Visual estimation of blood loss by UK pre-hospital clinicians: an observational study.

Aim: To assess the accuracy of visual estimation of external blood loss by UK pre-hospital clinicians and to comment on its value during handover.

Methods: A sample of 104 pre-hospital clinicians were shown eight staged scenarios showing varying amounts of blood loss and asked to estimate the amount of blood loss depicted. Participants included a range of pre-hospital clinicians from both NHS ambulance trusts and Helicopter Emergency Medical Services.

Travel medicine physician adherence to guidelines for the emergency self treatment of malaria.

Few studies have examined emergency self treatment (EST) antimalarial prescribing patterns. 110 physician-members of the Travel Medicine Society of Ireland and British Global and Travel Health Association participated in this study. There was a trend towards the prescription of EST for travel to remote low-risk malaria areas; for long-term residents living in low-risk areas; and for frequent travellers to low-risk areas.

Cognitive Behaviour Therapy for Psychosis in High Secure Services: An Exploratory Hermeneutic Review of the International Literature.

Background: Mainstream psychological interventions may need adaptation in High Secure (HS) healthcare contexts to enable better recovery, safeguard the public and offer economic value. One specific psychological intervention, cognitive behavioural therapy for psychosis (CBTp), has an already proven efficacy in aiding recovery in non-forensic populations, yet its impact in HS settings has received considerably less research attention.

Aims: This exploratory review catalogues CBTp approaches used in HS hospitals and appraises impact through the inclusion of both fugitive literature and peer reviewed research.