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?

Kirby, K.; Lazaroo, M.; Green, J.; Hall, H.; Pilbery, R.; Whitley, G. A.; Voss, S.; Benger, J.

doi:10.1016/j.resplu.2023.100365

All Outputs (9)

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.

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.

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). 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. Poster presented at 999 EMS, 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 w... Read More about 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.

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.

EP10 A service evaluation calculating the length of resuscitation before return of spontaneous circulation (ROSC) or termination of resuscitation (TOR) based on existing TOR guidance in South West England (2023)
Presentation / Conference
Zorab, O., McNee, K., Sainsbury, A., & Kirby, K. (2023, June). EP10 A service evaluation calculating the length of resuscitation before return of spontaneous circulation (ROSC) or termination of resuscitation (TOR) based on existing TOR guidance in South West England. Paper presented at 999 EMS Research Forum 2023 meeting abstracts, Manchester

Background Annually in South West England 3,500 people receive a resuscitation attempt following an out-of-hospital cardiac arrest (OHCA). Paramedics use Termination of Resuscitation (TOR) guidelines to identify patients no longer benefiting from... Read More about EP10 A service evaluation calculating the length of resuscitation before return of spontaneous circulation (ROSC) or termination of resuscitation (TOR) based on existing TOR guidance in South West England.

Diagnostic accuracy of clinical pathways for suspected acute myocardial infarction in the out-of-hospital environment (2023)
Journal Article
Alghamdi, A., Hann, M., Carlton, E., Cooper, J. G., Cook, E., Foulkes, A., …Body, R. (2023). Diagnostic accuracy of clinical pathways for suspected acute myocardial infarction in the out-of-hospital environment. Annals of Emergency Medicine, 82(4), 439-448. https://doi.org/10.1016/j.annemergmed.2023.04.010

Study objective Chest pain is one of the most common reasons for emergency ambulance calls. Patients are routinely transported to the hospital to prevent acute myocardial infarction (AMI). We evaluated the diagnosti... Read More about Diagnostic accuracy of clinical pathways for suspected acute myocardial infarction in the out-of-hospital environment.

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.

External validation of the Manchester acute coronary syndromes ECG risk model within a pre-hospital setting (2023)
Journal Article
Alotaibi, A., Alghamdi, A., Martin, G. P., Carlton, E., Cooper, J. G., Cook, E., …Body, R. (2023). External validation of the Manchester acute coronary syndromes ECG risk model within a pre-hospital setting. Emergency Medicine Journal, 40, 431-436. https://doi.org/10.1136/emermed-2022-212872

Objectives: The Manchester Acute Coronary Syndromes ECG (MACS-ECG) prediction model calculates a score based on objective ECG measurements to give the probability of a non-ST elevation myocardial infarction (NSTEMI). The model showed good performance... Read More about External validation of the Manchester acute coronary syndromes ECG risk model within a pre-hospital setting.

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?.