Clinical Practice

Primum non nocere: first, do no harm

Protecting the public and enhancing patient safety is the first concern of the paramedic (Health and Care Professions Council, 2016). Patient safety is a challenge globally and requires knowledge and...

Flippin’ education: a new pedagogy for paramedic students?

More traditional methods of teaching teach the basics of a concept during classroom time and the student is expected to learn more deeply about the concept in self-directed study time. The basis of...

Exploring a possible incidence of neurogenic pulmonary oedema

Neurological conditions that cause an abrupt and rapid increase in ICP are closely correlated with, and therefore at greatest risk of, NPO (Davison et al, 2012).

Industrial paramedic: an emerging speciality?

‘155 workers killed annually—equating to three per week’ .

Which factors most influence demand for ambulances in South West England?

The model predicts that the number of regular fallers among older people is the most influential contributor to demand for ambulances in South West England. This factor is predicted to be over three...

Clinical care in the warm zone: a responder's perspective upon clinical practice in support of UK tactical medical operations

Remaining effective within the tactical environment requires clinicians to assess the effectiveness of their clinical practice, while continuously ensuring that their safety is not being compromised....

The hanging/hanged patient and relevance to pre-hospital care

Hanging can be categorised as judicial or non-judicial, with the former being a legal capital punishment, which usually follows a set procedure in order to cause death. Currently, it is argued that...

What do ambulance service personnel perceive to be the process of and issues with inter-hospital transfers?

The literature review focused solely on works related to the purpose of the study outlined in the previous paragraph. MEDLINE, EMBASE and COCHRANE were the databases used for the four literature...

Critical care paramedics: who's doing what?

‘It is refreshing to see a more balanced, less adversarial and critical appraisal of some of the issues in pre-hospital trauma care’ .

Developing the concept of a multi-professional pre-hospital emergency medicine (PHEM) practitioner training programme

The term ‘pre-hospital emergency medicine’ (PHEM) covers a wide range of medical conditions from minor illness and injury to life-threatening emergencies. Pre-hospital interventions therefore also...

A critical review of NICE Guideline 39—major trauma: assessment and initial management

It is widely recognised that airway management in trauma can be challenging (Deakin et al, 2010). The findings of the NCEPOD (2007) report suggest that one in eight patients arrived at hospital with a...