Background:There are approximately 45 000 people in the ages over 65 years dies outside the health facilities of the hospitals in Sweden in every year. Previous research has shown lacking knowledge in taking care of the next of kin during and after a sudden death. However, conducted research has emphasized that ambulance nurses often are the next of kin?s first contact with the health care system during sudden death at home. Research has also shown that the mourning of the next of kin is affected by the ambulance nurses? way of announcing the next of kin when someone close dies.

The purpose of this study was to explore nurses' experiences of obstructed airways in the prehospital work.A qualitative interview study with a descriptive and explorative design was used. The sample consisted of nine registered nurses whereof three were women and six were men, with or without further education and varying length of experience in the ambulance service.Prehospital personnel builds up a vast plan of action based on the emergency information provided by SOS. Simple methods for managing obstructed airways were stated often enough. Problems with obstructed airways are considered so unusual that it never becomes a routine. Several factors affect the identification and managing of obstructed airways, both external factors and the different patient categories are considered important.

In my degree project I have focused on how to make it easier for ambulance personnel to remove a motorcycle helmet after an accident. During my research I have interviewed ambulance personnel from different cities and a trauma surgeon to get a better understanding of how they work today and the problems they experience. Some of the problem areas are that you need a lot of force to remove the helmet, that the padding catches the ears and that the chin guard catches the face. Since ambulance personnel always assume that there is a neck injury after an accident, all these problems make it difficult to remove the helmet safely.The result is a motorcycle helmet with a focus on safe removal after an accident, to reduce the risk of worsening a neck injury. The solution suggested is that a small part of the back of the helmet is detachable, to make the opening larger.

BackgroundHandover occurs as a daily task for health care professionals in all levels of care. Handover between ambulance crew and emergency department staff stands for the first exchange of information about a patient?s condition. Different factors may impact the handover communication and make it vulnerable.AimThe aim is to highlight factors of importance at handover between the ambulance and emergency room.MethodA literature review of thirteen studies with qualitative and quantitative research approach. The purpose of this literature review was to provide an overview of the area.ResultsExperiences for health care professionals is that communication is important for patient handover between ambulance and emergency department.

In my degree project I have focused on how to make it easier for ambulance personnel to remove a motorcycle helmet after an accident. During my research I have interviewed ambulance personnel from different cities and a trauma surgeon to get a better understanding of how they work today and the problems they experience. Some of the problem areas are that you need a lot of force to remove the helmet, that the padding catches the ears and that the chin guard catches the face. Since ambulance personnel always assume that there is a neck injury after an accident, all these problems make it difficult to remove the helmet safely.The result is a motorcycle helmet with a focus on safe removal after an accident, to reduce the risk of worsening a neck injury. The solution suggested is that a small part of the back of the helmet is detachable, to make the opening larger.

ABSTRACT Introduction: During the past 40 years the ambulance service in Sweden has evolved from mainly being a source of transport to today?s high-tech caring facilities that enable qualified care to start already in the patient?s home. This first level of care is now provided by registered nurses and registered nurses with specialist training in pre hospital care.At the same time as the care provided is becoming more advanced, results from studies demonstrate that the amount of dispatches to patients that lack the need for ambulance care and transport is increasing. Nurses in pre-hospital care possess the knowledge, training and authority to perform an initial assessment of patients and also treat patients according to local and national guidelines. After the treatment it would sometimes be possible for the patients to remain at home without having to use ambulance transport to an emergency department or in other cases find other means of transport to hospital.

The response to many on-going or emerging conflicts since the beginning of the 21st century has been different forms of multinational complex peace operations. Civil-military relations are a commonly studied field that traditionally has its focus on nations. This study intends, in the context of organisations, to test the correlation between a civil-military approach and outcome in complex peace operations. A hypothesis has been deduced from researcher Robert Egnell?s theory on complex peace operations, that states that: UN peace operations with an integrated civil-military approach are more successful in achieving their goals than peace operations with a divided approach.

The response to many on-going or emerging conflicts since the beginning of the 21st century has been different forms of multinational complex peace operations. Civil-military relations are a commonly studied field that traditionally has its focus on nations. This study intends, in the context of organisations, to test the correlation between a civil-military approach and outcome in complex peace operations. A hypothesis has been deduced from researcher Robert Egnell?s theory on complex peace operations, that states that: UN peace operations with an integrated civil-military approach are more successful in achieving their goals than peace operations with a divided approach.

