Research

Mental health assessment and triage in an ambulance clinical contact centre

This service evaluation sought to uncover paramedic and nurse perceptions of mental health 999 calls, and to understand how they are triaged by the Welsh Ambulance Service Trust's (WAST) clinical...

How it's done: search tools and techniques for major bibliographic databases

Search planning is often ignored in favour of going directly to your search. However, a search plan helps you to think through some key questions before you start searching that will save you time...

Spotlight on Research

Consciousness may occur during cardiopulmonary resuscitation (CPR) despite the absence of a palpable pulse. The phenomenon, known as CPR-induced consciousness (CPR-IC), was first described over three...

Staff wellbeing: a matter for quality indicators or a concern in its own right?

This systematised review uses a qualitative synthesis and thematic analysis to account for heterogeneity between articles, with thematic coding to identify mental health trends..

PaRamEDIc assessment of laCTate in OHCA and survival to hospital (PREDICT protocol)

Lactate is produced by most tissues in the human body, with the highest level of lactate production found in muscle (Consoli et al, 1990). In healthy subjects, lactate is the result of pyruvate...

Prehospital osmotherapy in isolated traumatic brain injury: a systematic review

TBI is the leading contributor to mortality, morbidity and disability globally, accounting for 30% of injury-related deaths in those aged 18–45 (Mangat, 2018). TBI is a national health priority, as...

SPOTLIGHT ON RESEARCH

Being trapped following a motor vehicle collision (MVC) provides its own set of challenges for the patient and the rescuers. Fire and rescue service (FRS) extrication strategies have developed on the...

Mechanical chest compressions and survival in the emergency setting

This systematic review will endeavour to demonstrate whether the use of a mechanical chest compression device will be a positive factor in improving survival in the cardiac arrest scenario. In...

Where to now? Searching beyond Medline

Repositories are essentially large databases of published and sometimes unpublished material. They are organised in two ways:.

Focused cardiac ultrasound in out-of-hospital cardiac arrest: a literature review

Although the use of ultrasound is well established in hospitals, it did not emerge in the prehospital environment until the 1990s in the United States. Furthermore, paramedic use of ultrasound has...

Spotlight on Research

Over the past 30 years in Sweden, the ambulance response time in out-of-hospital cardiac arrest (OHCA) has doubled—yet counter-intuitively, the chances of surviving an OHCA have also substantially...

Spotlight on Research

Failure to identify pneumothoraces in prehospital care carries the potential for significant consequences due to the potential for worsening of the pneumothorax during transfer. Clinical assessment...