Pre-hospital POCUS by London’s advanced paramedic practitioners in critical care

The London Ambulance Service NHS Trust (LAS) is the single emergency medical service provider for the Greater London regions, serving a population of 8.2 million distributed throughout an area of 1,579km2. Approximately two million 999 calls are received each year and more than 3,000 patients are attended each day. Emergency calls received by the LAS are responded to in a number of ways, largely determined by the category of emergency to which they are triaged. Responses to emergencies include the dispatch of double crewed ambulances staffed by paramedics and emergency medical technicians, or paramedics responding within fast response vehicles. Further on-scene support can be augmented by other solo responders including paramedic clinical team managers and incident response officers. Additionally, advanced paramedic practitioners in critical care (APPCC) also respond to higher acuity patient groups and complex cases.

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