Pre hospital

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,...

Paramedics and their role in end-of-life care: perceptions and confidence

An anonymous electronic survey was distributed by Survey Monkey® offering a pragmatic approach as the participants were based across a large geographical area. This also provided a degree of...

Is diazepam or lorazepam the most effective benzodiazepine for use in paramedic management of convulsive seizures in adults?

The focus of this review is to compare benefits of diazepam and lorazepam in the pre-hospital care setting. As there is limited evidence, the search criteria were widened to allow data from other...

Analysis of pre-hospital consultations with crowd medical services at Premier League football club Fulham

Craven Cottage is the home stadium to Fulham FC, a Premiership football club situated in south west London, England. The club was started in 1879. In 1896, after two years of development, the club...

Development of research governance awareness to support pre-hospital studies

This project was funded by the North East and North Cumbria Academic Health Science Network, with the aim of developing easily accessible research governance awareness training tailored towards the...

Pre-hospital resuscitation: what shall we tell the family?

Including family members during resuscitation has been shown to be beneficial. Relatives watching the efforts of emergency staff could be assured that great effort is being made to save the life of...

Legal and professional boundaries: a case study

Laura is 29 years old and has schizophrenia. She is also 30 weeks pregnant. Her partner (Simon) has called 999—she has not been taking her medication for several days as she wrongly believed it might...

Is IV paracetamol as effective an analgesic as IV morphine for patients in non-cardiac pain? A literature review

The literature search, along with a Cochrane Database search was conducted on 3 April 2015. This question in its key terms was inputted into PubMed, the British Medical Journal (BMJ), University of...

End-tidal CO2 monitoring in the pre-hospital environment: more than just endotracheal tube placement confirmation

Measurement of carbon dioxide in expired ventilation gases has been used in anaesthesia practice since the late 1970s (Sinclair, 1998) and is mandatory practice in anaesthesia departments across the...

Single–dose activated charcoal—a feasibility study in an ambulance setting

A Trust-wide retrospective audit of patient clinical records, where the presenting condition code used by the clinician in attendance was deliberate or accidental overdose (excluding alcohol in...

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...

Can paramedics treat sepsis?

The Pre-hospital Piperacillin/Tazobactam (PrePip) project tested the concept that UK paramedics could accurately recognise sepsis, aseptically take blood cultures, and safely and rapidly treat septic...

A pilot study exploring the accuracy of pre-hospital sepsis recognition in the North East Ambulance Service

It is estimated there are at least 100 000 cases of severe sepsis each year in the UK, although the true prevalence of sepsis may be higher due to under recognition (Cronshaw et al, 2011). Mortality...

A brief guide to borderline personality disorder for pre-hospital clinicians in an emergency setting

Borderline personality disorder is termed a ‘serious psychiatric disorder’ (Perseius et al, 2007) and is associated with a high rate of suicide. It is associated with transient mood shifts,...

Why choose the Journal of Paramedic Practice?

The Journal of Paramedic Practice supports paramedics by sharing expertise and advice to help you build confidence, grow professionally and improve care.

What's included

  • Evidence-based best practice

  • Peer-reviewed research

  • Practical guidance

  • CPD support

Subscriptions start:

From £14.75 GBP