Features

High-risk non-ST elevation acute coronary syndromes (NSTEACS) for paramedics

This is not to say that all NSTEACS patients would require this aggressive intervention but the intermediate to high-risk patients ultimately may. The bypass of local emergency departments (ED) and...

Increased threat of suicide attack: a need for NHS ambulance services to adapt?

Major incidents include a range of events, including terrorist attacks, but also include outbreaks of infectious diseases, train and air crashes and fires in public buildings. The current operating...

The art and science of mentorship in action

Paramedics acting as mentors have generally been providing constructive support and learning experiences which compare well with other healthcare professionals..

Reference management software for students, researchers and academics

RMS has been around for over two decades. The software is well developed and major database and information providers anticipate that users will be able to operate it with little difficulty. They have...

Patient comfort in prehospital emergency care: a challenge to clinicians

A total of 128 patients were included in the study, evenly distributed into the experimental (rescue covering) and control groups (traditional blanket) (Table 1). Patients were aged between 20and 99...

Management of an isolated neck-of-femur fracture in an elderly patient

The femoral head and neck lie within the joint capsule of the hip joint, and the head of the femur moves within the acetabulum. The most common site of fracture is within the intracapsular region,...

Reflex anoxic seizure: an important diagnosis to remember

A previously healthy five year-old girl was referred from primary care following an episode of a sudden collapse at home. She was transferred to the hospital in an emergency ambulance. The girl had a...

Paramedics' ‘end-of-life’ decision making in palliative emergencies

We contacted 900 paramedics personally (face-to-face contact) during April to September 2008 from Emergency Medical Services at Goettingen and Hamburg in Germany. A written survey was given to all...

Marfan syndrome

It is early afternoon and you have just arrived at a private residence for a 19 year-old male complaining of back pain. Your partner begins taking vital signs as you commence your assessment of the...