Clinical Practice

SQIFED: A new reflective model for action learning

Although a form of group work, the focus of action learning is the individual. The individual brings a real-life problem to the group known as the ‘set’ and receives the full attention of the set as...

Death notification education for paramedics: Past, present and future directions

Paramedics in an urban and urban/rural area of Ontario were recruited to participate in focus group sessions after ethics approval was obtained from the University of Toronto. Participant and focus...

Recognising children with surgical problems in the pre-hospital setting

It is of paramount importance that surgical teams are involved early in cases where the situation can progress and rapidly deteriorate (e.g. intussusception or appendicitis) (UK Ambulance Service...

Ischaemic strokes and treatment with thrombolysis: The key lies with paramedics

In the case of an embolic cause, which creates an ischaemic stroke, alteplase (Actilyse® manufactured by Boehringen Ingelheim) can be used—this is a drug developed to break down clots. Although...

Future electric vehicles for ambulances (FEVA)

The data from the word map (Figure 3) were grouped to develop the interview proforma (Table 1) for the second stage of data collection. The interview data were analysed to identify common themes for...

Traumatic brain injuries: Continuing dilemmas in the pre-hospital care arena

Immediate manual inline immobilisation was initiated to prevent further secondary injuries from a possible undiagnosed c-spine fracture, while a primary survey was undertaken. This survey provides a...

Seasonal variations effect on trauma admissions: Myth or reality?

A systematic search for relevant studies was undertaken using Medline, EMBASE and Cochrane databases. Studies from 1990 to 2011 were included. The MESH terms used for the search included: trauma...

‘A pain in the back’: Psoas abscess and the importance of red and yellow flags

A 19 year old man attended an ED in Wales (UK) with an eleven day history of low back pain. Following a five mile walk he developed bilateral heaviness in his legs, one day later he experienced...

Pre-hospital coronary heart disease: Analysing performance indicators

Ischemic heart disease is a condition characterised by inadequate myocardial perfusion caused by reduced blood supply, increased myocardial oxygen demand, or both (Falk et al. 2011). Coronary heart...

The introduction of the intubating laryngeal mask into paramedic practice

The study was conducted to fulfil the requirement of a master of medical science by research. Ethics approval for this study was obtained from the University of Tasmania Human Research Ethics...

Legal substances and their abuse: Legal highs

Stimulants such as caffeine, dextromethorphan in cough remedies, cough and cold remedies containing stimulants or antihistamines are misused and abused for improving performance and for their...

Professional indemnity insurance: is it really worth the cost?

As a paramedic, you will often work in a high pressure environment making split second decisions and exposing yourself both to personal risk and professional liability. It is important to ensure...