Features

The concept of a ‘good’ death in pre-hospital care

‘…for the majority of practitioners, death is viewed primarily as a defeat in the face of an uncontrollable force of nature…’.

Right ventricular infarction in the pre-hospital setting: A hidden complication

The right ventricle works as a low-pressure volume pump, receiving blood from the systemic venous circulation and pumping it to the pulmonary arteries. Although it has the same stroke volume as the...

Use of intranasal drug administration in the pre-hospital setting

Intranasal drug therapy is a well-established route of treatment, accepted on a global level within hospitals and doctors surgeries (Jain, 2008) and is currently being used throughout the US with...

Developing communication skills in occupational therapy, and paramedic students

There were some differences between OT and PP student opinions regarding their experience of being taught communication skills and their preparation for placement, with many PP students feeling...

Induced hypothermia in the management of head trauma: A literature review

It remains the case that a major cause of mortality and morbidity in North America for patients below 45 is traumatic brain injury (TBI) (Rutland-Brown et al, 2006). In the US it ranges to 1.4–1.7...

Stroke or heart attack: First encounters with pre-hospital care

Spotlight on Research is edited by, principal lecturer, paramedic science, University of Hertfordshire, Hatfield, Hertfordshire UK. To find out how you can contribute to future issues, please email...

Recognising supraventricular tachycardia in children: An arrhythmia not to miss

A paramedic team was requested to attend a children's party when a previously healthy two-year-old boy had became acutely unwell. He was sweaty, clammy and his parents reported that his heart was...

Raising a profession

This of course had to begin with a birth and in the context of the paramedic profession the birth came about when groups of doctors in several parts of the UK formulated plans aimed at improving...

Care and compassion: Have you got what it takes?

‘…we need positive role models to foster these qualities in others, encourage challenges to the status quo…’.

Recognising and managing severe sepsis in the pre-hospital environment

Sepsis is a common condition in which the body over reacts to a severe infection. During a period of infection a normal inflammatory response is essential, as the body increases the permeability of...

Framework for assessment of the 12 lead ECG in transient loss of consciousness

The QRS axis is the vector along which the mean direction of ventricular depolarisation travels. Although P wave and R wave axes can be calculated, the QRS axis is the most clinically relevant. The...