Letters

In the September issue of the Journal of Paramedic Practice, we published a ‘comment’ (i.e. opinion) article by ambulance service communications directors on guidance for the use of social media, and...

Letters

The purpose of our ‘comment’ piece was to generate interest in the new national social media guidance for ambulance employees and we therefore welcome the discussion this has generated. Although the...

Moral injury and paramedic practice

The term ‘moral injury’ has been used to describe the psychological effects of ‘bearing witness to the aftermath of violence and human carnage’ (Litz et al, 2009: 700) and encompasses witnessing human...

Taking a holistic approach to acute mental health crisis

A literature search was carried out using CINAHL, MEDLINE and PsycINFO databases, using key words: ‘ambulance’; ‘paramedic’; ‘pre hospital’; ‘emergency’ and ‘mental health’; ‘mental illness’; ‘mental...

Clinical decision making and the challenges of responding to mental health needs

Qualitative methodology was employed to explore the views and experiences of paramedic students undertaking a diploma in higher education to become a qualified paramedic. This approach supports...

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...

Caring for a person in mental health crisis (2019)

The Care Quality Commission (CQC) (2018) defines a mental health crisis as an emergency and that it is important that people know who to contact to receive effective care. They state that the term...

Storytelling via social media in the ambulance services

Communications leads and medical directors have collaborated over the last year to produce what we consider to be the most comprehensive document yet from the ambulance services on the dos and don'ts...

Non-invasive ventilation as a prehospital intervention for acute COPD exacerbation

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...

Oxygen titration therapy and hypercapnia risk in COPD

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...

Prehospital use of the traction splint for suspected mid-shaft femur fractures

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...

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