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    Ambulance clinician assessment and management of transient loss of consciousness: a retrospective clinical audit

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    Author
    Shaw, Joanna
    Ulrich, Alex
    Fothergill, Rachael cc
    Whitbread, Mark
    Keyword
    Emergency Medical Services
    Electrocardiogram (ECG)
    Unconsciousness
    Paramedic Practice
    Clinical Audit
    Journal title
    Journal of Paramedic Practice
    
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    Show full item record
    URI
    http://hdl.handle.net/20.500.12417/376
    DOI
    10.12968/jpar.2016.8.1.10
    Abstract
    Abstract published with permission. Introduction: Transient loss of consciousness (T-LOC) is thought to be underestimated and under-managed in the pre-hospital setting. This clinical audit aims to assess the compliance of ambulance clinicians against the National Institute of Clinical Excellence guidance on the management of patients with T-LOC. Method: Ninety-four patients’ clinical records and electrocardiograms (ECGs) were reviewed to determine appropriateness of assessment and patient management. Results: In this limited sample, findings show standard assessments and history documented for all patients were equally well recorded for T-LOC patients, but those specific to T-LOC were not. The number of ECGs conducted and interpreted correctly was an additional area of concern. Conclusions: Further assessments and history specific to T-LOC are required in the pre-hospital setting to ensure any potentially serious causes are recognised and these patients are taken to hospital.
    ae974a485f413a2113503eed53cd6c53
    10.12968/jpar.2016.8.1.10
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    Publications - London Ambulance Service

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