Clinical Practice

Falls assessment and prevention in older people: an evaluation of the Crisis Response Service

The CRS in Northamptonshire comprises a range of health and social care professionals within partner organisations providing a variety of clinical, health and social care assessments and...

The perceived concerns of newly qualified paramedics commencing their careers: a pilot study

This pilot study focused on a single cohort of full time two-year diploma-qualified paramedics in the initial months post-qualification. Ethical approval was obtained for the project from the...

The decision is yours

Decision making is a cognitive process, and no matter which model is adopted, the judgement is almost always based on sound reasoning: that is, it is rational. One approach to decision making is rule...

The use of polyvinyl chloride film (clingfilm) with burn injury in the pre-hospital setting—the clear facts

In 1987 the use of clingfilm gained early research exposure by Wilson and French. In their abstract they state:.

Essex and Herts Air Ambulance: a focused case series for pre-hospital practice

We report the case of a 38-year-old male who was working on an industrial site loading 2-tonne paper rolls into the container of a heavy goods vehicle (HGV). When one of the paper rolls slipped off...

Clinical intuition: how paramedics make decisions, is experience always best? A case presentation

Firstly, it is important to consider why particular decisions are made, whether diagnoses are correct and what assumptions are made about the patient. It is pertinent to reflect on whether there were...

The expanding scope of EMS: decreasing emergency department overcrowding in the United States

Chronic disease is defined as a long-lasting condition that can be controlled, but not cured (Salzman et al, 2012). Interestingly, over half of the US population lives with a least one chronic...

An integrated ABCDE approach to managing medical emergencies using CRM principles

‘An unplanned life-threatening event in which there is a mismatch between the ambient level of resources and those that a patient needs to regain stability.’ .

Delivering enhanced safety, productivity and experience: early results from a frequent caller management system

999 activity increased by 6.9% last year (Anderson, 2013) with incidents resulting in an ambulance service clinician attending scene increasing by 4% (Anderson, 2013) and patients discharged on scene...

Is it time to change? The use of intranasal fentanyl for severe pain in the pre-hospital setting

Cannulation is the main barrier to the administration of opioid analgesia, and this has been shown to be a problem in the young, the elderly, the shocked patient and the cognitively impaired. Studies...

Increasing objectivity in the assessment of interpersonal skills and attitude

To establish a structure to improve the development of essential non-practical skills..

Why evaluation is important to you, me and everybody

Evaluation is a statement which appraises or adds value to something (Simpson et al, 1986). Evaluation is regularly paired with assessment which encompasses benchmarking and ranking; however, there...