A critical review of NICE Guideline 39—major trauma: assessment and initial management

It is widely recognised that airway management in trauma can be challenging (Deakin et al, 2010). The findings of the NCEPOD (2007) report suggest that one in eight patients arrived at hospital with a...

Cardiac care in SAR helicopter paramedic practice: from mountainside to rehabilitation

Cardiovascular disease (CVD) is a non-specific phrase used to describe diseases of the heart and circulation. The World Health Organization (WHO) estimates that CVD is the leading cause of death in...

Using ambulance service PCRs to understand 999 call-outs to older people with dementia

We aimed to understand the use of emergency ambulance services by older people with dementia in two English counties..

The impact of working shifts: exploring the views of UK paramedics

The ontological influence on the research design was relativist in nature, whereby reality is believed to be constructed through meanings and understandings developed socially and experientially...

Book Review

I often spend my time reflecting on what publishers consider pocket-sized. Now this may seem a touch on the trivial side given the contemporary issues currently facing our profession. But consider, if...

Health Care Professionalism at a Glance

It seems to be en vogue in the publishing world at present to offer up publications which, by design, are intended to provide the reader with the briefest of overviews of a given area of health care....

The bare necessities: delivering first aid in the Calais ‘Jungle’

After hearing about the lack of basic medical care available to refugees and migrants in the ‘Jungle’ over weekends, Liz Gall, a luxury wedding planner and former retail bank manager, set up Refugee...

Opportunities for paramedic practice-based education

This article suggests that the current situation presents particular challenges for paramedic educators in the field of practice learning, but that these same challenges may represent new...

Is full pre-hospital spinal immobilisation best for the patient? A review of current controversies

Porth and Matfin (2008) describe SCI as damage to the neural elements of the spinal cord. SCIs are commonly classified using the American Spinal Injury Association (ASIA) Impairment Scale (Figure 1)...

The diagnosis and management of acute cluster headache in the out-of-hospital environment

A review of contemporary literature on cluster headaches has been conducted to inform this article, specifically keeping in mind that any development of practice needs be carefully balanced with...

A review of the Great North Air Ambulance Pre-Hospital Emergency Medicine Crew Course

Prior to joining GNAAS in April 2015, I had worked as an NHS paramedic for 9 years. This included several years on the road as both a rapid response paramedic and on the hazardous area response team...

Pre-Hospital Advanced Cadaveric Trauma Skills (PHACTS) Course review

The course is specific to trauma skills training in the pre-hospital setting and focuses on providing delegates with exposure to those skills that are rarely performed. As well as hands on skills, the...

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