Hypothermia-related resuscitation efforts

Hypothermia causes cellular metabolic rate to fall, leading to reduced oxygen demand and a reduction in neural activity (Harris and Jones, 2018). The brain (and other vital organs) then become more...

Emergency services and technological governance

Firstly, what is ethnography? Ethnography is a qualitative research method in which a researcher—an ethnographer—studies a particular social/cultural group intending to better understand it....

Cognitive biases and their effects on practice: a case study reflection

The Patient Assessment Triangle (PAT) (Figure 1) is a rapid assessment tool based on visual and auditory clues (Halliwell et al, 2013). This enables paramedics to articulate a global impression of the...

Female paramedics' attitudes towards career progression in the ambulance service

The theoretical framework for this qualitative study aligns with a feminist pragmatic approach (McHugh, 2014), which offers a practical method for answering the research question. This was: ‘What are...

A comparison of biphasic manual and semi-automatic external defibrillation

This systematic review aims to conclude whether MD or SAED (control or intervention) is the superior strategy for paramedics in TTFD outcomes. The review identified quantitative comparison...

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?’,...

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