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All Outputs (11)

A conversation analytical study of call openings in Emergency Medical Service calls where the patient is at imminent risk of out-of-hospital cardiac arrest (2024)
Journal Article
Kirby, K., Voss, S., Benger, J., & Barnes, R. K. (2024). A conversation analytical study of call openings in Emergency Medical Service calls where the patient is at imminent risk of out-of-hospital cardiac arrest. Resuscitation Plus, 19, Article 100706. https://doi.org/10.1016/j.resplu.2024.100706

Background: The Chain of Survival identifies the importance of early recognition of patients who are at imminent risk of out-of-hospital cardiac arrest. This research investigated the interaction between callers and call-takers during calls to the Em... Read More about A conversation analytical study of call openings in Emergency Medical Service calls where the patient is at imminent risk of out-of-hospital cardiac arrest.

Conservative management versus invasive management of significant traumatic pneumothoraces in the emergency department (the CoMiTED trial): A study protocol for a randomised non-inferiority trial (2024)
Journal Article
Blythe, N. M., Coates, K., Benger, J. R., Annaw, A., Banks, J., Clement, C., …Carlton, E. (2024). Conservative management versus invasive management of significant traumatic pneumothoraces in the emergency department (the CoMiTED trial): A study protocol for a randomised non-inferiority trial. BMJ Open, 14(6), Article e087464. https://doi.org/10.1136/bmjopen-2024-087464

Introduction: Traumatic pneumothoraces are present in one of five victims of severe trauma. Current guidelines advise chest drain insertion for most traumatic pneumothoraces, although very small pneumothoraces can be managed with observation at the t... Read More about Conservative management versus invasive management of significant traumatic pneumothoraces in the emergency department (the CoMiTED trial): A study protocol for a randomised non-inferiority trial.

The RELIEF feasibility trial: Topical lidocaine patches in older adults with rib fractures (2024)
Journal Article
Clout, M., Turner, N., Clement, C., Braude, P., Benger, J., Gagg, J., …Carlton, E. (in press). The RELIEF feasibility trial: Topical lidocaine patches in older adults with rib fractures. Emergency Medicine Journal, https://doi.org/10.1136/emermed-2024-213905

Background: Lidocaine patches, applied over rib fractures, may reduce pulmonary complications in older patients. Known barriers to recruiting older patients in emergency settings necessitate a feasibility trial. We aimed to establish whether a defini... Read More about The RELIEF feasibility trial: Topical lidocaine patches in older adults with rib fractures.

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.

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
Goodwin, L., Kirby, K., McClelland, G., Beach, E., Bedson, A., Benger, J. R., …Voss, S. (2024). Inequalities in birth before arrival at hospital in South West England: a multimethods study of neonatal hypothermia and emergency medical services call-handler advice. BMJ Open, 14(4), Article e081106. https://doi.org/10.1136/bmjopen-2023-081106

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
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.

A quantitative evaluation of aerosol generation during cardiopulmonary resuscitation (2023)
Journal Article
Shrimpton, A. J., Brown, V., Vassallo, J., Nolan, J. P., Soar, J., Hamilton, F., …Pickering, A. E. (2024). A quantitative evaluation of aerosol generation during cardiopulmonary resuscitation. Anaesthesia, 79(2), 156-167. https://doi.org/10.1111/anae.16162

It is unclear if cardiopulmonary resuscitation is an aerosol-generating procedure and whether this poses a risk of airborne disease transmission to healthcare workers and bystanders. Use of airborne transmission precautions during cardiopulmonary res... Read More about A quantitative evaluation of aerosol generation during cardiopulmonary resuscitation.

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.

Early and empirical high-dose cryoprecipitate for hemorrhage after traumatic injury: The CRYOSTAT-2 randomized clinical trial (2023)
Journal Article
Davenport, R., Curry, N., Fox, E. E., Thomas, H., Lucas, J., Evans, A., …Stanworth, S. J. (2023). Early and empirical high-dose cryoprecipitate for hemorrhage after traumatic injury: The CRYOSTAT-2 randomized clinical trial. Journal of the American Medical Association, 330(19), 1882-1891. https://doi.org/10.1001/jama.2023.21019

Importance: Critical bleeding is associated with a high mortality rate in patients with trauma. Hemorrhage is exacerbated by a complex derangement of coagulation, including an acute fibrinogen deficiency. Management is fibrinogen replacement with cry... Read More about Early and empirical high-dose cryoprecipitate for hemorrhage after traumatic injury: The CRYOSTAT-2 randomized clinical trial.

The Randomised Evaluation of early topical Lidocaine patches In Elderly patients admitted to hospital with rib Fractures (RELIEF): Feasibility trial protocol (2023)
Journal Article
Lewis, A., Clout, M., Benger, J., Braude, P., Turner, N., Gagg, J., …Carlton, E. (2023). The Randomised Evaluation of early topical Lidocaine patches In Elderly patients admitted to hospital with rib Fractures (RELIEF): Feasibility trial protocol. NIHR Open Research, 3, Article 38. https://doi.org/10.3310/nihropenres.13438.2

BackgroundTopical lidocaine patches, applied over rib fractures, have been suggested as a non-invasive method of local anaesthetic delivery to improve respiratory function, reduce opioid consumption and consequently reduce pulmonary complications. Ol... Read More about The Randomised Evaluation of early topical Lidocaine patches In Elderly patients admitted to hospital with rib Fractures (RELIEF): Feasibility trial protocol.