Role of advanced paramedics in primary care, prehospital and hospital settings

Paramedics have traditionally delivered care within the prehospital setting. However, owing to increased demands on healthcare services, there has been a requirement to develop the role into a sustain...


Trust, trauma, and transformation: deciding with the brain, leading from the heart

Paramedicine is rapidly evolving beyond traditional clinical domains, demanding leadership that is relational, emotionally attuned, and adaptable to dynamic prehospital environments. This conceptual a...


A breath of fresh air: a case report on respiratory failure in UK ambulance service

Chronic obstructive pulmonary disease (COPD) is one of the biggest killers in the world. Patients in intensive care unit (ICU) with elongated episodes of respiratory failure have poor outcomes. Exacer...


How generative AI can supplement continuous professional development

Paramedic education is underpinned by multiple pedagogical approaches, of which simulation-based learning, case-based learning and problem-based learning are pivotal. These methods support the develop...


Diabetes mellitus and postural hypotension in prehospital care

Postural hypotension, defined as a sustained reduction in systolic blood pressure of at least 20 mmHg or diastolic blood pressure of at least 10 mmHg upon standing, is a common but often under-recogni...


Pressure injuries in ambulance practice: delays in ambulance offload times and the potential for physical harm

Pressure injuries, resulting from prolonged unrelieved pressure and leading to tissue breakdown, remain a significant concern for patient outcomes and healthcare costs. In paramedic care, delays in of...


First responders and patients with suicidal ideation

Mental health crises are especially difficult to identify, and depending upon the presentation of the crisis, emergency medical services may not be first on scene. In these circumstances, a medical te...


Generative artificial intelligence 6: simulation

Simulation-based education plays a critical role in paramedic education by enabling learners to develop both clinical and non-technical skills in a safe, realistic environment. This article concludes ...


Generative artificial intelligence 5: reflective practice

Reflective practice is a foundational element of paramedicine, introduced during education and reinforced through professional standards set by the Health and Care Professions Council (HCPC). Generati...


Generative artificial intelligence 4: training companion

Generative artificial intelligence (Gen AI) has gained the spotlight within education since large language models became publicly available. Gen AI has demonstrated its ability to generate high-qualit...


Generative artificial intelligence 3: language translation

This paper explores the evolving role of generative artificial intelligence (Gen AI) in addressing digital inequality – particularly in healthcare settings. While technology holds significant potentia...


Generative artificial intelligence 2: goal-setting

The integration of generative artificial intelligence (Gen AI) into paramedic practice proposes a unique opportunity to enhance professional development and patient care. In this second instalment wit...

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