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All Outputs (33)

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.

Factors that influence the administration of tranexamic acid (TXA) to trauma patients in prehospital settings: A systematic review (2023)
Journal Article
Nicholson, H., Scotney, N., Briscoe, S., Kirby, K., Bedson, A., Goodwin, L., …Benger, J. R. (2023). Factors that influence the administration of tranexamic acid (TXA) to trauma patients in prehospital settings: A systematic review. BMJ Open, 13(5), Article e073075. https://doi.org/10.1136/bmjopen-2023-073075

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.

Health promotion in emergency care settings: investigating staff views and experiences (2023)
Journal Article
Schofield, B., Hoskins, R., Rolfe, U., McClean, S., Voss, S., & Benger, J. (2023). Health promotion in emergency care settings: investigating staff views and experiences. Emergency Nurse, 31(6), 26-32. https://doi.org/10.7748/en.2023.e2156

BACKGROUND: Emergency departments (EDs) afford 'teachable moments' for health behaviour change, but staff may not see themselves as public health practitioners and it can be challenging to undertake health promotion activities in emergency care setti... Read More about Health promotion in emergency care settings: investigating staff views and experiences.

Cross-cultural adaptation and its impact on research in emergency care (2023)
Journal Article
Roberts, T., Carlton, E., Booker, M., Voss, S., Vaillancourt, S., Jafar, A. J. N., & Benger, J. (2023). Cross-cultural adaptation and its impact on research in emergency care. Emergency Medicine Journal, 40(6), 396-403. https://doi.org/10.1136/emermed-2022-212337

The perspective of patients is increasingly recognised as important to care improvement and innovation. Patient questionnaires such as patient-reported outcome measures may often require cross-cultural adaptation (CCA) to gather their intended inform... Read More about Cross-cultural adaptation and its impact on research in emergency care.

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?.

Assessment and management of children with head injury: Practice and opinion (2023)
Journal Article
Proctor, A., Voss, S., Lyttle, M., & Benger, J. (2023). Assessment and management of children with head injury: Practice and opinion. Journal of Paramedic Practice, 15(2), 58-64. https://doi.org/10.12968/jpar.2023.15.2.58

Background: Head injury is common in children with approximately 700 000 attendances at emergency departments annually; one-third are conveyed by ambulance. However, 75% of them are discharged with no treatment. Most head-injured children could be ma... Read More about Assessment and management of children with head injury: Practice and opinion.

Factors influencing conveyance of older adults with minor head injury by paramedics to the emergency department: A multiple methods study (2022)
Journal Article
Nicholson, H., Voss, S., Black, S., Taylor, H., Williams, D., & Benger, J. (2022). Factors influencing conveyance of older adults with minor head injury by paramedics to the emergency department: A multiple methods study. BMC Emergency Medicine, 22(1), 184. https://doi.org/10.1186/s12873-022-00747-w

Background: Head injury (HI) in older adults due to low-energy falls result in a substantial number of emergency department (ED) attendances. However, mortality associated with minor HI is very low. Reducing conveyance to hospital is important for ol... Read More about Factors influencing conveyance of older adults with minor head injury by paramedics to the emergency department: A multiple methods study.

The CRYOSTAT2 trial: The rationale and study protocol for a multi-Centre, randomised, controlled trial evaluating the effects of early high-dose cryoprecipitate in adult patients with major trauma haemorrhage requiring major haemorrhage protocol activation (2022)
Journal Article
Curry, N., Davenport, R., Lucas, J., Deary, A., Benger, J., Edwards, A., …Stanworth, S. J. (in press). The CRYOSTAT2 trial: The rationale and study protocol for a multi-Centre, randomised, controlled trial evaluating the effects of early high-dose cryoprecipitate in adult patients with major trauma haemorrhage requiring major haemorrhage protocol activation. Transfusion Medicine, https://doi.org/10.1111/tme.12932

Objectives: To describe the protocol for a multinational randomised, parallel, superiority trial, in which patients were randomised to receive early high-dose cryoprecipitate in addition to standard major haemorrhage protocol (MHP), or Standard MHP a... Read More about The CRYOSTAT2 trial: The rationale and study protocol for a multi-Centre, randomised, controlled trial evaluating the effects of early high-dose cryoprecipitate in adult patients with major trauma haemorrhage requiring major haemorrhage protocol activation.

General practitioners working in or alongside the emergency department: The GPED mixed-methods study (2022)
Journal Article
Benger, J., Brant, H., Scantlebury, A., Anderson, H., Baxter, H., Bloor, K., …Adamson, J. (2022). General practitioners working in or alongside the emergency department: The GPED mixed-methods study. Health and Social Care Delivery Research, 10(30), VII-110. https://doi.org/10.3310/HEPB9808

Background: Emergency care is facing a steadily rising demand. In response, hospitals have implemented new models of care that locate general practitioners in or alongside the emergency department. Objectives: We aimed to explore the effects of gener... Read More about General practitioners working in or alongside the emergency department: The GPED mixed-methods study.

