Features

Best practice technique in intramuscular injection

In this month's Clinical Skills article, best practice for the administration of intramuscular (IM) injections will be discussed. It is important to re-visit clinical skills as many are taught during...

End of life care in the community: the role of ambulance clinicians

After completing this module, the paramedic will be able to:.

JPP Letters

Firstly, it is useful to recognise that the functionality of pulse oximeter technology (and indeed many arterial blood gas analysers and other laboratory equipment) relies upon the Beer-Lambert Law,...

Secondary traumatic stress and resilience among EMS

The Brief Resilience Scale (BRS) assesses the ability to recover from stressful situations. The BRS is a validated self-report 6-item scale rating one of the highest levels of quality for measuring...

Hand hygiene compliance in the pre-hospital setting

Health professionals' compliance with hand hygiene remains a universal problem in health care (Gould et al, 2017; Sunley et al, 2018). While poor hand hygiene is prevalent in the inpatient and...

Care pathways for low-risk transient ischaemic attack

‘a transient episode of neurologic dysfunction caused by focal brain, spinal cord or retinal ischemia without acute infarction’ (Easton et al, 2009) .

Using haemostats effectively in pre-hospital care

The purpose of this month's Clinical Skills column is to provide safe and effective best practice guidance for the use of haemostatic agents, or haemostats, in the pre-hospital environment. The topic...

Traumatic cardiac arrest: what's HOT and what's not

Treatment and management is increasingly being directed at the rapid identification and reversal of potential causes. Reversing hypovolaemia, oxygenation and tension pneumothorax (HOT) as a priority...

Cooling of thermal burn injuries: a literature review

The use of the PICO technique (O'Connor et al, 2008) determined initial keywords around the topic and further synonyms were then generated. The chosen search strategy was ‘burns AND cool* AND outcome...

Why do paramedics have a high rate of self-referral?

The research as a whole aimed to explore the reasons behind the disproportionate number of referrals relating to paramedics relative to other health and care professions regulated by HCPC. The current...