Be wary of the quiet child
Remember that the quiet child is often the child who is unwell.
Louise Sopher is a Paramedic, Resuscitation Practitioner, and Resuscitation Council ALS Instructor based in Hertfordshire. She has been a registered Paramedic for over 5 years. She is the founder of Article 999.
Remember that the quiet child is often the child who is unwell.
According to Bruga et al (2013), the red flags to look out for range from those which directly concern a child's vital signs to states such as 'seizures', rashes and 'haemorrhage' (Bruga et al, 2013: 12). For the full list, please see the image below.
Be cautious during your medical examination of a young patient about how well children tend to compensate in illness
Summary of 'Maxillofacial trauma patient' (Krausz et al, 2009). An article discussing the importance of effective airway management in the maxillofacial trauma patient and the complexities that such an injury presents. Only points relevant to UK paramedics have been included. For more details, please read the original article.
When given within the first 24 hours of a myocardial infarction, nitrates have been shown to 'reduce mortality [...] at 2 days' (Perez et al, 2009)
Adrenaline, amiodorone, sodium chloride... What do our guidelines say about when, how and how much of these drugs we should be giving?
According to research by Khosraven et al (2015) one of the main disadvantages of an OP airway is that its length, shape & lack of an inflatable cuff may cause oxygen to leak, leading to less oxygen than we might hope for entering the patient's lungs.
These are usually treated with thrombolysis using IV alteplase within 4.5 hours from symptom onset and after a CT scan and diagnosis, but there are new tests and treatments coming out and many other factors to consider. <>
These are strokes that are caused by a blockage in the blood flow to the brain. They may be treated with thrombolysis if not contra-indicated. <>