Baptism of fire

In December, I undertook my Certificate in Emergency Response Ambulance Driving (CERAD) Level 3, which was very content heavy and intense, lasting for 4 weeks, with a short interlude for Christmas and...

Navigating the breadth and depth of primary care

We are then moved straight into consultation and decision-making. These skills are described as the scaffolding on which to build a working relationship with the patient—something I couldn't agree...

Settling into GP care

In last month's issue, I delved into the culture within a GP practice, and the ways in which it differs to the culture in the ambulance service. This month I want to talk about relating to the patient...

So, what's next?

Paramedicine and prehospital scholarship show an increasingly impressive ability to appropriately engage in reflexive and reflective processes. The work of paramedics is arguably understudied...

ECG case series for paramedics: February 2024

Around one in four patients with an acutely occluded coronary artery do not present with ST elevation. These acute ‘occlusive MI’ (OMI) patients do not meet the standard ST elevation criteria (mm) for...

Spotlight on Research

Peripheral intravenous catheters (PIVCs) are invasive devices that are widely used by paramedics for the administration of intravenous (IV) therapy; however, adverse events including PIVC-associated...

Use of cognitive aids in paediatric out-of-hospital cardiac arrest

A survey study of 39 EMS agencies across six states of the United States was carried out. The survey (Appendix A, online) was developed as part of a larger study examining preventable serious adverse...

The synergy of AI and clinical paramedic expertise

The synergy between AI and clinicians, referred to as augmented intelligence, underscores the need for careful examination and consideration of the ethical, social, and professional implications...

Factors that influence child conveyance decisions made by prehospital clinicians

A version of the PICO (population, intervention, control and outcomes) tool for rapid reviews specifically for the formation of clinical questions was used (Curtis et al, 2022). This version, PICo...

The space in between

Towards the end of 2023, I found myself in ‘paramedic purgatory,’ which is the time from finishing university to starting on the road as a Newly Qualified Paramedic (NQP). After 3 years of study at...

Spotlight on Research

Older adults with head injury are a challenging group of patients to the ambulance clinician. Older age, clinical frailty, comorbidities, anticoagulant and antiplatelet medications can contribute to...

Variation in patient gender and sexual identity recording within ambulance records

Four out of the 10 ambulance services in England were chosen for inclusion in the study to sample different geographic locations with a mix of environments and population densities (such as urban and...

Diversity, equity and inclusion in the workplace

The concept of equality in the workplace is not new. We should all be familiar with the concept of equal employment opportunities, which has now been a core component of the recruitment strategies of...

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