Evaluation of pre-hospital point-of-care testing for lactate in sepsis and trauma patients

This study was designed to examine the feasibility, and potential impacts, of introducing POC lactate measurement into pre-hospital care within NEAS. The primary objective was to evaluate the Nova...

Pre-hospital paediatric seizures: midazolam versus diazepam

The aim of this article is to review the evidence for the use of diazepam and midazolam, and to determine which anticonvulsant is the most appropriate for termination of paediatric seizures by...

Spotlight on Research

This qualitative study was undertaken in Sweden and explores patients' experiences of their encounters with pre-hospital staff, with a particular focus on the meanings they attribute to their...

Book Review

‘This is as good a text on EBM you are likely to find’ .

College of Paramedics evidence into mental health care and policing

The survey represents only a snapshot of views from a relatively small number of the UK's 20 000 paramedics. However, it is felt that this is a fair representation of the general view of paramedics,...

Ministerial approval for commencement of work on paramedic prescribing

The Allied Health Professions (AHP) Medicines Project is a joint initiative by NHS England and the Department of Health to extend prescribing, supply and administration of medicines to Allied Health...

Challenge your thinking: mechanical direct pressure device

The control of compressible catastrophic haemorrhage prior to airway, breathing and circulation (CABCDE) is not a new approach, being advocated for civilian use by Hodgetts et al in 2006, and...

Rapid sequence induction and the paramedic

Rapid sequence intubation/induction (RSI) is an advanced procedure not currently advocated for UK paramedic practice although some paramedics attached to Helicopter Emergency Medical Services (HEMS)...

Pre-hospital assessment and treatment of meningococcal meningitis

Because bacterial meningitis is life-threatening, early diagnosis and treatment is vital (Brouwer et al, 2012)—the necessity of which is underlined in a study that demonstrated an association between...

Recipe for success: baking in Boston strong-observations on Boston's success

The response to the 15 April, 2013 Marathon Bombing was not a fortunate event. Nor were the stars just perfectly aligned for a lucky response. In fact, the foundation of a successful response is built...

Documentation: are we writing it right?

‘The quality of your record-keeping is also a reflection of the standard of your professional practice. Good record-keeping is a mark of a skilled and safe practitioner, while careless or...

Pre-hospital lactate monitoring for adults with sepsis

Sepsis is a life-threatening condition with estimates of up to 37 000 deaths annually in the UK alone. When sepsis is not treated the mortality rate increases by 8% every hour (Cronshaw et al, 2011)....

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