Risk reduction in drug administration by infusion

When thinking about pharmacological calculations for infusion, several formulas for calculating concentration, infusion rate, constants and doses probably come to mind; although they have helped us on...

Privacy of baby loss: a choice—not an instruction

An early miscarriage is defined as a pregnancy loss in the first 12 weeks (Saying Goodbye, 2023) and this accounts for approximately 80% of miscarriages (NCT, 2023). It is because of this statistic...

Could some vaccines have unanticipated effects against NHS winter pressures?

I entered the NHS in the early 1990s when regular influenza outbreaks created serious operational and financial challenges. Influenza vaccine coverage at that time was very low and we were all...

Video vs direct laryngoscopy for adults undergoing endotracheal intubation

This commentary aims to critically appraise the methods used within the review by Hansel et al (2022) and expand upon its findings in the context of clinical practice..

Spotlight on Research

Prehospital acute pain management research in adults often focuses on analgesic administration: ‘what proportion of patients received an analgesic?’, ‘did a meaningful pain score reduction occur?’,...

Effect of shift length on paramedic anxiety

The purpose of this study was to determine whether there was a difference between anxiety experienced by paramedics who worked 12-hour shifts and those working 24-hour shifts. The mental health of EMS...

Demystifying prehospital research in practice

Chapter 1 provides an introduction that starts by defining (prehospital) research and justifying its importance. For example, it points out an 800% increase of prehospital research on the PubMed...

Apps for paramedics

The Joint Royal Colleges Ambulance Liaison Committee (JRCALC) guidelines are often referred to as the prehospital ‘Bible’. They have been the ‘go to’ guidelines for all UK NHS Ambulance services since...

How paramedics apply the spinal immobilisation algorithm in trauma patients

This research was conducted as part of an MSc in advanced practice (prehospital care) at the University of Greenwich. It was a quantitative survey that used a convenience sample by approaching every...

Ethics part 3: paramedic distribution, or ‘the good, the quick, the cheap’

The fair distribution of finite resources or ‘goods’ is distributive justice in its simplest form (Campbell, 2017). Rawls is perhaps the most influential contemporary figure who presented a...

Use of flumazenil to treat poisoning in prehospital care

Chacko and Peter (2019) define antidotes as agents that reverse the effects of poisons on the body. Their mode of action is achieved by enzyme inhibition, binding to and neutralising a poison,...

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