A clinical review of the indications for, and subsequent implementation of, a pilot pre-hospital sepsis pathway within NWAS

‘an overwhelming uncontrolled, systemic inflammatory response which is mediated by the immune system, the vascular endothelium and inflammatory pathways in response to an infective trigger’ .

Spotlight on Research

In this paper, the authors argue that spinal immobilisation during extrication of patients in road traffic collisions (RTC) is still routinely practised, despite the lack of evidence.

Book Review

Completing a trilogy of research-themed reviews, this month provides a logical conclusion to the series. Unlike previous reviews, this is not concerned with conducting research, but rather the...

Paramedics have a clear role to play in the management of patients with sepsis

‘Until now, efforts to initiate antimicrobial therapy in the pre-hospital setting have been thwarted by criticism of the lack of evidence supporting the applicability of the international...

The duty of candour applies to you and your employer

‘The volunteering of all relevant information to persons who have or may have been harmed by the provision of services, whether or not the information has been requested and whether or not a...

The rapid rise of The Larrey Society

‘Plans are well underway on the programme for 2016 which marks the 250th anniversary of the birth of Dominique Jean Larrey’ .

Essex and Herts Air Ambulance: a focused case series for pre-hospital practice

The EHAAT doctor-paramedic team were dispatched to a 10-year-old girl who had been struck by a medium-sized van travelling at an unknown speed. Upon arrival of the first ambulance crew, the patient...

Moving sepsis care to the front line: knowledge and views of pre-hospital clinicians

‘Similar to an acute myocardial ischaemic attack and an acute brain attack, the speed and appropriateness of therapy administered in the initial hours after the syndrome develops are likely to...

Can paramedics treat sepsis?

The Pre-hospital Piperacillin/Tazobactam (PrePip) project tested the concept that UK paramedics could accurately recognise sepsis, aseptically take blood cultures, and safely and rapidly treat septic...

A pilot study exploring the accuracy of pre-hospital sepsis recognition in the North East Ambulance Service

It is estimated there are at least 100 000 cases of severe sepsis each year in the UK, although the true prevalence of sepsis may be higher due to under recognition (Cronshaw et al, 2011). Mortality...

Book Review

Continuing the ‘research’ theme in this month's review and an aspect of research which is perhaps most familiar: statistics. From the outset it should be clear that the book has not been written...

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