Legal

Critical evaluation of advance statements from patients lacking mental capacity

In a series of cases, the English courts have recognised the legal effect at common law of advance statements. In the case of validity of an advance refusal of life-saving treatment, the courts will...

Paramedics and medicines: legal considerations

The HMR defines who can buy and possess medicines, and this is summarised in Appendix 1. There is an exemption for the purchase of general sales medicines; however, the supply chain for these...

Industrial paramedic: an emerging speciality?

‘155 workers killed annually—equating to three per week’ .

Clinical care in the warm zone: a responder's perspective upon clinical practice in support of UK tactical medical operations

Remaining effective within the tactical environment requires clinicians to assess the effectiveness of their clinical practice, while continuously ensuring that their safety is not being compromised....

Critical care paramedics: who's doing what?

‘It is refreshing to see a more balanced, less adversarial and critical appraisal of some of the issues in pre-hospital trauma care’ .

Developing the concept of a multi-professional pre-hospital emergency medicine (PHEM) practitioner training programme

The term ‘pre-hospital emergency medicine’ (PHEM) covers a wide range of medical conditions from minor illness and injury to life-threatening emergencies. Pre-hospital interventions therefore also...

Legal and professional boundaries: a case study

Laura is 29 years old and has schizophrenia. She is also 30 weeks pregnant. Her partner (Simon) has called 999—she has not been taking her medication for several days as she wrongly believed it might...

Plan for quality improvement: the ‘Legal High’ Guide

‘Legal highs’ were highlighted by the media after suspected deaths across several countries were associated with the use of mephedrone (also known as ‘meow meow’ or M-CAT), with 70 in the UK. The...

Can paramedics treat sepsis?

The Pre-hospital Piperacillin/Tazobactam (PrePip) project tested the concept that UK paramedics could accurately recognise sepsis, aseptically take blood cultures, and safely and rapidly treat septic...

The search and rescue helicopter paramedic: an emerging role

The SAR paramedic role is at an exciting stage in its development. Not only is it transitioning from a predominantly military-provided service to a civilian contracted one, but also SAR paramedics are...

Are coaching and mentoring skills crucial for ambulance service managers? A personal reflection

In the 1960s, the use of the term ‘coaching’ by some experts was different to the perception we have today. Use of the term was perhaps more aligned to my own interpretation, which is, intuitively, to...