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Just when you thought it was safe to go into the bathroom, anaphylaxis strikes! Your patient has suffered a life threatening allergic reaction to toothpaste and needs your assistance.

This issue will explain the pathophysiology of anaphylaxis, with tips on recognition (including the potential differential diagnoses) and the management of this condition.

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A minor RTC involving a bus brings out the cervical collars, a longboard and some bad clinical practice!

This issue explores cervical spine clearance, including the use of the NEXUS low-risk criteria and Canadian c-spine rules.



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I have now updated the audit section to include specific interventions by AP/ECPs. In order to see the list on the audit entry form, you simply need to tick one of the following job roles:

• Advanced Practitioner
• ECP - nurse
• ECP - paramedic
• Paramedic Practitioner

The list of interventions is limited at present, so I'd be grateful if you could send me any suggestions you have for this section and I will update the database.

It's a full moon and your patients seem to be affected! The patient in this issue is drunk and has suffered a head injury, but is refusing to go to hospital. What are you going to do?

This issue explores mental capacity and provides guidance about how you can assess mental capacity, act in their best interests and not fall foul of the Law.

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Even when on holiday, your skills are still required. In this issue, you need to assist with a cardiac arrest on the beach! It's hot and sunny, but your ice cream has to wait.

This issue explores the use of therapeutic hypothermia in the management of patients who have a return of spontaneous circulation. There is discussion of the ischaemia/reperfusion injury pattern that occurs during and after cardiac arrest, and how therapeutic hypothermia can increase the chance of your patients surviving to hospital discharge, neurologically intact.

Visit standbycpd.com to find out more.