Support from advanced practitioners in critical care for ankle fracture dislocation

To the authors' knowledge, this is the first study to explore ambulance clinicians' perceptions of the APCC role. It identifies four main themes from the perceptions of ambulance clinicians who...

Perceptions of establishing advanced life support for out-of-hospital cardiac arrest

The aim of this study was to explore paramedics' experiences of establishing ALS in OHCA. It seeks to lift the ALS algorithm from the page and explore, without fear of judgement, paramedics' heuristic...

Technology commitment of emergency medical service practitioners and dispatchers

Using the Goal-Question Metric (Basili et al, 2022), the aim was decided as: to analyse technology commitment for the purpose of understanding attitudes and predicting utilisation behaviour with...

Hidden layers: neurodiversity in paramedicine

Terms such as ‘neurodiverse’ and ‘neurodivergent’ emerged in the 1990s, coined by Judy Singer, an autistic sociologist, who was seeking an alternative to deficit-based language such as ‘disorder’....

Prehospital serratus anterior plane block for rib fractures

The SAPB, pioneered by Blanco et al in 2013 for postoperative chest pain following breast surgery and thoracostomy, has demonstrated its potential as a valuable clinical tool. Their initial study...

Prepping for practice

Since my first column in the February issue, I have been offered a post as a newly qualified paramedic (NQP) with the Northern Ireland Ambulance Service commencing in April. I thought this article...

Settling into a new pace

"This month, a lot of things have changed. As you'll recall, last month, the differences in culture, patient interaction and work style were affecting me and I definitely appreciated having this...

Transport decisions: acute coronary syndrome and high-risk electrocardiograms

After completing this module, the paramedic will be able to:

Leaps for women in paramedicine

"When I was a little girl, I used to watch the attendants at the full-serve petrol stations in their petrol-stained dungarees and dream of doing their job. Once full-serve stations faded into the...

ECG case series for paramedics: March 2024

The most striking abnormality is the prolonged QRS duration. The QRS duration should be up to 100 milliseconds; whereas in this example, it is considerably prolonged, resulting in a wide QRS complex....

Spotlight on Research

Acute heart failure (AHF) is characterised by new onset of heart failure or worsening heart failure presenting with cardiorespiratory symptoms. It is difficult to diagnose in the prehospital...

Can the Clinical Frailty Scale predict futility in out-of-hospital cardiac arrest?

The primary aims of this rapid review of the literature are to determine: whether the CFS could be used in the prognostication of cardiac arrest; and, secondarily, whether the tool could be adapted...

Neuroleptic malignant syndrome: a neuro-psychiatric emergency

While the pathophysiology of neuroleptic malignant syndrome is complex and not fully understood (Berman, 2011), experts agree it involves a marked, sudden reduction in central dopaminergic activity...

From Homer to the present: an account of historical perspectives of heat illness

Heat-related illnesses have been documented and treated since written historical records began. Various synonyms have been used through the ages, including sunstroke, siriasis, thermic fever, ardent...

Why choose the Journal of Paramedic Practice?

The Journal of Paramedic Practice supports paramedics by sharing expertise and advice to help you build confidence, grow professionally and improve care.

What's included

  • Evidence-based best practice

  • Peer-reviewed research

  • Practical guidance

  • CPD support

Subscriptions start:

From £14.75 GBP