Is there a future for independent prescribing by advanced paramedics?

‘While there has been an increased focus on what paramedics have to offer in relation to new ways of working for the NHS, we can never assume that achieving independent prescribing will ever be a...

Care of dying adults in the last days of life: NICE clinical guideline

This guideline, which in part replaces content and the format of the recently disfavoured Liverpool Care Pathway, aims to improve EoLC for people in their last days of life, where paramedics are...

Introducing the UK Ambulance Services Clinical Practice Guidelines 2016

The UK Ambulance Services Clinical Practice Guidelines 2016 will be available in a number of formats, including a brand new interactive app, iCPG UK Ambulance Services..

A critical appraisal of the assessment and management of psoriasis

Psoriasis is a chronic inflammatory skin disease that is considered to have a genetic influence; however, Raychaudhuri (2013) suggests that the aetiology of psoriasis remains unknown, and that only a...

Diagnosing and imaging renal calculi: what can be done in the pre-hospital environment?

The case study describes a 48-year-old female who called 999 with symptoms descriptive of renal colic. The pain had started during the night, coming in waves and had worsened throughout the morning....

Pre-hospital resuscitation: what shall we tell the family?

Including family members during resuscitation has been shown to be beneficial. Relatives watching the efforts of emergency staff could be assured that great effort is being made to save the life of...

Legal and professional boundaries: a case study

Laura is 29 years old and has schizophrenia. She is also 30 weeks pregnant. Her partner (Simon) has called 999—she has not been taking her medication for several days as she wrongly believed it might...

Spotlight on Research

As this paper intimates, patterns of recreational drug use are changing; while the vast majority of UK drug deaths are still related to opioids (European Monitoring Centre for Drugs and Drug...

Book Review

‘In keeping with its sister publications, it illuminates the problem and offers the reader a solid foundation on which to further their understanding’ .

Ambulance Care Essentials

So the dawn of another year is upon us. As I inexcusably missed last month's review I am tempted to cite an unfashionably out-of-season quip about much maligned mother-in-laws but my editorial...

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