Browsing Publications - London Ambulance Service by Author "Francis, Joe"
A critical analysis and appraisal of the management of croup in the UK out-of-hospital environmentFrancis, Joe (2015-06)Abstract published with permission. This article aims to explore the epidemiology, aetiology and pathophysiology of laryngotracheobronchitis (croup), a commonly presenting illness faced by paramedics attending young children in the community. In this article, current evidence surrounding pharmacotherapies for croup shall be discussed with relevance to paramedic practice. Furthermore, current dosages, routes of administration, cost-effectiveness and weight-based drug calculations will be outlined and debated alongside the current evidence base.
A critical appraisal of the pre-hospital management of cervical spine injury in children and young peopleFrancis, Joe (2015-03)Abstract published with permission. Paediatric cervical spine injury (CSI) has been outlined in current literature as a research priority, where it has been included in the top 10 clinical research priorities by the Pediatric Emergency Care Applied Research Network. This article therefore aims to review the evidence base underpinning UK paramedic practice when managing children and young people at risk of CSI. In this article, particular focus shall be given to clinical practice challenges while exploring the risk over benefit debate of spinal immobilisation. Throughout this article, considerations for future research and of adopted future practice shall also be made.