Objective: To investigate the experiences of ambulance nurses when using Boussignac CPAPcompared to their previous model, and their suggestions for possible improvements in the use of CPAP in the care of patients with pulmonary oedema. Method: A qualitative study with a descriptive and exploratory approach. Data was collected through ten semi-structured interviews with ambulance nurses, seven men and three women. The analysis was conducted using Lundman and Graneheim?s content analysis.

Within the ambulance care in Uppsala County a vacuum splint is used to immobilize fractures on extremities. The research available on which method of immobilizing to prefer during pre-hospital treatment is limited. The purpose of this pilot study was to examine the perceptions of the ambulance personal in Uppsala County on the issue of usability of SAM-splint and vacuum splint when immobilizing extremities. The project was also aimed at researching if SAM-splint could be seen as an alternative or a complement to vacuum splint, and to get an apprehension on any evident differences in patients? perceived pain when treated with the two different approaches. A descriptive comparative study was carried out. All patients, regardless of age and sex, with the need of immobilizing supposed fractures, were included.  Patients with suspected femur fracture, collum fracture, or where pre-hospital care was not possible or in question, was excluded.

Within the ambulance care in Uppsala County a vacuum splint is used to immobilize fractures on extremities. The research available on which method of immobilizing to prefer during pre-hospital treatment is limited. The purpose of this pilot study was to examine the perceptions of the ambulance personal in Uppsala County on the issue of usability of SAM-splint and vacuum splint when immobilizing extremities. The project was also aimed at researching if SAM-splint could be seen as an alternative or a complement to vacuum splint, and to get an apprehension on any evident differences in patients? perceived pain when treated with the two different approaches. A descriptive comparative study was carried out. All patients, regardless of age and sex, with the need of immobilizing supposed fractures, were included.  Patients with suspected femur fracture, collum fracture, or where pre-hospital care was not possible or in question, was excluded.

The aim of this paper is to map out the purposes of the United Nations Peacekeeping Operations. This is done in order to see if humanitarian tendencies have been an increasingly cause for the UN to initiate an intervention with military means. This paper uses the time period from the end of the cold war until today, since that historic occurrence increased the U.N.?s involvement in peacekeeping. By using this time span it enables the survey to indicate changes in the mapping of humanitarian interventions.

Abstract Background Todays guidelines for advanced CPR emphasize chest compressions with good quality and early defibrillation. Prehospital CPR performed by ambulance crew, an automated external defibrillator (AED) is used. The AED analyzes the heart rhythm and the performer is following the advice to chock the heart or not, given by the AED. During on-going CPR there are sequences when no chest compression is performed known as hands-off time. Hands-off time includes the time for the AED to analyze the heart rhythm and the time when advice is given to the crew.

Participating in peace support operations has been and remains a significant part of the Swedish defense and security politics. Since the end of the Cold War, the Swedish national defence has been more and more dismantled, in favor of international peace support operations which have become an increasingly important task for the Swedish defence. Why then, is Sweden so engaged in conflicts so far from home? Using two classic theories of international politics, realism and liberalism, this study aims to shed light on arguments from the Swedish parliament on why it is important for Sweden to participate in international peace support operations. After analyzing arguments of the Social Democrat Party, the Moderate Party, the Green Party and the Liberal Party concerning three different peace support operations which Sweden has participated in, the result shows that although both realism and liberalism are influencing the parties? argumentation, liberalism is the theory which is used more often.

Even though battles have been fought in built-up areas for a long time, there have not been any specific theories connected to it. As the world becomes increasingly urbanized, the problem of not having any complete theories with which to analyze military operations in urban terrain becomes bigger. This essay aims to contribute to the field of military theory by investigating if Robert Leonhard?s theory of combined arms can be used in analyzing such operations and to be able to explaining the outcome of them. The main question posed in this essay is; to what extent can Leonhard?s theory explain the outcome of military operations in urban terrain? The method used to answer this question is a comparative method formed as a case study of two military operations in urban terrain, Operation Vigilant Resolve and Operation Phantom Fury, which both took place in Fallujah during the Iraq war 2004. The intention is to test Leonhard?s theory in both cases by assigning the theory several indicators, which are tested in each case. The result shows that the indicators appeared almost equally in both cases, even though one of the operations was said to be a success and the other a failure.