Clinical forum: automated chest compression devices

What are the ‘hands-on’ issues that you are aware of in clinical practice and what possible improvements might help from a paramedic's perspective?.

A clinical audit of the pre-hospital paediatric respiratory assessment in London

A retrospective criterion-based clinical audit was undertaken of 253 PRFs collected from the end of June 2011 to the end of July 2011, where the pre-hospital clinician identified and coded dyspnoea...

Is there scope for an observational pain scoring tool in paramedic practice?

Pain scoring and indeed pain management has widely been studied in the pre-hospital environment, with many different aspects explored. These include paramedic perspectives (Jones and Machen, 2003),...

The transnational delivery of paramedic education: the Gibraltar case study

Gibraltar is a British Overseas Territory with an independent government that is almost entirely autonomous in overseeing it's 30 000 population, despite having a status listed by the United Nations...

Registered paramedics in Gibraltar: the student perspective

‘For the first time in Gibraltar's healthcare history, four students successfully graduated from a Health and Care Professions Council (HCPC) validated paramedic programme in Gibraltar’.

Pain and suffering: how do we treat both?

Spotlight on Research is edited by Julia Williams, principal lecturer, paramedic science, University of Hertfordshire, Hatfield, Hertfordshire UK. To find out how you can contribute to future...

Paramedic treatment—wherever that may be?

‘The challenges to the HART paramedic remain the same and that is to deliver timely patient care in a challenging environment’.

Clinical Guidelines—one year on

The Joint Royal Colleges Ambulance Liaison Committee (JRCALC) published the first guidance for ambulance staff in 2000 and then again in 2004 and 2006. To help their Guidelines Development Group...

Clinical Practice Guideline Update—Birth Imminent: Normal Delivery and Delivery Complications

For details of the methodology used in the development of this guideline refer to the guideline webpage..

London Trauma Conference 2013

The conference kicked off with a discussion from Dr Richard Lyon on the TOPCAT study. Looking at the rationale behind the trial and some of the problems that arose, the interim results presented by Dr...

The challenges of pre-hospital paediatric trauma care

Who are the paediatric trauma experts? Prior to establishing trauma networks, the entire burden of paediatric trauma divided amongst receiving units led to an average of just over one case of major...

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