management

Orthostatic hypotension: the last 20 years

‘The prime concern of the cardiovascular system is tissue perfusion, with blood pressure and blood flow therefore being of critical importance. These are influenced by a number of factors, with...

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...

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’ .

Gazing into the crystal ball: pre-hospital care in India

An important difference between the UK and India is that the GDP per capita in the UK is over 40 000 USD—while in India, it is less than 2000 USD. For comparison, China's GDP is over 7500 USD. The...

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...

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