case study

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),...