Do general practitioners working in or alongside the emergency department improve clinical outcomes or experience? A mixed-methods study (2022)
Journal Article
Scantlebury, A., Adamson, J., Salisbury, C., Brant, H., Anderson, H., Baxter, H., …Benger, J. R. (2022). Do general practitioners working in or alongside the emergency department improve clinical outcomes or experience? A mixed-methods study. BMJ Open, 12(9), e063495. https://doi.org/10.1136/bmjopen-2022-063495

OBJECTIVES: To examine the effect of general practitioners (GPs) working in or alongside the emergency department (GPED) on patient outcomes and experience, and the associated impacts of implementation on the workforce. DESIGN: Mixed-methods study: i... Read More about Do general practitioners working in or alongside the emergency department improve clinical outcomes or experience? A mixed-methods study.

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.

Perspectives of GPs working in or alongside emergency departments in England: Qualitative findings from the GPs and emergency departments study (2022)
Journal Article
Anderson, H., Scantlebury, A., Leggett, H., Salisbury, C., Benger, J., & Adamson, J. (2022). Perspectives of GPs working in or alongside emergency departments in England: Qualitative findings from the GPs and emergency departments study. British Journal of General Practice, 72(723), E764-E772. https://doi.org/10.3399/BJGP.2021.0713

Background Around 43% of emergency department (ED) attendances can be managed in general practice. Strategies to address this include directing appropriate patients to GPs working in or alongside EDs (GPED). Views of GPs choosing to work in GPED role... Read More about Perspectives of GPs working in or alongside emergency departments in England: Qualitative findings from the GPs and emergency departments study.

What are the barriers and facilitators to effective health promotion in urgent and emergency care? A systematic review (2022)
Journal Article
Schofield, B., Rolfe, U., McClean, S., Hoskins, R., Voss, S., & Benger, J. (2022). What are the barriers and facilitators to effective health promotion in urgent and emergency care? A systematic review. BMC Emergency Medicine, 22(1), Article 95. https://doi.org/10.1186/s12873-022-00651-3

Background: There are potential health gains such as reducing early deaths, years spent in ill-health and costs to society and the health and care system by encouraging NHS staff to use encounters with patients to help individuals significantly reduc... Read More about What are the barriers and facilitators to effective health promotion in urgent and emergency care? A systematic review.

Barriers and facilitators to the administration of prehospital tranexamic acid: A paramedic interview study using the theoretical domains framework (2021)
Journal Article
Goodwin, L., Nicholson, H., Robinson, M., Bedson, A., Black, S., Kirby, K., …Benger, J. (2022). Barriers and facilitators to the administration of prehospital tranexamic acid: A paramedic interview study using the theoretical domains framework. Emergency Medicine Journal, 39(7), 540-546. https://doi.org/10.1136/emermed-2020-210622

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.

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.

Assessing the safety of home oximetry for COVID-19: A multisite retrospective observational study (2021)
Journal Article
Clarke, J., Flott, K., Fernandez Crespo, R., Ashrafian, H., Fontana, G., Benger, J., …Elkin, S. (2021). Assessing the safety of home oximetry for COVID-19: A multisite retrospective observational study. BMJ Open, 11(9), e049235. https://doi.org/10.1136/bmjopen-2021-049235

Objectives To determine the safety and effectiveness of home oximetry monitoring pathways for patients with COVID-19 in the English National Health Service. Design Retrospective, multisite, observational study of home oximetry monitoring for patients... Read More about Assessing the safety of home oximetry for COVID-19: A multisite retrospective observational study.

Cost-effectiveness of the i-gel supraglottic airway device compared to tracheal intubation during out-of-hospital cardiac arrest: Findings from the AIRWAYS-2 randomised controlled trial (2021)
Journal Article
Stokes, E. A., Lazaroo, M. J., Clout, M., Brett, S. J., Black, S., Kirby, K., …Wordsworth, S. (2021). Cost-effectiveness of the i-gel supraglottic airway device compared to tracheal intubation during out-of-hospital cardiac arrest: Findings from the AIRWAYS-2 randomised controlled trial. Resuscitation, 167, 1-9. https://doi.org/10.1016/j.resuscitation.2021.06.002

Aim: Optimal airway management during out-of-hospital cardiac arrest (OHCA) is uncertain. Complications from tracheal intubation (TI) may be avoided with supraglottic airway (SGA) devices. The AIRWAYS-2 cluster randomised controlled trial (ISRCTN0825... Read More about Cost-effectiveness of the i-gel supraglottic airway device compared to tracheal intubation during out-of-hospital cardiac arrest: Findings from the AIRWAYS-2 randomised controlled trial.

Potential impacts of general practitioners working in or alongside emergency departments in England: Initial qualitative findings from a national mixed-methods evaluation (2021)
Journal Article
Scantlebury, A., Brant, H., Anderson, H., Leggett, H., Salisbury, C., Cowlishaw, S., …Adamson, J. (2021). Potential impacts of general practitioners working in or alongside emergency departments in England: Initial qualitative findings from a national mixed-methods evaluation. BMJ Open, 11(5), Article e045453. https://doi.org/10.1136/bmjopen-2020-045453

Objectives To explore the potential impacts of introducing General Practitioners into Emergency Departments (GPED) from the perspectives of service leaders, health professionals and patients. These 'expectations of impact' can be used to generate hyp... Read More about Potential impacts of general practitioners working in or alongside emergency departments in England: Initial qualitative findings from a national mixed-methods evaluation.