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	<title>Paramedic UK &#187; Clinical Matters</title>
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	<link>http://www.paramedic.org.uk</link>
	<description>News, information and comment for the UK pre-hospital care professionals</description>
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		<title>New Book &#8211; Pain: An Ambulance Perspective</title>
		<link>http://www.paramedic.org.uk/2012/02/02/pain-an-ambulance-perspective-tracy-nicholls-and-lucas-hawkes-frost/</link>
		<comments>http://www.paramedic.org.uk/2012/02/02/pain-an-ambulance-perspective-tracy-nicholls-and-lucas-hawkes-frost/#comments</comments>
		<pubDate>Thu, 02 Feb 2012 10:51:58 +0000</pubDate>
		<dc:creator>Editor</dc:creator>
				<category><![CDATA[Clinical Matters]]></category>
		<category><![CDATA[Feature]]></category>

		<guid isPermaLink="false">http://www.paramedic.org.uk/?p=2354</guid>
		<description><![CDATA[A new book written by East of England Ambulance Service NHS Trust paramedics to help deliver high quality care for patients has been launched. <a href="http://www.amazon.co.uk/gp/product/1859593453?ie=UTF8&#38;tag=paramedicuk-21&#38;linkCode=as2&#38;camp=1634&#38;creative=6738&#38;creativeASIN=0955285496">But it now from Amazon UK</a><img style="border: none !important; margin: 0px !important;" src="http://www.assoc-amazon.co.uk/e/ir?t=paramedicuk-21&#38;l=as2&#38;o=2&#38;a=1859593453" alt="" width="1" height="1" border="0" />]]></description>
			<content:encoded><![CDATA[<p><a href="http://www.paramedic.org.uk/wp-content/uploads/2012/02/pain.jpg"><img class="alignright size-thumbnail wp-image-2371" title="pain" src="http://www.paramedic.org.uk/wp-content/uploads/2012/02/pain-150x150.jpg" alt="" width="150" height="150" /></a>A new book written by East of England Ambulance Service NHS Trust paramedics to help deliver high quality care for patients has been launched.</p>
<p>The group of front-line staff who have contributed to &#8216;Pain: an ambulance perspective&#8217; were presented with their own copies on Wednesday and guests also heard about how pain management for patients was an area that needed more focus in the ambulance care arena.</p>
<p>Edited by clinical managers Tracy Nicholls and Lucas Hawkes-Frost, the book is the first of its kind covering areas such as assessing and measuring pain, medication, children and pain, and pain relief in the elderly.</p>
<p>Every clinical member of staff in the region will receive a book and publishers Class Publishing will be selling the book to all good bookshops and online book suppliers.</p>
<p>via <a href="http://www.bedfordshire-news.co.uk/News/Ambulance-service-releases-book-to-improve-patient-care-02022012.htm">Bedfordshire Local News</a>.</p>
<h3>Buy it now from Amazon UK -</h3>
<h3><a href="http://www.amazon.co.uk/gp/product/1859593453?ie=UTF8&amp;tag=paramedicuk-21&amp;linkCode=as2&amp;camp=1634&amp;creative=6738&amp;creativeASIN=0955285496">Pain: An Ambulance Perspective</a><img style="border: none !important; margin: 0px !important;" src="http://www.assoc-amazon.co.uk/e/ir?t=paramedicuk-21&amp;l=as2&amp;o=2&amp;a=1859593453" alt="" width="1" height="1" border="0" /></h3>
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		<title>Blood pressure &#8216;should be measured in both arms&#8217;</title>
		<link>http://www.paramedic.org.uk/2012/01/30/blood-pressure-should-be-measured-in-both-arms/</link>
		<comments>http://www.paramedic.org.uk/2012/01/30/blood-pressure-should-be-measured-in-both-arms/#comments</comments>
		<pubDate>Mon, 30 Jan 2012 11:01:01 +0000</pubDate>
		<dc:creator>Editor</dc:creator>
				<category><![CDATA[Clinical Matters]]></category>

