A Guide to the Mental Capacity Act for Paramedics

Prior to the introduction of the MCA, emergency medical treatment given to an incapacitated adult was done using the doctrine of necessity. The doctrine of necessity is a concept in common law—this...

Ketamine administration by HART paramedics: a clinical audit review

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...

Assault bill: incoming law aims to protect paramedics

It has not been considered a specific offence to assault emergency workers or NHS staff, with paramedics having to rely on legislation that covers common assault against members of the public if they...

Peripheral IV cannulation

The importance of appropriate and timely clinical interventions such as PIVC is, when required, paramount for safe patient care. PIVC is noted as being an important clinical intervention in paramedic...

CPD on the move for student and newly qualified paramedics

Part 1 provides a solid overview of cardiac anatomy and physiology. Despite the authors managing to explain difficult concepts in a simple way, as well as using figures to illustrate what they are...

JPP Letters

Dear Editorial Team,.

Advanced care planning in end-of-life care: the key role of ambulance services

After completing this module, the paramedic will be able to:.

Hyperventilation syndrome: diagnosis and reassurance

The term hyperventilation syndrome (HVS) was first mentioned in 1938 by Kerr et al who attributed their patients' tetany to hyperventilation associated with anxiety. Since then, the term has been...

Adult intraosseous access: a comparison of devices

The following medical literature databases were searched: Allied and Complementary Medicine Database (AMED); British Nursing Index (BNI); CINAHL Plus; Cochrane Library; Medline; and PubMed. A range of...

Discerning the age of a child

In the UK, paramedics follow national clinical guidelines from the Joint Royal Colleges Ambulance Liaison Committee (JRCALC); therefore, variance across the country may not be an issue (Brown et al,...

A qualitative exploration of current paramedic cardiac auscultation practices

CA is a skill using both the bell and diaphragm of a stethoscope on the praecordium to identify both normal and abnormal sounds emanating from the heart. This is part of a complete examination of the...

Recognising ECG landmarks

Electrocardiograms (ECGs) have become an integrated part of an ambulance clinician's toolkit, with thousands being performed each year (Brady et al, 2012). Invented in 1903 by Willem Einthoven, a...

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