Equal value of physical and mental health: transforming outcomes by 2021

There were three major themes highlighted in the Taskforce's findings. Prevention of mental health problems and tackling the stigma associated with them featured highly in the priorities of both...

Exploring trends in demand for urgent care

‘It is the sheer magnitude of these events which is driving growth rather than the underlying background growth due to demographic change, and slow incremental increase in the use of emergency...

The NHS Constitution lacks clout

‘There has been a stream of initiatives produced to generate public awareness regarding rights and entitlements associated with the NHS’ .

Australian paramedic graduates transitioning into UK NHS ambulance services: what are the potential challenges?

University paramedic programmes in Australia and the UK commenced as early as 1994 in Australia (Fields, 1994; Lord, 2003) and 1998 in the UK (Carney, 1999). The transition of paramedic education and...

Ambulance response time in Ireland: the legal implications

A key performance indicator for ECHO (patients who are in cardiac or respiratory arrest) and DELTA (patients with life-threatening conditions other than cardiac or respiratory arrest) calls to the...

Single–dose activated charcoal—a feasibility study in an ambulance setting

A Trust-wide retrospective audit of patient clinical records, where the presenting condition code used by the clinician in attendance was deliberate or accidental overdose (excluding alcohol in...

A clinical review of the indications for, and subsequent implementation of, a pilot pre-hospital sepsis pathway within NWAS

‘an overwhelming uncontrolled, systemic inflammatory response which is mediated by the immune system, the vascular endothelium and inflammatory pathways in response to an infective trigger’ .

Spotlight on Research

In this paper, the authors argue that spinal immobilisation during extrication of patients in road traffic collisions (RTC) is still routinely practised, despite the lack of evidence.

Book Review

Completing a trilogy of research-themed reviews, this month provides a logical conclusion to the series. Unlike previous reviews, this is not concerned with conducting research, but rather the...

Paramedics have a clear role to play in the management of patients with sepsis

‘Until now, efforts to initiate antimicrobial therapy in the pre-hospital setting have been thwarted by criticism of the lack of evidence supporting the applicability of the international...

The duty of candour applies to you and your employer

‘The volunteering of all relevant information to persons who have or may have been harmed by the provision of services, whether or not the information has been requested and whether or not a...

The rapid rise of The Larrey Society

‘Plans are well underway on the programme for 2016 which marks the 250th anniversary of the birth of Dominique Jean Larrey’ .

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