• The impact of paramedic shift work on the family system: a literature review

      Anderson, Lucy (2019-08-07)
      Aim: The current review investigates the impacts of paramedic work on the family system. Paramedics are taking time off or leaving through stress, and career decisions could be influenced by this perceived impact. Method: A systematic literature review was conducted and the literature critiqued. Two themes were identified: emotional labour and work-family fit. Results: Paramedics rely on families for emotional support, putting them at risk of vicarious trauma. The historical male coping culture of paramedic practice deters processing at work, detrimentally carrying this processing into the home environment. Additionally, several shift characteristics contribute to work-family conflict, child-rearing conflict and difficulties maintaining a social life. Conclusions: Key organisational culture change is needed from denigrating staff for showing emotions and struggling to find work-life balance, to one that improves experiences at work and therefore at home as well. Recent movement towards almost equal gender balance may present a particular opportunity to deliver culture change. Further research is required to better understand the impact that shift work has on the family. Abstract published with permission.
    • Paramedic management of shock in trauma: unlocking the potential

      Hitt, Andy (2010-08)
      Globally, traumatic injury is a leading cause of death for patients under 45 years old. A consequence of serious or poorly managed trauma is shock—a clinical syndrome that is both preventable and treatable if spotted in time. Heightened pathophysiological awareness and a review of diagnostic methods may promote early circulatory support rather than aggressive resuscitation. This could reduce the risk of iatrogenic complications and avoid unnecessary delay. The aim of this article is to critically appraise the treatment options currently available to UK paramedics and postulate realistic improvements based on underlying pathophysiology. Abstract published with permission.
    • Presence of a pre-hospital enhanced care team reduces on scene time and improves triage compliance for stab trauma

      Cowley, Alan; Durham, Mark; Aldred, Duncan; Crabb, Richard; Crouch, Paul; Heywood, Adam; McBride, Andy; Williams, Julia; Lyon, Richard M. (2019-09-06)
    • A review of the burden of trauma pain in emergency settings in Europe

      Dissman, Patrick D.; Maignan, Maxime; Cloves, Paul D.; Gutierrez Parres, Blanca; Dickerson, Sara; Eberhardt, Alice (2018-12)
    • Todd's paresis in acute mild head trauma

      Cowley, Alan; Wright, David; Breen, Thomas; Lyon, Richard M. (2016-11)