Features

Paramedic administration of glycoprotein inhibitors for ST elevation myocardial infarction

The mechanical action of GPI IIb/IIIa is inhibition of glycoprotein receptors IIb/IIIa (GPR IIb/IIIa) on the surface of platelets, preventing platelet aggregation (Figure 1). Activation causes changes...

Cultural challenges in getting it right for every child: a reflective account

I was called to an accident in a home environment involving a 14-year-old female in which a kitchen appliance had fallen onto her foot causing a large laceration and possibly a fracture. She and her...

Helicopter Crew Course – a paramedic's perspective

Air ambulance operations are becoming increasingly common in the UK, often using the doctor-paramedic model..

Paramedic clinical leadership

Enhancing the clinical skills of all staff will inevitably lead to a growth in clinical standards. From specific interventions through to clinical documentation, improved education and an aspirational...

Acute multiligament injured or dislocated knee: field assessment and management

Knee dislocation is a descriptive term that belies the complexity of the injured state that it represents. It is better understood as a complete disruption of the articulation of the tibia and the...

Preventing prehospital hyperoxygenation during acute exacerbation of COPD

COPD, most often caused by smoking (NCGC, 2010; World Health Organization (WHO), 2011), has a complex pathology. The disease results in either hypertrophy of the mucus-secreting glands of the...

Carbon monoxide poisoning: a comprehensive review for prehospital specialists

The mechanism of CO's toxic effects is multifactorial and has been reviewed comprehensively by Chesney (2002). CO is inhaled and is rapidly absorbed across the pulmonary endothelium into the...

CPR compression depth and rate in relation to physical exertion in paramedic students

All participants completed a purposefully designed questionnaire which included their age and gender, the amount of hours of exercise per week as well as prior CPR experience. All participants were...

Scenario-based electronic learning: a viable educational method

The establishment of the Prehospital Emergency Care Council (PHECC) in Ireland (S.I. No. 109/2000), with statutory responsibility to protect the public, represented a significant step forward in...