Features

The ambulance service: the past, present and future

The move from training to education for paramedics is one example of the failure to reform ambulance services to meet the changing nature of demand. Education of the workforce is a prerequisite for...

Occupational stress, paramedic informal coping strategies: a review of the literature

The present study is a review of the published research exploring the informal (personal) coping strategies employed by frontline ambulance workers in relation to perceived stressful experiences. The...

Lactate measurement in pre-hospital care: a review of the literature

Lactate was frst described in the late 18th century by KW Scheele, a Swedish chemist. Lactate can be produced in all bodily tissue but is mainly produced by the skeletal muscles, skin, red blood...

Reducing the risk of postpartum haemorrhage in paramedic practice

The World Health Organization (WHO) defnes postpartum haemorrhage as ‘a [blood] loss of 500 ml or more from the genital tract after delivery’ (WHO, 2008). However, the RCOG (2009) suggests most...

Paramedic decision-making–how is it done?

In 1966, the Millar Report (Ministry of Health) recommended intensive training for ambulance personnel that included frst aid, care of the seriously ill and the required skills following accidents and...

CURE (Community Urgent Response Environment): portable work stations

The project protocol used an iterative prototyping approach (Figure 1)..

Anaesthesia trauma and critical care course

In conclusion, the specific contents of the ATACC course would be a highly applicable to paramedics working in critical care roles, especially those working with a team undertaking pre-hospital...

The ambulance service: the past, present and future

The second challenge has been recognised for some time and was the subject of a detailed study Life in the Fast Lane, published by the Audit Commission in 1998 (Audit Commission, 1998) and considered...