Helicopter Crew Course – a paramedic's perspective

Air ambulance operations are becoming increasingly common in the UK, often using the doctor-paramedic model..

Paramedic clinical leadership

Enhancing the clinical skills of all staff will inevitably lead to a growth in clinical standards. From specific interventions through to clinical documentation, improved education and an aspirational...

Lights, camera, disciplinary action?

Only recently I watched, with interest, a programme that showed a paramedic crew attending a ‘critical’ patient (cue dramatic music) to see the paramedic driving the vehicle away using blue lights and...

Acute multiligament injured or dislocated knee: field assessment and management

Knee dislocation is a descriptive term that belies the complexity of the injured state that it represents. It is better understood as a complete disruption of the articulation of the tibia and the...

Preventing prehospital hyperoxygenation during acute exacerbation of COPD

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...

Carbon monoxide poisoning: a comprehensive review for prehospital specialists

The mechanism of CO's toxic effects is multifactorial and has been reviewed comprehensively by Chesney (2002). CO is inhaled and is rapidly absorbed across the pulmonary endothelium into the...

CPR compression depth and rate in relation to physical exertion in paramedic students

All participants completed a purposefully designed questionnaire which included their age and gender, the amount of hours of exercise per week as well as prior CPR experience. All participants were...

Scenario-based electronic learning: a viable educational method

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...

Observations from a student exchange programme: UK and Sweden prehospital care

Although there are no clinical practice guidelines, the Gothenburg and Halland regions do use a prehospital triage system called the medical emergency triage and treatment system (METTS) to identify...

Emergency management of severe burns

In the UK, approximately 250 000 people are burnt each year. Of these, 175 000 attend accident and emergency departments, and 13 000 of these are admitted to hospital. Some 1000 patients have severe...

Curriculum guidance and CPD: a busy year ahead

The development of a suitable curriculum by the College has formed a major component of the College's work prior to 2012. Over the next 12 months the approval process will be complemented by...

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