is concerned only with consent as it relates to a competent adult patient receiving treatment in England. Patients who lack capacity, are under 18 years of age, or...