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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, 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 pre-hospital 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. (in press). Barriers and facilitators to the administration of pre-hospital tranexamic acid: A paramedic interview study using the theoretical domains framework. Emergency Medicine Journal, 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 United Kingdom (UK) during 2012. However, despi... Read More about Barriers and facilitators to the administration of pre-hospital 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.

Factors influencing streaming to General Practitioners in emergency departments: A qualitative study (2021)
Journal Article
Anderson, H., Scantlebury, A., Leggett, H., Brant, H., Salisbury, C., Benger, J., & Adamson, J. (2021). Factors influencing streaming to General Practitioners in emergency departments: A qualitative study. International Journal of Nursing Studies, 120, https://doi.org/10.1016/j.ijnurstu.2021.103980

Background: Emergency Department attendance is increasing internationally, of which a significant proportion could be managed in general practice. In England, policies backed by substantial capital funding require such patients attending Emergency De... Read More about Factors influencing streaming to General Practitioners in emergency departments: A qualitative study.

Current provision of general practitioner services in or alongside emergency departments in England (2021)
Journal Article
Brant, H., Voss, S., Morton, K., Cooper, A., Edwards, M., Price, D., …Benger, J. (2021). Current provision of general practitioner services in or alongside emergency departments in England. Emergency Medicine Journal, 38(10), 780-783. https://doi.org/10.1136/emermed-2020-210539

Background: In 2017, general practitioners in or alongside the emergency department (GPED), an approach that employs GPs in or alongside the ED to address increasing ED demand, was advocated by the National Health Service in England and supported by... Read More about Current provision of general practitioner services in or alongside emergency departments in England.

Current management of moderate to severe traumatic pneumothoraces: A survey of emergency clinicians (2021)
Journal Article
Avery, P., Watkins, M., Benger, J., & Carlton, E. (2022). Current management of moderate to severe traumatic pneumothoraces: A survey of emergency clinicians. Emergency Medicine Journal, 39(4), 313-316. https://doi.org/10.1136/emermed-2020-210647

Background: Traumatic pneumothoraces are present in one-fifth of multiple trauma victims. Traditional teaching mandates the insertion of a chest drain in the majority of cases. However, recent observational evidence suggests a trend towards conservat... Read More about Current management of moderate to severe traumatic pneumothoraces: A survey of emergency clinicians.

Association between admission to a cardiac arrest centre and survival to hospital discharge for adults following out-of-hospital cardiac arrest: A multi-centre observational study (2021)
Journal Article
von Vopelius-Feldt, J., Perkins, G. D., & Benger, J. (2021). Association between admission to a cardiac arrest centre and survival to hospital discharge for adults following out-of-hospital cardiac arrest: A multi-centre observational study. Resuscitation, 160, 118-125. https://doi.org/10.1016/j.resuscitation.2021.01.024

Aim: This study examined the association between admission to a cardiac arrest centre and survival to hospital discharge for adults following out-of-hospital cardiac arrest (OHCA). Methods: We undertook a multicentre retrospective observational study... Read More about Association between admission to a cardiac arrest centre and survival to hospital discharge for adults following out-of-hospital cardiac arrest: A multi-centre observational study.

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.

Patients' and health professionals' perceptions of the LoDED (limit of detection and ECG discharge) strategy for low-risk chest pain management: A qualitative study (2020)
Journal Article
Beasant, L., Carlton, E., Williams, G., Benger, J., & Ingram, J. (2021). Patients' and health professionals' perceptions of the LoDED (limit of detection and ECG discharge) strategy for low-risk chest pain management: A qualitative study. Emergency Medicine Journal, 38(3), 184-190. https://doi.org/10.1136/emermed-2020-209539

Background: Rapid discharge strategies for patients with low-risk chest pain using high-sensitivity troponin assays have been extensively evaluated. The adherence to, and acceptability of such strategies, has largely been explored using quantitative... Read More about Patients' and health professionals' perceptions of the LoDED (limit of detection and ECG discharge) strategy for low-risk chest pain management: A qualitative study.

