Pre hospital care

Death notification delivery and training methods

Delivery of DNs poses difficulties for a number of reasons. Firstly, clinicians only receive one chance to deliver a DN to family members, which is a cognitive challenge and gives no margin for error...

Paramedic views on clinical research in cardiac arrest

Of the paramedics who were eligible, 60% responded to the exit survey (n=101)..

Future of digital technology in paramedic practice: blue light of discernment in responsive care for patients?

In an ever-increasingly digital society, the profile of IT literacy of patients seen in everyday paramedic practice is a significant factor in how they approach understanding their medical conditions...

Pre-hospital lactate testing in the recognition and management of sepsis and septic shock

A small ambulance station within South Western Ambulance Service NHS Foundation Trust (SWAST) was purposively selected to participate in the study based on its size, location, usual patient numbers...

Pre-hospital care of the transgender patient

The Royal College of Psychiatrists Working Group, which comprises a multidisciplinary team collectively define gender dysphoria as ‘the distress associated with the experience of one's personal gender...

Ultrasound: A potential new approach for cardiac arrest management

Eight studies were evaluated to review the use of pre-hospital ultrasound. The OHCA studies reviewed evaluate the use of US both in and out-of-hospital. The evidence was reviewed using the Critical...

The hanging/hanged patient and relevance to pre-hospital care

Hanging can be categorised as judicial or non-judicial, with the former being a legal capital punishment, which usually follows a set procedure in order to cause death. Currently, it is argued that...

A critical review of NICE Guideline 39—major trauma: assessment and initial management

It is widely recognised that airway management in trauma can be challenging (Deakin et al, 2010). The findings of the NCEPOD (2007) report suggest that one in eight patients arrived at hospital with a...

An insight into the demands and stressors experienced by Community First Responders

An online survey to measure the demands and stressors experienced during a typical and high-stress callout was distributed via e-mail to Scottish Ambulance Service (SAS) CFRs (n=535). The covering...

An overview of the Medical Emergency Response Team (MERT) in Afghanistan: a paramedic's perspective

Individuals are required to complete a programme of military and medical training prior to deployment to enhance individual and team skills necessary in the MERT role. Once individuals have conducted...

Kerbside consultations: advice from the advanced paramedic to the frontline

Telephone communication for consultation purposes is widely used in medicine (Thomas et al, 2001). This can range from nurses triaging patients, to the reporting of imaging or laboratory results....

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