		<guid isPermaLink="false">http://www.paramedic.org.uk/?p=2312</guid>
		<description><![CDATA[Measuring blood pressure in both arms should be routine because the difference between left and right arm could indicate underlying health problems, says a study review. The Lancet research found that a large difference could mean an increased risk of vascular disease and death. Although existing guidelines state that blood pressure should be measured in [...]]]></description>
			<content:encoded><![CDATA[<p><a href="http://www.paramedic.org.uk/wp-content/uploads/2012/01/images.jpeg"><img class="alignright size-thumbnail wp-image-2314" title="images" src="http://www.paramedic.org.uk/wp-content/uploads/2012/01/images-150x150.jpg" alt="" width="150" height="150" /></a>Measuring blood pressure in both arms should be routine because the difference between left and right arm could indicate underlying health problems, says a study review.</p>
<p>The Lancet research found that a large difference could mean an increased risk of vascular disease and death.</p>
<p>Although existing guidelines state that blood pressure should be measured in both arms, it is not often done.</p>
<p>But a heart charity said it was too early to judge the findings.</p>
<p>The arm with the higher pressure can vary between individuals, but it is the difference between arms that counts, the study suggests.</p>
<p>via <a href="http://www.bbc.co.uk/news/health-16739682">BBC News</a></p>
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		<title>Lung emergencies at 10 year high in Wales</title>
		<link>http://www.paramedic.org.uk/2012/01/24/lung-emergencies-at-10-year-high-in-wales/</link>
		<comments>http://www.paramedic.org.uk/2012/01/24/lung-emergencies-at-10-year-high-in-wales/#comments</comments>
		<pubDate>Tue, 24 Jan 2012 07:01:24 +0000</pubDate>
		<dc:creator>Editor</dc:creator>
				<category><![CDATA[Clinical Matters]]></category>

		<guid isPermaLink="false">http://www.paramedic.org.uk/?p=2214</guid>
		<description><![CDATA[The number of emergency hospital admissions for people with lung conditions in Wales is at a 10 year high, NHS figures show. The British Lung Foundation Wales said patients with conditions like emphysema needed to be helped earlier. Its chairman warned that figures could rise for years as more people who smoked 20 years ago [...]]]></description>
			<content:encoded><![CDATA[<p><a href="http://www.paramedic.org.uk/wp-content/uploads/2012/01/Lung-X-Ray.jpg"><img class="alignright size-full wp-image-2234" title="Lung-X-Ray" src="http://www.paramedic.org.uk/wp-content/uploads/2012/01/Lung-X-Ray.jpg" alt="" width="150" height="150" /></a>The number of emergency hospital admissions for people with lung conditions in Wales is at a 10 year high, NHS figures show.</p>
<p>The British Lung Foundation Wales said patients with conditions like emphysema needed to be helped earlier.</p>
<p>Its chairman warned that figures could rise for years as more people who smoked 20 years ago &#8211; when smoking was at a peak &#8211; become ill.</p>
<p>via <a href="http://www.bbc.co.uk/news/uk-wales-16631926">BBC News</a>.</p>
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		<title>La Nina &#8216;may abet&#8217; flu pandemics</title>
		<link>http://www.paramedic.org.uk/2012/01/17/la-nina-may-abet-flu-pandemics/</link>
		<comments>http://www.paramedic.org.uk/2012/01/17/la-nina-may-abet-flu-pandemics/#comments</comments>
		<pubDate>Tue, 17 Jan 2012 16:45:28 +0000</pubDate>
		<dc:creator>Editor</dc:creator>
				<category><![CDATA[Clinical Matters]]></category>