Retrospective cohort study of admission timing and mortality following COVID-19 infection in England (2020)
Journal Article
Alaa, A., Qian, Z., Rashbass, J., Benger, J., & van der Schaar, M. (2020). Retrospective cohort study of admission timing and mortality following COVID-19 infection in England. BMJ Open, 10(11), https://doi.org/10.1136/bmjopen-2020-042712

Objectives We investigated whether the timing of hospital admission is associated with the risk of mortality for patients with COVID-19 in England, and the factors associated with a longer interval between symptom onset and hospital admission. Des... Read More about Retrospective cohort study of admission timing and mortality following COVID-19 infection in England.

Living risk prediction algorithm (QCOVID) for risk of hospital admission and mortality from coronavirus 19 in adults: National derivation and validation cohort study (2020)
Journal Article
Clift, A. K., Coupland, C. A. C., Keogh, R. H., Diaz-Ordaz, K., Williamson, E., Harrison, E. M., …Hippisley-Cox, J. (2020). Living risk prediction algorithm (QCOVID) for risk of hospital admission and mortality from coronavirus 19 in adults: National derivation and validation cohort study. BMJ, 371, https://doi.org/10.1136/bmj.m3731

Objective To derive and validate a risk prediction algorithm to estimate hospital admission and mortality outcomes from coronavirus disease 2019 (covid-19) in adults. Design: Population based cohort study. Setting and participants: QResearch da... Read More about Living risk prediction algorithm (QCOVID) for risk of hospital admission and mortality from coronavirus 19 in adults: National derivation and validation cohort study.

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.

Airway management during in-hospital cardiac arrest in adults: UK national survey and interview study with anaesthetic and intensive care trainees (2020)
Journal Article
Goodwin, L., Samuel, K., Schofield, B., Voss, S., Brett, S. J., Couper, K., …Research and Audit Federation of Trainees (RAFT) network. (2021). Airway management during in-hospital cardiac arrest in adults: UK national survey and interview study with anaesthetic and intensive care trainees. Journal of the Intensive Care Society, 22(3), 192-197. https://doi.org/10.1177/1751143720949458

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.

Protocol for take-home naloxone In multicentre emergency (TIME) settings: Feasibility study (2020)
Journal Article
Jones, M., Bell, F., Benger, J., Black, S., Buykx, P., Dixon, S., …Snooks, H. (2020). Protocol for take-home naloxone In multicentre emergency (TIME) settings: Feasibility study. Pilot and Feasibility Studies, 6(1), https://doi.org/10.1186/s40814-020-00626-w

Background: Opioids, such as heroin, kill more people worldwide by overdose than any other type of drug, and death rates associated with opioid poisoning in the UK are at record levels (World Drug Report 2018 [Internet]. [cited 2019 Nov 19]. Availabl... Read More about Protocol for take-home naloxone In multicentre emergency (TIME) settings: Feasibility 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).

Updated framework on quality and safety in emergency medicine (2020)
Journal Article
Hansen, K., Boyle, A., Holroyd, B., Phillips, G., Benger, J., Chartier, L. B., …Truesdale, M. (2020). Updated framework on quality and safety in emergency medicine. Emergency Medicine Journal, 37(7), 437-442. https://doi.org/10.1136/emermed-2019-209290

Objectives Quality and safety of emergency care is critical. Patients rely on emergency medicine (EM) for accessible, timely and high-quality care in addition to providing a ‘safety-net’ function. Demand is increasing, creating resource challenges in... Read More about Updated framework on quality and safety in emergency medicine.

Limit of detection of troponin discharge strategy versus usual care: Randomised controlled trial (2020)
Journal Article
Carlton, E. W., Ingram, J., Taylor, H., Glynn, J., Kandiyali, R., Campbell, S., …Benger, J. R. (2020). Limit of detection of troponin discharge strategy versus usual care: Randomised controlled trial. Heart, 106(20), 1586-1594. https://doi.org/10.1136/heartjnl-2020-316692

Introduction The clinical effectiveness of a a € rule-out' acute coronary syndrome (ACS) strategy for emergency department patients with chest pain, incorporating a single undetectable high-sensitivity cardiac troponin (hs-cTn) taken at presentation,... Read More about Limit of detection of troponin discharge strategy versus usual care: Randomised controlled trial.