The unconscious patient
Chapter 16. The unconscious patient The unconscious patient is unable to ensure their own safety and in deeper levels of coma may be unable to protect their own airway. Assessment…
EMERGENCY MEDICINE
Drug formulary
Chapter 10. Drug formulary The Medicines Act allows ambulance paramedics to supply and administer prescription only medications in circumstances specified by local paramedic steering committees or their equivalent. The Joint…
Microbiology and infection
Chapter 19. Microbiology and infection Routes of infection Infection can be spread by a number of different routes, these include: • Droplet spread – the common route of infection for…
Advanced management of the airway and ventilation
Chapter 7. Advanced management of the airway and ventilation The gold standard for airway control in prehospital care is endotracheal intubation using a cuffed tracheal tube, however basic airway management…
The acute abdomen
Chapter 17. The acute abdomen Abdominal emergencies usually present with acute abdominal pain in association with other symptoms and signs. The causes range from life-threatening conditions that require immediate resuscitation…
Assessment and monitoring
Chapter 13. Assessment and monitoring Clinical assessment Colour • Pallor: very pale appearance, best visualised in the conjunctivae or the mouth. Usually a sign of anaemia but may also be…
Respiratory emergencies
Chapter 11. Respiratory emergencies Respiratory emergencies are a frequent part of the workload of a pre-hospital clinician. The following definitions are important in managing patients with respiratory problems: • Hypoxaemia…
Taking a medical history
Chapter 9. Taking a medical history In medical illness, the history affords 70% of the information on which most diagnoses are made. The history is thus much more important than…
Vascular access
Chapter 8. Vascular access Intravenous access allows fluids or drugs to be administered. In children, the intraosseous (IO) route is often used. This route is increasingly being used in shocked…