		<guid isPermaLink="false">http://www.paramedic.org.uk/?p=2160</guid>
		<description><![CDATA[La Nina events may make flu pandemics more likely, research suggests. US-based scientists found that the last four pandemics all occurred after La Nina events, which bring cool waters to the surface of the eastern Pacific. In Proceedings of the National Academy of Sciences (PNAS), they say that flu-carrying birds may change migratory patterns during [...]]]></description>
			<content:encoded><![CDATA[<p><a href="http://www.paramedic.org.uk/wp-content/uploads/2012/01/fluvirus.jpg"><img class="alignright size-full wp-image-2165" title="fluvirus" src="http://www.paramedic.org.uk/wp-content/uploads/2012/01/fluvirus.jpg" alt="" width="150" height="150" /></a>La Nina events may make flu pandemics more likely, research suggests.</p>
<p>US-based scientists found that the last four pandemics all occurred after La Nina events, which bring cool waters to the surface of the eastern Pacific.</p>
<p>In Proceedings of the National Academy of Sciences (PNAS), they say that flu-carrying birds may change migratory patterns during La Nina conditions.</p>
<p>However, many other La Nina events have not seen novel flu strains spread around the world, they caution.</p>
<p>via <a href="http://www.bbc.co.uk/news/science-environment-16577612">BBC News</a></p>
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		<title>&#8220;Someone&#8217;s been shot&#8221;: An EMS case study</title>
		<link>http://www.paramedic.org.uk/2012/01/14/someones-been-shot-an-ems-case-study/</link>
		<comments>http://www.paramedic.org.uk/2012/01/14/someones-been-shot-an-ems-case-study/#comments</comments>
		<pubDate>Sat, 14 Jan 2012 11:32:22 +0000</pubDate>
		<dc:creator>Editor</dc:creator>
				<category><![CDATA[Clinical Matters]]></category>
		<category><![CDATA[GSW]]></category>
		<category><![CDATA[gunshot]]></category>
		<category><![CDATA[penetrating trauma]]></category>

		<guid isPermaLink="false">http://www.paramedic.org.uk/?p=2099</guid>
		<description><![CDATA[There are critical decisions made in the prehospital emergency care of unstable patients with penetrating trauma. The crew heard a &#8220;Pop, pop, pop&#8221; nearby, and knew it wasn&#8217;t just a car backfiring. The dispatch was for &#8220;someone shot,&#8221; and they were two blocks away. Law enforcement worked quickly to secure the area, and asked that [...]]]></description>
			<content:encoded><![CDATA[<p>There are critical decisions made in the prehospital emergency care of unstable patients with penetrating trauma.</p>
<p>The crew heard a &#8220;Pop, pop, pop&#8221; nearby, and knew it wasn&#8217;t just a car backfiring. The dispatch was for &#8220;someone shot,&#8221; and they were two blocks away. Law enforcement worked quickly to secure the area, and asked that EMS approach quickly. A young man was on the ground, unconscious. He was warm. There was no blood. A rapid assessment found multiple wounds in his chest, and he would respond to painful stimuli. He had a weak pulse, and agonal respirations.</p>
<p>Read more at <a href="http://www.ems1.com/trauma/articles/1189722-Someones-been-shot-An-EMS-case-study/">EMS1.com</a>.</p>
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		<title>Study: Grief Over Losing Loved One Linked to Higher Heart Attack Risks</title>
		<link>http://www.paramedic.org.uk/2012/01/11/study-grief-over-losing-loved-one-linked-to-higher-heart-attack-risks/</link>
		<comments>http://www.paramedic.org.uk/2012/01/11/study-grief-over-losing-loved-one-linked-to-higher-heart-attack-risks/#comments</comments>
		<pubDate>Wed, 11 Jan 2012 07:47:28 +0000</pubDate>
		<dc:creator>Editor</dc:creator>
				<category><![CDATA[Clinical Matters]]></category>

