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A multiple criteria decision analysis to establish the use cases and candidate point of care tests to enter into a platform trial of multiple in vitro diagnostic point of care tests in the prehospital environment (2024)
Journal Article
Kirby, K., Coggins, J., Gibson, A., Liddiard, C., Moore, T. H., Savović, J., …Body, R. (2024). A multiple criteria decision analysis to establish the use cases and candidate point of care tests to enter into a platform trial of multiple in vitro diagnostic point of care tests in the prehospital environment. NIHR Open Research, 4, Article 29. https://doi.org/10.3310/nihropenres.13580.1

Background There are increasing demands on Emergency Medical Services. More efficient treatment pathways are required to support conveyance decision making and patient referral in prehospital care. Point of Care testing is increasingly available and... Read More about A multiple criteria decision analysis to establish the use cases and candidate point of care tests to enter into a platform trial of multiple in vitro diagnostic point of care tests in the prehospital environment.

Paramedic utility in screening patients who present to Emergency Medical Services and who may benefit from an Advance Care Plan: A mixed methods study with explanatory sequential design (2024)
Journal Article
Kirby, K., Liddiard, C., Pocock, L., Black, S., Diaper, A., Goodwin, L., …Benger, J. (2024). Paramedic utility in screening patients who present to Emergency Medical Services and who may benefit from an Advance Care Plan: A mixed methods study with explanatory sequential design. Progress in Palliative Care, 32(3), 189-196. https://doi.org/10.1080/09699260.2024.2339077

We used a two-phased mixed methods study with an explanatory sequential design to understand how frequently paramedics attend patients who, on paramedic assessment with the Gold Standards Framework Proactive Identification Guidance, are end-of-life a... Read More about Paramedic utility in screening patients who present to Emergency Medical Services and who may benefit from an Advance Care Plan: A mixed methods study with explanatory sequential design.

Identifying patients at imminent risk of out-of-hospital cardiac arrest during the Emergency Medical call: The views of call-takers (2023)
Journal Article
Kirby, K., Voss, S., & Benger, J. (2023). Identifying patients at imminent risk of out-of-hospital cardiac arrest during the Emergency Medical call: The views of call-takers. Resuscitation Plus, 16, Article 100490. https://doi.org/10.1016/j.resplu.2023.100490

There is little research on the triage of patients who are not yet in cardiac arrest when the emergency call is initiated, but who deteriorate and suffer a cardiac arrest during the prehospital phase of care. The aim of this study was to investigate... Read More about Identifying patients at imminent risk of out-of-hospital cardiac arrest during the Emergency Medical call: The views of call-takers.

Paramedic use of the ‘gold standards framework proactive identification guidance’ in screening patients for end of life: A mixed methods study with explanatory sequential design (2023)
Presentation / Conference
Kirby, K., Liddiard, C., Black, S., Diaper, A., Goodwin, L., Pocock, L., …Benger, J. (2023, June). Paramedic use of the ‘gold standards framework proactive identification guidance’ in screening patients for end of life: A mixed methods study with explanatory sequential design. Poster presented at 999 EMS research forum annual conference, The Double Tree by Hilton Hotel, Manchester Piccadilly

Background The role of the Emergency Medical Service (EMS) in End of Life (EOL) is often overlooked. The Gold Standards Framework Proactive Identification Guidance (GSFPIG) is an evidence-based screening tool to identify patients nearing EOL. We c... Read More about Paramedic use of the ‘gold standards framework proactive identification guidance’ in screening patients for end of life: A mixed methods study with explanatory sequential design.

PP71 Emergency operation centre staff views on identifying patients at imminent risk of out-of-hospital cardiac arrest during the emergency medical service call for help (2023)
Presentation / Conference
Kirby, K., Voss, S., & Benger, J. (2023, June). PP71 Emergency operation centre staff views on identifying patients at imminent risk of out-of-hospital cardiac arrest during the emergency medical service call for help. Paper presented at 999 EMS Research Forum 2023 meeting abstracts, Manchester

Background Internationally, Emergency Medical Service (EMS) triage emergency calls so that healthcare resources can be allocated appropriately. Studies have indicated that call triage in EMS may trigger a suboptimal response to some patients with lif... Read More about PP71 Emergency operation centre staff views on identifying patients at imminent risk of out-of-hospital cardiac arrest during the emergency medical service call for help.

