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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.

How do emergency department staff respond to behaviour that challenges displayed by people living with dementia? A mixed-methods study (2023)
Journal Article
Goodwin, L., Liddiard, C., Manning, S., Benger, J. R., Benger, J., Carlton, E., …Voss, S. (2023). How do emergency department staff respond to behaviour that challenges displayed by people living with dementia? A mixed-methods study. BMJ Open, 13(8), Article e075022. https://doi.org/10.1136/bmjopen-2023-075022

Objectives: To investigate staff experiences of, and approaches to behaviour that challenges displayed by patients with dementia in the emergency department (ED). Behaviour that challenges is defined as ‘actions that detract from the well-being of in... Read More about How do emergency department staff respond to behaviour that challenges displayed by people living with dementia? A mixed-methods study.

Randomised trial of the clinical and cost effectiveness of a supraglottic airway device compared with tracheal intubation for in-hospital cardiac arrest (AIRWAYS-3): Protocol, design and implementation (2023)
Journal Article
Watkins, S., Chowdhury, F. J., Norman, C., Brett, S. J., Couper, K., Goodwin, L., …Benger, J. R. (2023). Randomised trial of the clinical and cost effectiveness of a supraglottic airway device compared with tracheal intubation for in-hospital cardiac arrest (AIRWAYS-3): Protocol, design and implementation. Resuscitation Plus, 15, Article 100430. https://doi.org/10.1016/j.resplu.2023.100430

Survival from in-hospital cardiac arrest is approximately 18%, but for patients who require advanced airway management survival is lower. Those who do survive are often left with significant disability. Traditionally, resuscitation of cardiac arrest... Read More about Randomised trial of the clinical and cost effectiveness of a supraglottic airway device compared with tracheal intubation for in-hospital cardiac arrest (AIRWAYS-3): Protocol, design and implementation.

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.

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?.

Temperature measurement of babies born in the pre-hospital setting: Analysis of ambulance service data and qualitative interviews with paramedics (2022)
Journal Article
Goodwin, L., Voss, S., McClelland, G., Beach, E., Bedson, A., Black, S., …Benger, J. (2022). Temperature measurement of babies born in the pre-hospital setting: Analysis of ambulance service data and qualitative interviews with paramedics. Emergency Medicine Journal, 39, 826-832. https://doi.org/10.1136/emermed-2021-211970

Background: Birth before arrival at hospital (BBA) is associated with unfavourable perinatal outcomes and increased mortality. An important risk factor for mortality following BBA is hypothermia, and emergency medical services (EMS) providers are wel... Read More about Temperature measurement of babies born in the pre-hospital setting: Analysis of ambulance service data and qualitative interviews with paramedics.

The use of mechanical insufflation-exsufflation in invasively ventilated critically ill adults (2022)
Journal Article
Swingwood, E. L., Stilma, W., Tume, L. N., Cramp, F., Voss, S., Bewley, J., …Rose, L. (2022). The use of mechanical insufflation-exsufflation in invasively ventilated critically ill adults. Respiratory Care, 67(8), 1043-1057. https://doi.org/10.4187/respcare.09704

Mechanical insufflation-exsufflation (MI-E) is traditionally used in the neuromuscular popula-tion. There is growing interest of MI-E use in invasively ventilated critically ill adults. We aimed to map current evidence on MI-E use in invasively venti... Read More about The use of mechanical insufflation-exsufflation in invasively ventilated critically ill adults.

Neurocognitive function following out-of-hospital cardiac arrest: A systematic review (2021)
Journal Article
Zook, N., Voss, S., Blennow Nordstrom, E., Brett, S. J., Jenkinson, E., Shaw, P., …Benger, J. (2022). Neurocognitive function following out-of-hospital cardiac arrest: A systematic review. Resuscitation, 170, 238-246. https://doi.org/10.1016/j.resuscitation.2021.10.005

Objectives: The primary aim of this review was to investigate neurocognitive outcomes following out-of-hospital cardiac arrest (OHCA). Specifically, the focus was on identifying the different neurocognitive domains that are assessed, the measures use... Read More about Neurocognitive function following out-of-hospital cardiac arrest: A systematic review.

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.

Pre-hospital assessment of minor trauma in the older adult (Silver MinT) (2020)
Presentation / Conference
Nicholson, H., Voss, S., & Benger., J. (2020, July). Pre-hospital assessment of minor trauma in the older adult (Silver MinT). Presented at British Society of Gerontology Annual Conference, Online

The UK population is growing and getting older; in 2018 there were nearly 12 million people aged 65 and above in the UK. The rate of people living with dementia is also increasing, with figures suggesting that 1 in 14 people over the age of 65 (7%) a... Read More about Pre-hospital assessment of minor trauma in the older adult (Silver MinT).