Research

Experiences of personal protective equipment and reasons for non-compliance

The aim of this review is to investigate paramedics' experiences of using PPE in order to better understand factors contributing to their non-adherence of PPE policy..

To what extent is end-tidal carbon dioxide a predictor of sepsis?

A systematic search was conducted to find strong primary quantitative research to determine to what extent low EtCO2 is a predictor of sepsis and if this has diagnostic value..

Spotlight on Research

Except for the RIGHT-2 study, pooled analyses of previous studies suggest that very early treatment with glyceryl trinitrate (GTN) of patients with acute ischaemic stroke or intracerebral haemorrhage...

Prehospital practitioner awareness and experience of CPR-induced consciousness

This cross-sectional study included quantitative and qualitative elements with an online anonymous survey of practitioners and a follow-up, confidential, one-to-one semi-structured interview with...

Diagnostic ability of a computer algorithm to identify prehospital STEMI

Ethical approval for this project was obtained through the Monash University Human Research Ethics Committee (project number 13926), and the AV Research Governance Committee..

Gamma-hydroxybutyrate (GHB): a review for the prehospital clinician

The literature search identified 387 results and, once duplicates had been removed, 262 results remained. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) method (Moher...

Spotlight on Research

Prompt and accurate decision-making is a necessity to deliver effective patient care. However, the impact of sleepiness during a nightshift may reduce cognitive functioning and clinical performance....

The role of individual factors in the mental health of NHS ambulance personnel

Four NHS ambulance trusts in England facilitated the recruitment of a purposive sample of ambulance personnel. The researchers were limited in access to sites and relied on the communication team at...

Troponin testing in primary care: can it improve diagnosis and prevent admission?

The limitations of this systematic review largely concern the quality of the included studies. With all studies scoring either three or below on the Oxford Centre for Evidence-Based Medicine Levels of...

‘Just little tricks’: an exploration of treating children in pain

The aim of this study was to explore UK paramedics’ experience of treating paediatric patients in pain..

Spotlight on Research

Femoral shaft and neck fractures are painful injuries which, if managed sub-optimally, can lead to a significant increase in length of hospital stay and overall mortality. Early management of these...

Prehospital administration of calcium in trauma

Calcium ions initiate actin-myosin filament binding, resulting in myofibril (muscle-fibre) shortening and muscle contraction. Depletion of calcium ions because of loss during haemorrhage and...