Features

Pre-hospital assessment and treatment of meningococcal meningitis

Because bacterial meningitis is life-threatening, early diagnosis and treatment is vital (Brouwer et al, 2012)—the necessity of which is underlined in a study that demonstrated an association between...

Recipe for success: baking in Boston strong-observations on Boston's success

The response to the 15 April, 2013 Marathon Bombing was not a fortunate event. Nor were the stars just perfectly aligned for a lucky response. In fact, the foundation of a successful response is built...

Documentation: are we writing it right?

‘The quality of your record-keeping is also a reflection of the standard of your professional practice. Good record-keeping is a mark of a skilled and safe practitioner, while careless or...

Pre-hospital lactate monitoring for adults with sepsis

Sepsis is a life-threatening condition with estimates of up to 37 000 deaths annually in the UK alone. When sepsis is not treated the mortality rate increases by 8% every hour (Cronshaw et al, 2011)....

A review of the challenges and solutions during paramedic endotracheal intubation

‘…paramedics within King County achieved ETI success rates comparable with other highperforming EMS systems and emergency physicians’.

A brief history of analgesia in paramedic practice

Important advances in the prevention and management of pain occurred in the mid-1800s, when drugs that produced anaesthesia were first used during surgery. These drugs included nitrous oxide, ether...

Potential use of amiodarone to treat new-onset AF in the pre-hospital setting

AF is frequently associated with structural abnormalities in the heart or cardiac disease, or may result from damage to the heart tissue itself, from thoracic surgery or coronary artery bypass grafts...

Intranasal and buccal midazolam in the pre-hospital management of epileptic tonic-clonic seizures

Epilepsy is a homeostatic imbalance characterised by recurrent malfunctions in motor, sensory or psychological functions. These malfunctions are commonly described as a seizure (Tortora and...

A critical appraisal of the impact of Section 3 of the Mental Capacity Act (2005)

‘Bodily invasions in the course of proper medical treatment stand completely outside the criminal law. A competent adult cannot be treated without consent; this protects the patient's autonomy and...

Spotlight on Research

The paper describes a surveillance study conducted by poisons specialists working at the four National Poisons Information Service (NPIS) centres covering the UK. The service since 2005 has...