Prehospital

Prehospital airway management

This commentary aims to critically appraise the methods used within the review by Carney et al (2021) and expand upon the findings in the context of clinical practice..

Paramedic adult pain assessment: pilot study

There were 30 (85.7%) male and 5 (14.3%) female participants. Thirty-two (91.4%) of the 35 participants were ambulance paramedics and three (8.6%) were CCPs. Thirteen (37.1%) of the participants had...

Beyond STEMI: paramedics' views on how to improve their ability to interpret ECGs

A mixed-methods study combining quantitative and qualitative analysis was designed (Schifferdecker and Reed, 2009). The authors used the explanatory model (Schifferdecker and Reed, 2009), with the...

Racial disparities in emergency care for seizures in the United States

This study uses EMS data from the 2017–2019 NEMSIS V3.5.0 database to perform a retrospective cross-sectional analysis. NEMSIS is a national database funded by the National Highway Traffic Safety...

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...

Focused ultrasound in out-of-hospital cardiac arrest by advanced paramedics

Of the total number of OHCA emergency calls attended by the LAS for 2018, 1444 were also attended by an APP. The numbers of patients who underwent FoCUS were similar to those who did not (744/1,444:...

Effectiveness of e-learning to develop the ability to recognise and manage stroke

The study aimed to assess the effectiveness of e-learning to develop ambulance staff in the management of acute stroke and stroke mimics..

Prehospital osmotherapy in isolated traumatic brain injury: a systematic review

TBI is the leading contributor to mortality, morbidity and disability globally, accounting for 30% of injury-related deaths in those aged 18–45 (Mangat, 2018). TBI is a national health priority, as...

Understanding right ventricular myocardial infarction in prehospital care

To understand RVMI, it is necessary to look at the function of the right ventricle. According to Gupta et al (2013), the dominance of the coronary artery can be either right, left or balance. A study...

Focused cardiac ultrasound in out-of-hospital cardiac arrest: a literature review

Although the use of ultrasound is well established in hospitals, it did not emerge in the prehospital environment until the 1990s in the United States. Furthermore, paramedic use of ultrasound has...

Feasibility of phenytoin as a paramedic-led second-line anti-epileptic drug

Although phenytoin is common in emergency department management, prehospital research and published evidence of its use is limited. A literature search was conducted using PubMed and Google Scholar...

Prehospital sepsis care in Ireland: an audit

All PCRs from patients assessed by DFB prehospital practitioners in the week starting 27 March 2017 were manually examined by an independent researcher to identify patients with potential sepsis or...

Prehospital neuromuscular blockade post OHCA: UK's first paramedic-delivered protocol

The aim of this study was to report on the administration of paramedic-delivered NMBA, which started on 1 April 2016 at SECAmb, and examine this practice innovation and its acceptability as an...

Salutogenesis: the case for a holistic tool for paramedic assessment of wellness

Salutogenesis is an approach to conceptualising wellness that examines health as a continuum and considers a multifactorial approach to determining an individual's health status (University West...

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