Features

Pre-hospital thrombolysis: end of an era?

About 20 years ago several clinical trials were undertaken to investigate whether thrombolysis given quickly in the more vulnerable out of hospital environment would result in better outcomes than...

Adult sepsis in a pre-hospital environment

Sepsis occurs when a simple infection develops to cause an overwhelming, inappropriate infammatory response. The causative pathogen is identifed by the host's innate (non-specifc) immune system, which...

Making the transition to high quality CPR: implications for paramedic practice

Hands-off time is any time interval where chest compressions are not being done while a patient is in cardiac arrest. In general, the goal during CPR is to minimise hands-off time and maximise chest...

The seizurogenecity of naloxone in tramadol overdose

Paramedics were called to an unconscious 40-year-old-male, who was presumed to have taken an overdose of a presently unknown substance. On arrival, the patient was found responsive to pain only. His...

Complications from pre-hospital immobilisation

On arrival to the Emergency Department (ED), the patient was in severe respiratory distress and had an altered mental status. She continued to fail her arms around, grabbed at her cervical collar, and...

Hydrocortisone emergency in pituitary patients: adrenal/addisonian crisis

Hydrocortisone is a steroid hormone produced by the adrenal gland. A good majority of people with pituitary conditions have to take replacement hydrocortisone daily as they don't produce this...

The ambulance service: the past, present and future

The past is indeed another country; they do things differently there. In comparatively recent mid-20th century history ambulance services operated to a simple formula, conceived and designed function...

Policymakers to prevent Europe from suffocating

The first workshop was hosted by Sean Kelly MEP (Member of European Parliament) and supported by MEPs Eva-Britt Svensson, Catherine Stihler and Francoise Grossetête. Professor Ronald Dahl, former...

They think it’s all over-managing post cardiac arrest syndrome

Following ROSC the patient undergoes a number of pathophysiological processes not dissimilar to those suffered during severe sepsis (Adrie et al, 2004). This has been termed Post Cardiac Arrest...