Pre hospital

Tourniquets in the treatment of prehospital haemorrhage

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Hyperventilation syndrome: diagnosis and reassurance

The term hyperventilation syndrome (HVS) was first mentioned in 1938 by Kerr et al who attributed their patients' tetany to hyperventilation associated with anxiety. Since then, the term has been...

Adult intraosseous access: a comparison of devices

The following medical literature databases were searched: Allied and Complementary Medicine Database (AMED); British Nursing Index (BNI); CINAHL Plus; Cochrane Library; Medline; and PubMed. A range of...

A qualitative exploration of current paramedic cardiac auscultation practices

CA is a skill using both the bell and diaphragm of a stethoscope on the praecordium to identify both normal and abnormal sounds emanating from the heart. This is part of a complete examination of the...

Point-of-care ultrasound use in the pre-hospital setting

Since its introduction, POCUS has been used to enhance the assessment of a wide range of clinical conditions across medical and traumatic pathologies. For example, the ‘focused assessment with...

Breaking bad news and managing family during an out-of-hospital cardiac arrest

BBN is described in the clinical setting as the delivery of any news that drastically and negatively alters the patient's view of his or her life (Adebayo et al, 2013). In the event of an OHCA, the...

Cooling of thermal burn injuries: a literature review

The use of the PICO technique (O'Connor et al, 2008) determined initial keywords around the topic and further synonyms were then generated. The chosen search strategy was ‘burns AND cool* AND outcome...

Safe transfer of simulation-based intubation skills to patients in cardiac arrest

This quasi-experimental study was performed at the pre-hospital unit in the North Denmark Region from February 2010 to December 2012, over a total of 35 months, including the 1-month training period..

Pre-hospital management of major haemorrhage following trauma: part one

Bleeding within the body affects two principal physiological systems:.

Cardiac arrest resources that improve patient outcomes

Survival from OHCA depends on a system of time-critical interventions known as the ‘chain of survival’ (Nolan et al, 2006). Improved outcomes from OHCA have been reported by centres that have...

‘Have you had Viagra within the past 24 hours?’

Glyceryl trinitrate (GTN) is a nitric oxide (NO) donor, which can be used to provide immediate relief for cardiac chest pain, and lower blood pressure. Cardiac chest pain is usually as a result of...

Paramedic attitudes towards DNACPR orders

A systematic review of published literature was performed in November 2016, using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses convention (Moher et al, 2009). Similar...

TXA for HEMS patients with suspected haemorrhage

A service evaluation was performed with analysis of patient outcome by the review of patient report forms (PRFs). Patients who received pre-hospital TXA were identified and further analysis of their...

Exploratory study into the views of paramedics on paramedic prescribing.

In 1999, a Department of Health medicines review chaired by Dr June Crown identified that there was overwhelming support for the extension of prescribing rights for a range of health professionals,...

Paramedic management of out-of-hospital cardiac arrest secondary to hyperkalaemia

In this case study the author attended a 42-year-old male patient who complained of shortness of breath and fatigue. The patient's medical history was of intravenous drug use, myocardial infarction,...

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