Emergency

Factors that influence child conveyance decisions made by prehospital clinicians

A version of the PICO (population, intervention, control and outcomes) tool for rapid reviews specifically for the formation of clinical questions was used (Curtis et al, 2022). This version, PICo...

Gamma-hydroxybutyrate (GHB): a review for the prehospital clinician

The literature search identified 387 results and, once duplicates had been removed, 262 results remained. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) method (Moher...

History and experience of a volunteer ambulance first responder scheme in London

Scott Bateman, a Royal Air Force pilot, wanted to explore ways of reducing the time taken for life-saving interventions to reach a patient, having experienced the cardiac arrest of a family member. In...

ParaVR: a virtual reality training simulator for paramedic skills maintenance

Skills development and maintenance for many paramedic emergency procedures are challenging because opportunities to learn and practise are limited. Such procedures may be required in rare and...

The paramedic profession: disruptive innovation and barriers to further progress

In the UK, paramedics emerged from ambulance staff in the mid-1970s (Baskett et al, 1976; Briggs et al, 1976). They were trained to provide advanced resuscitation using invasive techniques that were...

A pilot of the Paramedic Advanced Resuscitation of Children (PARC) course

The Royal College of Paediatrics and Child Health (RCPCH) recently produced the fourth edition of its Facing the Future publication, which sets standards for the provision of emergency care to...

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...

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...

Increased threat of suicide attack: a need for NHS ambulance services to adapt?

Major incidents include a range of events, including terrorist attacks, but also include outbreaks of infectious diseases, train and air crashes and fires in public buildings. The current operating...

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...

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