Research

Perceptions of establishing advanced life support for out-of-hospital cardiac arrest

The aim of this study was to explore paramedics' experiences of establishing ALS in OHCA. It seeks to lift the ALS algorithm from the page and explore, without fear of judgement, paramedics' heuristic...

Technology commitment of emergency medical service practitioners and dispatchers

Using the Goal-Question Metric (Basili et al, 2022), the aim was decided as: to analyse technology commitment for the purpose of understanding attitudes and predicting utilisation behaviour with...

ECG case series for paramedics: March 2024

The most striking abnormality is the prolonged QRS duration. The QRS duration should be up to 100 milliseconds; whereas in this example, it is considerably prolonged, resulting in a wide QRS complex....

Spotlight on Research

Acute heart failure (AHF) is characterised by new onset of heart failure or worsening heart failure presenting with cardiorespiratory symptoms. It is difficult to diagnose in the prehospital...

Can the Clinical Frailty Scale predict futility in out-of-hospital cardiac arrest?

The primary aims of this rapid review of the literature are to determine: whether the CFS could be used in the prognostication of cardiac arrest; and, secondarily, whether the tool could be adapted...

ECG case series for paramedics: February 2024

Around one in four patients with an acutely occluded coronary artery do not present with ST elevation. These acute ‘occlusive MI’ (OMI) patients do not meet the standard ST elevation criteria (mm) for...

Spotlight on Research

Peripheral intravenous catheters (PIVCs) are invasive devices that are widely used by paramedics for the administration of intravenous (IV) therapy; however, adverse events including PIVC-associated...

Factors that influence child conveyance decisions made by prehospital clinicians

A version of the PICO (population, intervention, control and outcomes) tool for rapid reviews specifically for the formation of clinical questions was used (Curtis et al, 2022). This version, PICo...

Classroom to escape room: an innovative experience to prepare and test students

The healthcare system in the UK is rapidly evolving, resulting in a dramatic evolution in paramedicine (Nixon, 2017), particularly since the turn of the century..

Respecting an autonomous decision to refuse life-saving treatment: a case study

‘in which autonomous patients are choosers who act intentionally, with understanding, and without controlling influences that determine their actions’. .