You Are Reviewing a Prehospital Care Report and Not the Following Entry
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Nigh Journal of Paramedic Practice
Journal of Paramedic Practice (JPP) is the only monthly peer-reviewed journal defended to the clinical and professional needs of paramedics. Information technology is a vital resources for helping paramedics heighten their professional knowledge and stay ahead of all their continuing professional development (CPD) requirements.
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Achieve your CPD with JPPNosotros offer a program of 12 online reflective practise CPD modules per year. In consultation with experts, the online CPD modules will aim to cover core topics of practise relevant for paramedics, including the key expanse of pharmacology. Website subscribers tin can access our latest and archive modules, a selection of which can be found below. Subscribe Today
Identifying and managing hyperkalaemia in the prehospital environs
Hyperkalaemia is defined as a loftier level of potassium within the claret. Potassium concentration is normally tightly regulated at 3.5–5.5 mmol/litre. Hyperkalaemia can have major consequences for muscle, nervus and cardiac function, leading to arrhythmias and cardiac abort. Information technology has many causes, including illness states, trauma and medication; a tourniquet can lead to pseudohyperkalaemia. Some patients are at a greater risk of developing information technology. Hyperkalaemia is near accurately identified through claret tests simply results of these may not be bachelor prehospitally. Paramedics need to take a thorough history and acquit out an electrocardiogram (ECG) to diagnose hyperkalaemia. ECG results tin can indicate the severity of the status, and a guide to the ECG changes corresponding to serum potassium levels could assist paramedics in diagnosis. Nebulised salbutamol is recommended every bit the start-line management of hyperkalaemia in several healthcare areas merely there are no protocols that enable UK paramedics to provide this, even though emergency vehicles carry the drug and paramedics administer it for other conditions. Establishing such protocols would let paramedics to care for patients effectively at the scene and en route to hospital.
Recognition and management of COVID-nineteen and other flu-like illnesses: a guide for paramedics
During the pandemic final year, the incidence of influenza-like illnesses (ILIs) was significantly lower, as preventive measures aimed to reduce the spread of COVID-nineteen, were likewise successful in preventing the spread of other respiratory illnesses. With relaxed COVID-nineteen measures and the return of social contact and mixing, a significant increase in ILIs is anticipated this winter. Common causative pathogens for ILIs include flu viruses, parainfluenza virus, respiratory syncytial virus (RSV), rhinovirus and SARS-CoV-two. With similar characteristics and mode of transmissions, it may be hard to distinguish betwixt these common respiratory pathogens. Fortunately, the majority of ILIs are self-limiting and treatments for these illnesses are similar: supportive treatment to salve symptoms while awaiting recovery. Paramedics should exist aware of the warning signs of serious diseases and consider admission if they occur. Finally, good infection prevention and control measures are vital to suspension the chain of manual of ILIs and protect yourselves and others from them.
Publishing an academic paper: basics of the submission process
Publishing an academic paper and going through the submission process can exist unfamiliar and daunting. This article will provide a basic overview of where to kickoff, how to search and scrutinise journals to find the correct one for your piece of work, checking guidelines and the finer things such as whether or not to pay for your publication, getting everything ready, what to expect during the procedure of submission, how your manuscript is reviewed and how a decision is made. Familiarising yourself with the basics of the submission procedure will go far less intimidating as you lot volition know what to wait and how to set.
Prehospital handling of rhabdomyolysis in people who fall
Of people anile 65 and older, xxx% will fall at least in one case per year—for people anile over 80, this rises to 50%. Patients who remain on the floor for a long fourth dimension are at hazard of developing rhabdomyolysis. If a person cannot move or go off the floor, tissue necrosis can occur at the point of contact and skeletal musculus is destroyed, releasing its contents into the bloodstream. This can eventually lead to vanquish syndrome, which includes rhabdomyolysis, hyperkalemia, dysrhythmias and acute kidney injury, and tin can be fatal. There are no guidelines for a time catamenia when rhabdomyolysis is more likely to occur nor international consensus on how to best treat this status in and out of hospital. This article looks at rhabdomyolysis resulting from falls in elderly people, and how to recognise and manage it. The aim is to improve sensation of rhabdomyolysis among prehospital practitioners so they can improve its management and advise patients at abode.
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