‘Just little tricks’: an exploration of treating children in pain

The aim of this study was to explore UK paramedics’ experience of treating paediatric patients in pain..

A tactical analgesic option for Durham and Cleveland police firearms medics: the journey

Any change to TTM policy or procedures has to follow a strict process; this involves the convening of the course clinical governance body, the Tactical Medical Advisory Group (TMAG). This faculty...

Prehospital care in isolated neck of femur fracture: a literature review

The aim of the search was to identify appropriate literature and evidence which could be deemed to be useful to the prehospital management of NOF fracture..

Ketamine administration by HART paramedics: a clinical audit review

In the UK, ketamine is primarily used as an in-hospital anaesthetic agent; but when used in small doses, can be an effective and safe analgesic (Motov et al, 2015). Unlike morphine, ketamine maintains...

A review of ketorolac as a prehospital analgesic

Ketorolac is an NSAID, which has its action through the inhibition of prostaglandin synthesis. As an NSAID, ketorolac inhibits the action of the cyclooxygenase enzymes (COX-1 and COX-2), which...

Non traumatic chest pain – pericarditis

‘Pericarditis is an inflammation of the two layers of the thin, sac-like membrane that surrounds the heart. This membrane is called the pericardium, so the term pericarditis means inflammation of...

Efficacy and safety of methoxyflurane: managing trauma associated pain in UK SAR helicopter paramedic practice

The PRISMA system is the accepted methodology for systematic reviews; it is primarily focused on evaluating randomised trials and synthesising meta-analysis (PRISMA, 2015). It became apparent early in...

Is it time to change? The use of intranasal fentanyl for severe pain in the pre-hospital setting

Cannulation is the main barrier to the administration of opioid analgesia, and this has been shown to be a problem in the young, the elderly, the shocked patient and the cognitively impaired. Studies...

A brief history of analgesia in paramedic practice

Important advances in the prevention and management of pain occurred in the mid-1800s, when drugs that produced anaesthesia were first used during surgery. These drugs included nitrous oxide, ether...

Polytrauma: a case report

Although the patient's airway is patent on arrival, it is important to anticipate difficulties should the patient's condition deteriorate. A patient that is supine on a backboard is vulnerable should...

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