clinical skills

Vein cannulation success rates by German paramedics: a single-centre study

The results of this pilot study indicate that 90% of vascular access attempts by paramedics were successful and that the likelihood of failure was associated with greater patient age, a higher number...

Appropriateness of oral clopidogrel for prehospital STEMI management

A combination of literature reviews and study trials were examined to investigate the appropriate use of clopidogrel in the prehospital environment. Documentation was collected from the EBSCOHost...

Tranexamic acid and international ambulance services

A literature search was undertaken in August, 2019, using EBSCO Host, ProQuest and PubMed databases. Two search strategies were adopted: the first sought to identify peer-reviewed articles relating to...

Lion's mane jellyfish sting

A 45-year-old female presented to the emergency department following multiple stings from a jellyfish. She was attempting to swim across ‘The Minch’—at the point of her crossing, this is a 25-mile...

Triage systems around the world: a historical evolution

Triage in medical terms, as defined by the Oxford English dictionary, means ‘the assignment of degrees of urgency to wounds or illnesses to decide the order of treatment of a large number of patients...

An out-of-hospital perspective on hyperventilation syndrome

Blood acidity, measured as a pH, is determined by the concentration of hydrogen ions (H+) present. Blood is comprised of 55% blood plasma, of which at least 90% is water (Institute for Quality and...

Education and clinical professional development in Penang, Malaysia

Pre-hospital care is an interprofessional and intersectorial service that transects many areas of health care. Emergency health care has not been well-regarded, nor considered a distinct specialty in...

Pre-hospital medicine: South Africa vs. the United Kingdom

‘practitioners, who provide specialist care and treatment to patients who are either acutely ill or injured, that can administer a range of drugs and carry out certain surgical techniques’ .

Successful use of percussion pacing in a pre-hospital p-wave asystole and ventricular standstill

Unstable emergency patients might experience different cardiac arrhythmias. A rarely seen arrhythmia is the p-wave asystole also mentioned ventricular asystole, ventricular standstill or third-degree...

No place for the rigid cervical collar in pre-hospital care

In 1967, Dr JD Farrington, an orthopaedic surgeon at Lakeland Memorial Hospital in Wisconsin, published a paper entitled ‘Death in a Ditch’ (Farrington, 1967). He explained that the purpose of his...

Coventry University, UK competes for Pilsen Cup of Paramedics

Friday night was the start of the competition. We were given a comprehensive kit bag and a mobile phone to receive our scenarios through. After dinner there was a brief for our team leaders, who we...

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