		<guid isPermaLink="false">http://www.paramedic.org.uk/?p=2061</guid>
		<description><![CDATA[Your risk of heart attack may increase during the days and weeks after the death of a close loved one, according to research reported in Circulation: Journal of the American Heart Association. A study of 1,985 adult heart attack survivors showed that after a significant person&#8217;s death, heart attack risks: &#8211;  Increased to 21 times [...]]]></description>
			<content:encoded><![CDATA[<p><img class="alignright" src="http://www.paramedic.org.uk/fb/clinicalmatters.png" alt="" width="150" height="150" />Your risk of heart attack may increase during the days and weeks after the death of a close loved one, according to research reported in Circulation: Journal of the American Heart Association.</p>
<p>A study of 1,985 adult heart attack survivors showed that after a significant person&#8217;s death, heart attack risks:</p>
<p>&#8211;  Increased to 21 times higher than normal within the first day.</p>
<p>&#8211;  Were almost six times higher than normal within the first week.</p>
<p>&#8211;  Continued to decline steadily over the first month.</p>
<p>&#8220;Caretakers, healthcare providers, and the bereaved themselves need to recognize they are in a period of heightened risk in the days and weeks after hearing of someone close dying,&#8221; said Murray Mittleman, M.D., Dr.P.H., a preventive cardiologist and epidemiologist at Harvard Medical School&#8217;s Beth Israel Deaconess Medical Center and School of Public Health&#8217;s epidemiology department in Boston, Mass.</p>
<p>Read more news and case studies at <a href="http://www.jems.com/article/news/study-grief-over-losing-loved-one-linked">JEMS.com</a>.</p>
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		<title>Statins linked with small diabetes risk</title>
		<link>http://www.paramedic.org.uk/2012/01/11/statins-linked-with-small-diabetes-risk/</link>
		<comments>http://www.paramedic.org.uk/2012/01/11/statins-linked-with-small-diabetes-risk/#comments</comments>
		<pubDate>Wed, 11 Jan 2012 06:50:08 +0000</pubDate>
		<dc:creator>Editor</dc:creator>
				<category><![CDATA[Clinical Matters]]></category>
		<category><![CDATA[case study]]></category>
		<category><![CDATA[diabetes]]></category>
		<category><![CDATA[statins]]></category>

		<guid isPermaLink="false">http://www.paramedic.org.uk/?p=2037</guid>
		<description><![CDATA[A new side effect seems to be emerging for those cholesterol-lowering wonder drugs called statins: They may increase some people&#8217;s chances of developing Type 2 diabetes. A study published Monday adds to the evidence, finding a modest risk among older women who used a variety of statins. It&#8217;s a puzzling link, and specialists say people [...]]]></description>
			<content:encoded><![CDATA[<p>A new side effect seems to be emerging for those cholesterol-lowering wonder drugs called statins: They may increase some people&#8217;s chances of developing Type 2 diabetes.</p>
<p>A study published Monday adds to the evidence, finding a modest risk among older women who used a variety of statins.</p>
<p>It&#8217;s a puzzling link, and specialists say people who most need statins because of a high risk for a heart attack should stick with the drugs.</p>
<p>&#8220;What I fear here is that people who need and will benefit from statins will be scared off of using the drugs because of reports like this,&#8221; says Dr. Steven Nissen, cardiology chairman at the Cleveland Clinic, who wasn&#8217;t involved with the research. &#8220;We don&#8217;t want these drugs in the water supply, but we want the right people treated. When they are, this effect is not a significant limitation.&#8221;</p>
<p>Case studies, USA news and more from <a href="http://www.ems1.com/cardiac-care/articles/1216644-Study-Statins-linked-with-small-diabetes-risk/">EMS1.com</a>.</p>
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		<title>Routine aspirin &#8216;may cause harm&#8217;</title>
		<link>http://www.paramedic.org.uk/2012/01/10/routine-aspirin-may-cause-harm/</link>
		<comments>http://www.paramedic.org.uk/2012/01/10/routine-aspirin-may-cause-harm/#comments</comments>
		<pubDate>Tue, 10 Jan 2012 08:47:35 +0000</pubDate>
		<dc:creator>Editor</dc:creator>
				<category><![CDATA[Clinical Matters]]></category>

