Research

SPOTLIGHT ON RESEARCH

Being trapped following a motor vehicle collision (MVC) provides its own set of challenges for the patient and the rescuers. Fire and rescue service (FRS) extrication strategies have developed on the...

Mechanical chest compressions and survival in the emergency setting

This systematic review will endeavour to demonstrate whether the use of a mechanical chest compression device will be a positive factor in improving survival in the cardiac arrest scenario. In...

Where to now? Searching beyond Medline

Repositories are essentially large databases of published and sometimes unpublished material. They are organised in two ways:.

Focused cardiac ultrasound in out-of-hospital cardiac arrest: a literature review

Although the use of ultrasound is well established in hospitals, it did not emerge in the prehospital environment until the 1990s in the United States. Furthermore, paramedic use of ultrasound has...

Spotlight on Research

Over the past 30 years in Sweden, the ambulance response time in out-of-hospital cardiac arrest (OHCA) has doubled—yet counter-intuitively, the chances of surviving an OHCA have also substantially...

Spotlight on Research

Failure to identify pneumothoraces in prehospital care carries the potential for significant consequences due to the potential for worsening of the pneumothorax during transfer. Clinical assessment...

Alcohol/substance use and occupational/post-traumatic stress in paramedics

The purpose of this study was to undertake a systematic review of literature relevant to the paramedic profession, exploring the relationship between alcohol and substance use with occupational and...

Spotlight on Research

Survival from cardiac arrest is known to improve if patients receive good quality chest compressions as soon as possible. During cardiopulmonary resuscitation (CPR) training, subjective assessment of...

Feasibility of phenytoin as a paramedic-led second-line anti-epileptic drug

Although phenytoin is common in emergency department management, prehospital research and published evidence of its use is limited. A literature search was conducted using PubMed and Google Scholar...

Prehospital thrombolysis for STEMI where PPCI delays are unavoidable

Benger's (2016) research for the National Institute For Health Research (NIHR) noted that more than 30 000 cardiac arrests occurred outside the hospital in England every year (Benger, 2016; Out of...

Health behaviours in ambulance workers

This review is restricted in terms of being able to draw firm conclusions because of the limitations of the studies included (Table 4). The papers were limited to research based in Westernised...

Spotlight on Research

Little is known about paramedics who have left the ambulance service to work in specialist or advanced roles within emergency departments (EDs). This qualitative study explored the lived experiences...