Senior Paramedic role at North West Ambulance Service

The service made its vision clear to implement a clinical leadership and supervision structure, some years ago. This process began with the introduction of a consultant paramedic and a team of 36...

Pre-hospital management of smoke inhalation: are we missing something?

‘This number of incidents and the ‘This number of Incidents and the associated mortality serves as an important reminder of how significant the problem of smoke inhalation really is’’.

How much longer?

‘as prof essi onals we need the equipment to be available, and if we don’t have the kit we surely have a professional duty to raise our concerns with our employers’.

Headaches: recognizing a serious cause

The history is the most important aspect in evaluating headache patients (Blau and McGregor, 1995). The longer the duration of a headache, the less likely the possibility of a serious underlying...

Organ donation after death in the community or emergency department

The Maastricht criteria define organ donors (Kootstra et al, 1995) and describe types 1 and 2 relevant to pre-hospital care. Type 1 donors have an unwitnessed death confirmed in the pre-hospital...

Transient asystole: aetiology and treatment by paramedics

Transient asystole differs from terminal asystole in that it is not a total failure of electrical activity (Bashian and Wazni, 2009). The period of asystole is brief or temporary, and ends when...

Paramedic administration of glycoprotein inhibitors for ST elevation myocardial infarction

The mechanical action of GPI IIb/IIIa is inhibition of glycoprotein receptors IIb/IIIa (GPR IIb/IIIa) on the surface of platelets, preventing platelet aggregation (Figure 1). Activation causes changes...

Cultural challenges in getting it right for every child: a reflective account

I was called to an accident in a home environment involving a 14-year-old female in which a kitchen appliance had fallen onto her foot causing a large laceration and possibly a fracture. She and her...

Implantable cardioverterdefibrillators: a case report

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...

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