‘[the ambulance service] is recognised as having a wider role, as a conduit to other NHS services and in ensuring patients can access the facilities they need, close to their home (DH, 2011:7).’.
During the study period, 245 patients were identified as being intubated by intensive care paramedics. This was indicted by the marking of ETI data fields on patient health care records from the...
Haemoptysis is a commonly reported manifestation within the CF population its incidence increasing with greater life expectancy (Flume et al, 2005). The most common causes of haemoptysis include...
The right ventricle works as a low-pressure volume pump, receiving blood from the systemic venous circulation and pumping it to the pulmonary arteries. Although it has the same stroke volume as the...
Intranasal drug therapy is a well-established route of treatment, accepted on a global level within hospitals and doctors surgeries (Jain, 2008) and is currently being used throughout the US with...
Sepsis is a common condition in which the body over reacts to a severe infection. During a period of infection a normal inflammatory response is essential, as the body increases the permeability of...
‘This does not mean, however, that pre-hospital clinicians should not be aware of the differences and the risk of this type of failure when treating an AECOPD’.
The femoral head and neck lie within the joint capsule of the hip joint, and the head of the femur moves within the acetabulum. The most common site of fracture is within the intracapsular region,...
Lactate was frst described in the late 18th century by KW Scheele, a Swedish chemist. Lactate can be produced in all bodily tissue but is mainly produced by the skeletal muscles, skin, red blood...
The World Health Organization (WHO) defnes postpartum haemorrhage as ‘a [blood] loss of 500 ml or more from the genital tract after delivery’ (WHO, 2008). However, the RCOG (2009) suggests most...
Sepsis occurs when a simple infection develops to cause an overwhelming, inappropriate infammatory response. The causative pathogen is identifed by the host's innate (non-specifc) immune system, which...
Paramedics were called to an unconscious 40-year-old-male, who was presumed to have taken an overdose of a presently unknown substance. On arrival, the patient was found responsive to pain only. His...
A 999 emergency call to a 57-year-old female with breathing diffculty; seen to collapse in the street and ‘going blue’. The caller, a passer-by, said the female was holding an asthma inhaler. The...
In this scenario, the patient has usually been restored to a stable rhythm by the time pre-hospital providers arrive. Treatment consists of supportive care including oxygen, cardiac monitoring, and a...
The Journal of Paramedic Practice supports paramedics by sharing expertise and advice to help you build confidence, grow professionally and improve care.
Evidence-based best practice
Peer-reviewed research
Practical guidance
CPD support