		<guid isPermaLink="false">http://www.paramedic.org.uk/?p=2000</guid>
		<description><![CDATA[Healthy people who take aspirin to prevent a heart attack or stroke could be doing more harm than good, warn researchers. An analysis of more than 100,000 patients, published in Archives of Internal Medicine, concluded the risk of internal bleeding was too high. The UK-led study said only people with a history of heart problems [...]]]></description>
			<content:encoded><![CDATA[<p><a href="http://www.paramedic.org.uk/wp-content/uploads/2012/01/Aspirin.png"><img class="alignright size-thumbnail wp-image-2002" title="Aspirin" src="http://www.paramedic.org.uk/wp-content/uploads/2012/01/Aspirin-150x150.png" alt="" width="150" height="150" /></a>Healthy people who take aspirin to prevent a heart attack or stroke could be doing more harm than good, warn researchers.</p>
<p>An analysis of more than 100,000 patients, published in Archives of Internal Medicine, concluded the risk of internal bleeding was too high.</p>
<p>The UK-led study said only people with a history of heart problems or stroke should take the tablets.</p>
<p>Experts said any decision should be made with a doctor.</p>
<p>Aspirin helps people who have had a heart attack or stroke. It prevents blood clots from forming by preventing cells, known as platelets, from sticking together. By reducing the number of clots formed, the tablets reduce the risk of another heart attack or stroke.</p>
<p>via <a href="http://www.bbc.co.uk/news/health-16468337">BBC News</a>.</p>
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		<title>&#8216;Keyring doctor&#8217; that can call an ambulance for you</title>
		<link>http://www.paramedic.org.uk/2012/01/09/keyring-doctor-that-can-call-an-ambulance-for-you/</link>
		<comments>http://www.paramedic.org.uk/2012/01/09/keyring-doctor-that-can-call-an-ambulance-for-you/#comments</comments>
		<pubDate>Mon, 09 Jan 2012 13:10:21 +0000</pubDate>
		<dc:creator>Editor</dc:creator>
				<category><![CDATA[Clinical Matters]]></category>
		<category><![CDATA[monitor]]></category>
		<category><![CDATA[remote dianosis]]></category>

		<guid isPermaLink="false">http://www.paramedic.org.uk/?p=1977</guid>
		<description><![CDATA[A &#8220;Doctor on a keyring&#8221; that can call emergency services is to go on sale in Britain this year. The £130 Lifestyle Connect gadget, which is able to monitor heart rates and glucose levels and can even tell when its wearer has fallen over, was launched at the Consumer Electronics Show in Las Vegas via [...]]]></description>
			<content:encoded><![CDATA[<p>A &#8220;Doctor on a keyring&#8221; that can call emergency services is to go on sale in Britain this year.</p>
<p>The £130 Lifestyle Connect gadget, which is able to monitor heart rates and glucose levels and can even tell when its wearer has fallen over, was launched at the Consumer Electronics Show in Las Vegas</p>
<p>via <a href="http://www.thisislondon.co.uk/standard/article-24026313-keyring-doctor-that-can-call-an-ambulance-for-you.do">This is London</a>.</p>
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		<title>From Afghanistan to the ambulance: Tranexamic Acid</title>
		<link>http://www.paramedic.org.uk/2012/01/06/tranexamic_acid/</link>
		<comments>http://www.paramedic.org.uk/2012/01/06/tranexamic_acid/#comments</comments>
		<pubDate>Fri, 06 Jan 2012 01:14:08 +0000</pubDate>
		<dc:creator>Editor</dc:creator>
				<category><![CDATA[Clinical Matters]]></category>
		<category><![CDATA[Feature]]></category>
		<category><![CDATA[TXA]]></category>

		<guid isPermaLink="false">http://www.paramedic.org.uk/?p=1883</guid>
		<description><![CDATA[A drug used to treat wounded soldiers in Afghanistan is to be fast-tracked for use in the NHS to help the victims of road traffic accidents and violent crime.Under the plans, paramedics will be issued with supplies of the drug TXA, which has been successfully used by the British military to treat combat wounds from [...]]]></description>
			<content:encoded><![CDATA[<p>A drug used to treat wounded soldiers in Afghanistan is to be fast-tracked for use in the NHS to help the victims of road traffic accidents and violent crime.<span id="more-1883"></span>Under the plans, paramedics will be issued with supplies of the drug TXA, which has been successfully used by the British military to treat combat wounds from which &#8216;death is imminent&#8217;.</p>
<p>The drug is the first to be approved under the Government&#8217;s new &#8216;medicines innovation scheme,&#8217; designed to speed up the adoption of promising medication for use in the NHS.</p>
<p>Ambulance crews working in the south-west of England already have access to TXA as part of a trial. The decision by the Department of Health means it will now be rolled out across the NHS starting this month.</p>
<p>The move comes after an international study suggested that the drug could save almost 300 lives a year if it was licensed for civilian use in Britain.</p>
<p>read the full article at - <a href="http://www.independent.co.uk/life-style/health-and-families/health-news/from-afghanistan-to-the-ambulance-the-warzone-drug-that-will-save-hundreds-of-lives-6285560.html">The Independent</a>.</p>
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