Clinical Practice

Care of dying adults in the last days of life: NICE clinical guideline

This guideline, which in part replaces content and the format of the recently disfavoured Liverpool Care Pathway, aims to improve EoLC for people in their last days of life, where paramedics are...

A critical appraisal of the assessment and management of psoriasis

Psoriasis is a chronic inflammatory skin disease that is considered to have a genetic influence; however, Raychaudhuri (2013) suggests that the aetiology of psoriasis remains unknown, and that only a...

Pre-hospital resuscitation: what shall we tell the family?

Including family members during resuscitation has been shown to be beneficial. Relatives watching the efforts of emergency staff could be assured that great effort is being made to save the life of...

Legal and professional boundaries: a case study

Laura is 29 years old and has schizophrenia. She is also 30 weeks pregnant. Her partner (Simon) has called 999—she has not been taking her medication for several days as she wrongly believed it might...

Ambulance clinician assessment and management of transient loss of consciousness: a retrospective clinical audit

In August 2010, NICE published guidance on the management of T-LOC in adults and young people. The NICE guidance aims to ensure T-LOC patients are directed along the appropriate pathway to receive the...

Spotlight on Research

With the advent of stroke centres and the increasing use of reperfusion therapies in stroke management, the need to correctly identify strokes in a timely manner is vital in reducing subsequent...

End-tidal CO2 monitoring in the pre-hospital environment: more than just endotracheal tube placement confirmation

Measurement of carbon dioxide in expired ventilation gases has been used in anaesthesia practice since the late 1970s (Sinclair, 1998) and is mandatory practice in anaesthesia departments across the...

Pre-hospital treatment of supraventricular tachycardia: a literature review

A research question was designed using the PICO process with a systematic Boolean search methodology. A MeSH (Medical Subject Heading) search was carried out on ‘paramedic’ and ‘pre-hospital’ to...

Training versus education: the terminology

‘When we look at how pre-hospital clinicians are currently taught, we see a distinct transition away from using the term training, with current literature favouring the term education’ .

Mass-gathering medical care: a retrospective analysis

‘Protecting the health and wellbeing of the participants and spectators from infection and intentional injuries related to improper food, water, waste, land and road traffic management’ .