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All Outputs (28)

Streaming and redirection of lower acuity adult patients attending the ED: Patient and staff experience (2025)
Journal Article

Background: Streaming and redirection in the ED involves the assessment, triage and prioritisation of patients. Lower acuity patients can be streamed to alternative services within the hospital or redirected to off-site services with the aim of allev... Read More about Streaming and redirection of lower acuity adult patients attending the ED: Patient and staff experience.

Evaluation of a new out-of-hospital newborn life support (OH-NLS) course in the UK South West region: A mixed-methods survey study (2024)
Journal Article

Introduction: Unplanned out-of-hospital births (UOHBs) are associated with poorer outcomes for babies, especially those born prematurely. The current Newborn Life Support (NLS) course offered by Resuscitation Council UK (RCUK) is not designed to addr... Read More about Evaluation of a new out-of-hospital newborn life support (OH-NLS) course in the UK South West region: A mixed-methods survey study.

Inequalities in birth before arrival at hospital in South West England: a multimethods study of neonatal hypothermia and emergency medical services call-handler advice. (2024)
Journal Article

ObjectivesTo examine inequalities in birth before arrival (BBA) at hospitals in South West England, understand which groups are most likely to experience BBA and how this relates to hypothermia and outcomes (phase A). To investigate opportunities to... Read More about Inequalities in birth before arrival at hospital in South West England: a multimethods study of neonatal hypothermia and emergency medical services call-handler advice..

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

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.

How do emergency department staff respond to behaviour that challenges displayed by people living with dementia? A mixed-methods study (2023)
Journal Article

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

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 Contribution

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.

Factors that influence the administration of tranexamic acid (TXA) to trauma patients in prehospital settings: A systematic review (2023)
Journal Article

Objective: In the UK there are around 5400 deaths annually from injury. Tranexamic acid (TXA) prevents bleeding and has been shown to reduce trauma mortality. However, only 5% of UK major trauma patients who are at risk of haemorrhage receive prehosp... Read More about Factors that influence the administration of tranexamic acid (TXA) to trauma patients in prehospital settings: A systematic review.

Temperature measurement of babies born in the pre-hospital setting: Analysis of ambulance service data and qualitative interviews with paramedics (2022)
Journal Article

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.

Involving and engaging pregnant women in maternity-related research: Reflections on an innovative approach (2021)
Journal Article

Background: Meaningful public involvement in maternity research remains challenging, partly due to the transient nature of pregnancy. This paper reflects on the development, implementation and simple evaluation of an innovative and inclusive approach... Read More about Involving and engaging pregnant women in maternity-related research: Reflections on an innovative approach.

Barriers and facilitators to the administration of prehospital tranexamic acid: A paramedic interview study using the theoretical domains framework (2021)
Journal Article

BACKGROUND: Tranexamic acid (TXA) is an antifibrinolytic drug used to prevent bleeding. It was introduced as an intervention for post-traumatic haemorrhage across emergency medical services (EMS) in the UK during 2012. However, despite strong evidenc... Read More about Barriers and facilitators to the administration of prehospital tranexamic acid: A paramedic interview study using the theoretical domains framework.

Addressing social inequity through improving relational care: A social–ecological model based on the experiences of migrant women and midwives in South Wales (2021)
Journal Article

Background: Migrant and ethnic inequalities in maternal and perinatal mortality persist across high-income countries. Addressing social adversity and inequities across the childbirth trajectory cannot be left to chance and the good intentions of prac... Read More about Addressing social inequity through improving relational care: A social–ecological model based on the experiences of migrant women and midwives in South Wales.

Staff stakeholder views on the role of UK paramedics in advance care planning for patients in their last year of life (2021)
Journal Article

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)
Presentation / Conference Contribution

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.

Airway management during in-hospital cardiac arrest in adults: UK national survey and interview study with anaesthetic and intensive care trainees (2020)
Journal Article

Background: The optimal airway management strategy for in-hospital cardiac arrest is unknown. Methods: An online survey and telephone interviews with anaesthetic and intensive care trainee doctors identified by the United Kingdom Research and Audit F... Read More about Airway management during in-hospital cardiac arrest in adults: UK national survey and interview study with anaesthetic and intensive care trainees.

Systematic exploration of local reviews of the care of maternal deaths in the UK and Ireland between 2012 and 2014: A case note review study (2019)
Journal Article

Objectives
Local reviews of the care of women who die in pregnancy and post-birth should be undertaken. We investigated the quantity and quality of hospital reviews.

Design
Anonymised case notes review. Participants All 233 women in the UK and... Read More about Systematic exploration of local reviews of the care of maternal deaths in the UK and Ireland between 2012 and 2014: A case note review study.