case study

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...

Exploring the role that autonomy plays in achieving a good death: a case study

‘You matter because you are you, and you matter to the end of your life’ .

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

The EHAAT doctor-paramedic team were dispatched to a 10-year-old girl who had been struck by a medium-sized van travelling at an unknown speed. Upon arrival of the first ambulance crew, the patient...

Challenges of postpartum haemorrhage: a case study in the aeromedical retrieval environment

Postpartum haemorrhage (PPH) is the main cause of nearly 25% of maternal deaths worldwide (World Health Organization, 2012). The Royal College of Obstetricians and Gynaecologists (RCOG) categorise PPH...

Intra-cardiac arrest thrombolysis in the pre-hospital setting: four cases worth considering

This young man had recently taken up jogging. On the evening before his collapse he complained of a painful calf and presumed that he had pulled a muscle. The next morning when he awoke he still had...

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...

Essex and Herts Air Ambulance: a focused case series for pre-hospital practice Case 3: a femoral shaft fracture

A 23-year-old woman who, while crossing the road, was hit by a car coming towards her from her right side. Witnesses reported that the car drove over the patient and dragged her a few yards down the...

Essex and Herts Air Ambulance: a focused case series for pre-hospital practice Case 2: tension pneumothorax

A 55-year-old man lost control and was ejected from his motorcycle at approximately 60 miles per hour on a country road. The patient was wearing a helmet and full protective clothing. When the first...

Application of the iTClamp™ in the clinical management of haemorrhage: a case study

A male patient was stabbed below the jaw line to the left side of the face/neck. The initial call suggested a catastrophic haemorrhage. On scene, the male patient had an obvious and considerable...

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

We report the case of a 2-year-old boy who sustained a scald to the abdomen after pulling a freshly made cup of tea over himself. Following a crew request for analgesia and transfer to a burns unit,...

The transnational delivery of paramedic education: the Gibraltar case study

Gibraltar is a British Overseas Territory with an independent government that is almost entirely autonomous in overseeing it's 30 000 population, despite having a status listed by the United Nations...

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),...