EP10 A service evaluation calculating the length of resuscitation before return of spontaneous circulation (ROSC) or termination of resuscitation (TOR) based on existing TOR guidance in South West England (2023)
Presentation / Conference
Zorab, O., McNee, K., Sainsbury, A., & Kirby, K. (2023, June). EP10 A service evaluation calculating the length of resuscitation before return of spontaneous circulation (ROSC) or termination of resuscitation (TOR) based on existing TOR guidance in South West England. Paper presented at 999 EMS Research Forum 2023 meeting abstracts, Manchester

Background Annually in South West England 3,500 people receive a resuscitation attempt following an out-of-hospital cardiac arrest (OHCA). Paramedics use Termination of Resuscitation (TOR) guidelines to identify patients no longer benefiting from... Read More about EP10 A service evaluation calculating the length of resuscitation before return of spontaneous circulation (ROSC) or termination of resuscitation (TOR) based on existing TOR guidance in South West England.

The reality of advanced airway management during out of hospital cardiac arrest; why did paramedics deviate from their allocated airway management strategy during the AIRWAYS-2 randomised trial? (2023)
Journal Article
Kirby, K., Lazaroo, M., Green, J., Hall, H., Pilbery, R., Whitley, G. A., …Benger, J. (2023). The reality of advanced airway management during out of hospital cardiac arrest; why did paramedics deviate from their allocated airway management strategy during the AIRWAYS-2 randomised trial?. Resuscitation Plus, 13, 100365. https://doi.org/10.1016/j.resplu.2023.100365

Background: AIRWAYS-2 was a large multi-centre cluster randomised controlled trial investigating the effect on functional outcome of a supraglottic airway device (i-gel) versus tracheal intubation (TI) as the initial advanced airway during out-of-hos... Read More about The reality of advanced airway management during out of hospital cardiac arrest; why did paramedics deviate from their allocated airway management strategy during the AIRWAYS-2 randomised trial?.

Improving the Emergency Medical Service recognition and response for patients who are at imminent risk of out-of-hospital cardiac arrest (2022)
Thesis
Kirby, K. Improving the Emergency Medical Service recognition and response for patients who are at imminent risk of out-of-hospital cardiac arrest. (Thesis). University of the West of England. Retrieved from https://uwe-repository.worktribe.com/output/9030811

Current international guidelines and the associated “chain of survival” emphasise the recognition of critically unwell patients in the community followed by an efficient response in the hope of preventing out-of-hospital cardiac arrest, which occurs... Read More about Improving the Emergency Medical Service recognition and response for patients who are at imminent risk of out-of-hospital cardiac arrest.

Staff stakeholder views on the role of UK paramedics in advance care planning for patients in their last year of life (2021)
Journal Article
Goodwin, L., Proctor, A., Kirby, K., Black, S., Pocock, L., Richardson, S., …Benger, J. (2021). Staff stakeholder views on the role of UK paramedics in advance care planning for patients in their last year of life. Progress in Palliative Care, 29(2), 76-83. https://doi.org/10.1080/09699260.2021.1872140

Background: Early advance care planning has clear benefits for patients approaching the end of their life, yet many of those attended by UK paramedics do not have this planning in place. Aims: To explore staff stakeholder views on the role of UK p... Read More about Staff stakeholder views on the role of UK paramedics in advance care planning for patients in their last year of life.

PP20  Paramedic identification and referral of patients in the last year of life: a stakeholder interview study (2020)
Journal Article
Kirby, K., Black, S., Goodwin, L., Pocock, L., Proctor, A., Richardson, S., …Benger, J. (2020). PP20  Paramedic identification and referral of patients in the last year of life: a stakeholder interview study. Emergency Medicine Journal, 37(10), e10.1-e10. https://doi.org/10.1136/emermed-2020-999abs.20

Background Patients are approaching End of Life when they are likely to die within the next 12 months. Quality in End of Life Care is variable and identifying patients in the End of Life phase is challenging, particularly in those people with diagnos... Read More about PP20  Paramedic identification and referral of patients in the last year of life: a stakeholder interview study.