Features

Tension pneumothorax: are prehospital guidelines safe and what are the alternatives?

Tension pneumothorax (TPNX) is an immediately life-threatening thoracic injury (Leigh-Smith and Davies, 2003). It occurs when a one way valve is created between the lung and the pleura. This leads to...

UK Survey of emergency physicians’ priorities for clinical decision rules

The survey instrument was a five-page questionnaire primarily consisting of closed-ended questions. The questions related to the current use of CDRs in routine emergency practice throughout the UK and...

Emergency ultrasound in the prehospital setting

In the prehospital setting, there are a number of important applications of medical ultrasound, both to aid in treatment and to make informed decisions regarding destination hospital. This second area...

February roundup of the EMS blogging world

‘It is 23 hours into a shift and you are dispatched to a call for an 80–year–old lady with altered consciousness. Upon arrival you find that the vitals are normal, but the presentation isn’t. You...

Great North Air Ambulance Service: prehospital anaesthesia course

The PHA guidelines were published in 2009. Four years prior to this, GNAAS decided that the simplest way to ensure its paramedics and doctors were appropriately trained to safely undertake PHA,.

Emergency prehospital care of burn injuries: thermal, electrical and chemical burns

In burn injuries by electrical trauma, the immediate dermal burn can be accompanied by further organ disorders due to current conduction with an entry site at the point of contact and an exit site at...

The paediatric assessment triangle: a powerful tool for the prehospital provider

For children of all ages, emergency assessment includes four distinct, sequential steps: (1) the general observational assessment—the PAT; (2) the ‘primary’ hands-on physiological assessment with the...

The role of ambulance clinicians in management and leadership

The challenge is to view these problems as opportunities, and to bring together what may at first appear to be opposing perspectives in the development of innovative solutions. As such, ambulance...