Advanced Obstetrics for Paramedics

1. Oxytocic use has been shown to halve the risk of postpartum haemorrhage yet only some ambulance services are equipped with oxytocin. Critically analyse and discuss the use and feasibility of oxytocic for the management of postpartum haemorrhage in the pre-hospital setting. Critique a minimum of 5 articles to support your discussion.

2. Controversy exists in the use of pre-hospital analgesics for pregnant women. Critically analyse and discuss the efficacy and safety of inhaled methoxyflurane and intranasal fentanyl for pre-hospital pain management in pregnant patients.

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