Clinical Practice

Experiences of two paramedics deployed to the Phillipines in response to Typhoon Haiyan

It is heartening to see the world rally together to assist in devastating events such as this. Many countries immediately mobilised resources in various capacities. The United Kingdom, small island...

Prevention, assessment and management of altitude sickness

There are three subtypes of acute altitude sickness: acute mountain sickness (AMS), high-altitude pulmonary oedema (HAPE) and high-altitude cerebral oedema (HACE). Although these conditions occur for...

Providing medical aid to Brazzaville, the Republic of Congo

The Republic of Congo gained its independence on 15 August 1960. In 1997, a six month long civil war broke out. President Denis Sassou-Nguesso has been in power ever since..

Rural acute myocardial infarction survey (RAMIS)

‘building the necessary systems of care to coordinate Emergency Medical Services and hospitals so that catheterization (cath) laboratories can be activated before the patient arrives at the hospital...

Which paediatric weight formula is best suited for the out-of-hospital field?

A literature review was undertaken using the electronic medical databases Ovid Medline, EMBASE, CINAHL Plus, Cochrane Systematic Review, and Meditext from their commencement date until the end of May...

Managing premature babies in the pre-hospital environment

Paramedic team was requested to attend a lady with severe abdominal pain. Antenatal notes revealed she was pregnant at 26 weeks of gestation. On arrival, the paramedic team found her partner holding...

Atlanto-occipital dislocation in children: saving a life in the trauma field

Over a period of 17 years (1986–2003), a total of 16 children with AOD were seen at the Children's Hospital of Philadelphia. The mean age of this group was 7.6 years (range 1.3–16.3 years). All 16...

The paramedics' role in safeguarding and protecting children and young people

A search was conducted of the emergency nursing and paramedic practice journals, alongside Pubmed, Cochrane, and Science-Direct data bases, from 1990 to current date. The following key words were...

Pre-hospital management of cystic fibrosis patients presenting with haemoptysis

Haemoptysis is a commonly reported manifestation within the CF population its incidence increasing with greater life expectancy (Flume et al, 2005). The most common causes of haemoptysis include...

Reflex anoxic seizure in children

‘RAS is the term used for a particular fit which is neither epileptic nor due to cyanotic breathholding, but which rather results from a brief stoppage of the heart through excessive activity of the...

Emergency department ambulance diversion: a thing of the past?

‘So, what happens when diversion is eliminated?’.