Clinical Practice

The evolving role of the Emergency Medical Retrieval Service critical care practitioner

EMRS has two teams available 24 hours a day. Each team comprises of two, the first person being a consultant with a specialty in emergency medicine, anaesthetics or intensive care, and the second...

Research developments within the Allied Health Professions Research Network (AHPRN)

‘The AHPRN is a development of the National Physiotherapy Research Network which was developed in 2004, and officially launched in 2005 following a call for proposals from the (CSP) for a research...

Ambulance CPAP Saves Lives: why don't we use it?

Current UK ambulance guidelines (Joint Royal Colleges Ambulance Liaison Committee (JRCALC), 2013) advocate the use of nitrates (in particular, glyceryl trinitrate) as the first-line treatment of ACPE....

Anatomical and physiological mechanisms of heartblock associated with AMI

The heartbeat is initiated by an intrinsic electrical system composed of modified myocytes. These myocytes are organised into a group of spontaneously discharging pacemaker cells, situated in the...

The decision-making process in an emergency: a reflection on paramedic practice

A relative made an emergency call requesting an ambulance for a 64-year-old female, who had collapsed at home and appeared to be having a stroke. Whilst responding on a Rapid Response Vehicle (RRV),...

Australian paramedics' provision of analgesia for older fallers

‘This paper found higher proportions of analgesia administration than previously reported’.

A good death: key conceptual elements to end of life care

Achieving a “good death for all” is a prominent social and political priority across the western world (Ellershaw et al, 2010); however despite this prominence the concepts of such a death remain...

Severe burn injury—pre-hospital paramedic response—if it goes wrong

‘The patient with burns presents a difficult challenge to most health care personnel. Apart from the serious nature of the injury, there is the patient's discomfort, the distress of the patient and...

Clinical handover of the trauma and medical patient: a structured approach

‘The aim of any handover is to achieve the efficient communication of high-quality clinical information at any time when the responsibility for patient care is transferred’ (Yong et al, 2008)..

Is paramedic practice ready to adopt the NICE Transient Loss of Consciousness Guideline?

TLoC, or ‘blackout’ as it commonly referred to, is defined as the sudden loss of consciousness with complete recovery (NICE, 2010). TLoC is not a condition but a symptom which is generated by multiple...

The research paramedic: a new role

The paramedic profession has changed dramatically over recent years and continues to change. We have moved away from protocol-led treatment and more towards independent clinical decision making...