Challenge your thinking: mechanical direct pressure device

The control of compressible catastrophic haemorrhage prior to airway, breathing and circulation (CABCDE) is not a new approach, being advocated for civilian use by Hodgetts et al in 2006, and...

Rapid sequence induction and the paramedic

Rapid sequence intubation/induction (RSI) is an advanced procedure not currently advocated for UK paramedic practice although some paramedics attached to Helicopter Emergency Medical Services (HEMS)...

Pre-hospital assessment and treatment of meningococcal meningitis

Because bacterial meningitis is life-threatening, early diagnosis and treatment is vital (Brouwer et al, 2012)—the necessity of which is underlined in a study that demonstrated an association between...

Recipe for success: baking in Boston strong-observations on Boston's success

The response to the 15 April, 2013 Marathon Bombing was not a fortunate event. Nor were the stars just perfectly aligned for a lucky response. In fact, the foundation of a successful response is built...

Documentation: are we writing it right?

‘The quality of your record-keeping is also a reflection of the standard of your professional practice. Good record-keeping is a mark of a skilled and safe practitioner, while careless or...

Pre-hospital lactate monitoring for adults with sepsis

Sepsis is a life-threatening condition with estimates of up to 37 000 deaths annually in the UK alone. When sepsis is not treated the mortality rate increases by 8% every hour (Cronshaw et al, 2011)....

A review of the challenges and solutions during paramedic endotracheal intubation

‘…paramedics within King County achieved ETI success rates comparable with other highperforming EMS systems and emergency physicians’.

Book Review

‘A recommended read for all paramedics’.

Preparing for the future, protecting lives today

NARU works with all UK Ambulance Trusts to help strengthen national resilience and improve patient outcomes in a variety of challenging pre-hospital environments..

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