Clinical Practice

Prehospital treatment of autonomic dysreflexia

The peripheral nervous system in the body is divided into two parts: the autonomic (automatic) and the somatic (conscious) nervous systems (Waugh and Grant, 2018). Here, we are concerned with the...

Medical emergencies in primary dental practice

Because of the busy nature of a primary dental practice, staff members can vary day to day. Consequently, the roles that individuals assume in a medical emergency can and do change.

Intranasal ketamine analgesia for non-physician prehospital clinicians

Ketamine was first synthesised in 1962 as a derivative of phencyclidine, which was deemed unsuitable for human use owing to its side effects, including extended emergence delirium (Domino and Luby,...

5 guides for paramedic prescribing

Journal of Paramedic Practice produce a number of practical guides for paramedic prescribing, all aimed at helping you prescribe efficiently and effectively. Take a look at some of our recent articles...

5 recent ECG case studies

Every issue of JPP includes an instalment of our ECG series. Each of these present a reflective patient case study to help you practice ECG interpretation, so you can build your confidence and skills...

Our 5 most read articles

JPP has an online archive of over 1500 articles providing best practice, research and guidance – all written and reviewed by practitioners and covering all aspects of paramedic practice. Take a look...

Wristwatches in bare-below-the-elbows out-of-hospital policies: time for a review

Two searches by the Library and Knowledge Service for Ambulance Services in England were commissioned by the author. This service undertakes searches of PubMed, MEDLINE, CINAHL, EMBASE and EMCARE...

Prehospital management of sepsis with IV antibiotics: a UK literature review

The primary aim of this work was to review the UK-based literature to understand: whether the administration of IV antibiotics by the ambulance service to septic patients is associated with improved...

Neuroleptic malignant syndrome: a neuro-psychiatric emergency

While the pathophysiology of neuroleptic malignant syndrome is complex and not fully understood (Berman, 2011), experts agree it involves a marked, sudden reduction in central dopaminergic activity...

Use of cognitive aids in paediatric out-of-hospital cardiac arrest

A survey study of 39 EMS agencies across six states of the United States was carried out. The survey (Appendix A, online) was developed as part of a larger study examining preventable serious adverse...