Three different methods of administration were examined: Fluid-giving set directly placed upon IO needle hub (direct-to-hub: DTH) (Figure 1)Fluid-giving set connected to the EZ-IO device extension...
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)....
BBN is described in the clinical setting as the delivery of any news that drastically and negatively alters the patient's view of his or her life (Adebayo et al, 2013). In the event of an OHCA, the...
Treatment and management is increasingly being directed at the rapid identification and reversal of potential causes. Reversing hypovolaemia, oxygenation and tension pneumothorax (HOT) as a priority...
Of the paramedics who were eligible, 60% responded to the exit survey (n=101)..
As the most serious cardiac rhythm disturbance, VF causes disordered cardiac electrical activity resulting in rapid, unsynchronised ventricular contractions, reduced pumping-action, collapse and...
Survival from OHCA depends on a system of time-critical interventions known as the ‘chain of survival’ (Nolan et al, 2006). Improved outcomes from OHCA have been reported by centres that have...
A systematic review methodology was used to examine primary research studies from a qualitative perspective, and gain insight into the feelings and perceptions of family members who witness an adult...
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...
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...
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...
‘It seems a lifetime ago that we first met the LUCAS device.’ It was in 2002, David Halliwell (DH) was in Florence, Italy, at the European Resuscitation Council conference when he first noticed the...
Jackson and Nolan (2009) note that although the understanding of hypotensive resuscitation as described in the literature is clear, there are a number of discrepancies with regards to how much of...
Hands-off time is any time interval where chest compressions are not being done while a patient is in cardiac arrest. In general, the goal during CPR is to minimise hands-off time and maximise chest...
CPR is defined as the combination of chest compression with or without ventilations. The combination of CPR and defibrillation form the foundations of intervention in cardiac arrest. There is good...
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