The clinical forms of COPD are chronic bronchitis and emphysema, although guidelines discourage differentiation between the two forms when making a diagnosis (NICE, 2010). Chronic bronchitis is...
Evidence suggests that high amounts of oxygen administered to patients with COPD can lead to hypercapnia (high levels of arterial carbon dioxide), potentially resulting in respiratory acidosis (Perrin...
The introduction of the simulation-based training for all operational paramedics had a positive impact on the management of femur fractures. Post intervention, a total of 69 femur fractures were...
Representing a significantly different vision for prehospital LVO stroke identification, two research articles were published in mid-2018 that present a paradigm shift in the assessment of these...
This literature review was divided into two parts, in response to the advice of specialist librarians, and it used search concept tools. The first part considered handover communication in...
Cerebral oximetry uses near infrared spectroscopy (NIRS) to measure transcutaneous cerebral tissue oxygen saturation. This reflects perfusion in the cerebral microcirculation (Genbrugge et al, 2016)....
Major trauma cases attending the University Hospitals of Coventry and Warwickshire (UHCW) were identified from the Trauma Audit and Research Network (TARN) database. The time periods assessed were 6...
In the UK, ketamine is primarily used as an in-hospital anaesthetic agent; but when used in small doses, can be an effective and safe analgesic (Motov et al, 2015). Unlike morphine, ketamine maintains...
Massive acute pulmonary emboli (PE) is a reversible cause of cardiac arrest, with thrombolysis being the first line of treatment (British Thoracic Society, 2003). Occlusion of pulmonary blood flow is...
On arrival to the Emergency Department (ED), the patient was in severe respiratory distress and had an altered mental status. She continued to fail her arms around, grabbed at her cervical collar, and...
COPD, most often caused by smoking (NCGC, 2010; World Health Organization (WHO), 2011), has a complex pathology. The disease results in either hypertrophy of the mucus-secreting glands of the...
The establishment of the Prehospital Emergency Care Council (PHECC) in Ireland (S.I. No. 109/2000), with statutory responsibility to protect the public, represented a significant step forward in...
The term track and trigger systems (TTS) may be more appropriate than EWS. TTS rely on periodic observation of selected basic physiological signs (‘tracking’) with predetermined calling or response...
‘Tracheal intubation without the use of drugs has little value in prehospital practice’.
‘Blended learning is realized in teaching and learning environments where there is an effective integration of different modes of delivery, models of teaching and styles of learning as a result of...
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