Research

ECG case series for paramedics: June 2024

There is ST segment elevation across a number of leads. However, in this case the changes are not as a consequence of acute myocardial infarction. Rather, this ECG suggests early repolarisation...

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Alcohol-related harm—whether acute or long-term—has provided a significant challenge for populations and healthcare services across the UK..

ECG case series for paramedics: May 2024

A 12-lead ECG was recorded (Figure 1)..

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Recent reports of the Lancet Countdown on health and climate change discuss the unequivocal contribution of ill-health and healthcare towards rising global temperatures and vice versa. The NHS has a...

Support from advanced practitioners in critical care for ankle fracture dislocation

To the authors' knowledge, this is the first study to explore ambulance clinicians' perceptions of the APCC role. It identifies four main themes from the perceptions of ambulance clinicians who...

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....

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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...

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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...