Assessment

Nearly qualified student paramedics' perceptions of reflection and use in practice

Searching the key words ‘reflection AND paramedics’ yielded very few results, which focused mainly on ‘how to’ guidance on reflection. The literature search was therefore widened to encompass other...

Advanced prehospital stroke triage in the era of mechanical thrombectomy

Representing a significantly different vision for prehospital LVO stroke identification, two research articles were published in mid-2018 that present a paradigm shift in the assessment of these...

Pulse oximetry in the pre-hospital setting

Oxygen transportation occurs when there is a diffusion of gases that move from higher concentrations to lower concentrations. The oxygen content of blood is bound to haemoglobin and is dissolved in...

Exploring the developmental need for a paramedic pathway to mental health

The World Health Organization (WHO) (1946) defines health as ‘a state of complete, physical mental and social well-being and not merely the absence of disease or infirmity.’ The DH (2011b) validates...

Prehospital assessment of stroke: time is brain

Medical advances in the last decade have seen stroke care go from ‘supportive medical therapy to that of an acute medical emergency’ (Bray et al, 2005). Acute stroke occurs when blood flow to part of...

Improving the assessment and referral of mental health patients

Scally and Donaldson (1998) advocate clinical governance to improve care and quality within the NHS. In line with this, this article will use the review, agree, implement and demonstrate (RAID)...

Simulation in prehospital care: teaching, testing and fidelity

There is compelling evidence to demonstrate the educational and contextual benefits of simulation in healthcare settings (Okuda, 2008; McGaghie, 2010). This is especially evident in the training of...

Evaluation of the use of portfolios in paramedic practice: part 2

‘The competence of professionals derives from their possessing a set of relevant attributes such as knowledge, skills and attitudes. These attributes which jointly underlie competence are often...

Mental health in the care of paramedics: part 1

Mental health disorders are common. One in six adults has a neurotic disorder (anxiety and/or depression), while one in two hundred has a psychotic disorder. One in seven people have considered...

Evaluation of the use of portfolios in paramedic practice: part 1

Established in 1997, the QAA is responsible for, amongst a wider remit, academic standards in HE institutes. The very ethos of quality assurance is in itself a form of evaluation and the six basic...

Neutropenic sepsis: preventing an avoidable tragedy

Chemotherapy works by interfering with cell division—literally, the drugs are cytotoxic, ‘cell-toxic’. Chemotherapy is not specific to cancer cells alone and affects any rapidly reproducing cells;...

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