Airway management and endotracheal intubation by paramedics for cardiac arrest

Paramedics are trained in airway management, including in the skill of endotracheal intubation (ETI) in practice. Guidance is available to support paramedics regarding when and how ETI should be...

Cardiac arrest resources that improve patient outcomes

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...

The Four Pillars: outlining and aligning our future

The JPP will continue to encourage submissions that have a strong clinical practice focus—as for many practitioners, this will be the area that they will continue to develop. Professional judgment,...

An innovation in mental health specialty placements

Action research is commonly described as any research into practice carried out by those involved in that practice, with an aim to change and improve it. It is concerned therefore with both ‘action’...

Combat Application Tourniquet: best practice use

A ‘tourniquet’ or CAT is a device designed to specifically occlude arterial and venous blood flow in an extremity. To do this, it uses a mechanical advantage device, differing from ligature type...

A daily juggling act…

More than assessment skills: a necessary foundation

Continuing Professional Development: Fundamentals of blood pressure measurement

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

The NHS must do more to retain staff

The London Bridge attack: managing multiple victims of penetrating trauma

Broadly speaking, the approach to major incidents involving significant casualty numbers has not changed in many decades. The process involves emergency staff arriving first on the scene to gain a...

Acute stress and frontline healthcare providers

The presence of PTSD amongst healthcare workers may be of particular concern owing to the potential symptoms of hypervigilance, irritability, difficulty concentrating, avoidance behaviours, feelings...

A review of ketorolac as a prehospital analgesic

Ketorolac is an NSAID, which has its action through the inhibition of prostaglandin synthesis. As an NSAID, ketorolac inhibits the action of the cyclooxygenase enzymes (COX-1 and COX-2), which...

What is the most appropriate out-of-hospital opioid for adults with traumatic pain?

Major trauma is a minor element of the total workload in emergency care, with estimations of less than 0.2% of the total workload (National Audit Office (NAO), 2010). Trauma such as dislocation,...