All Outputs (63)

General practitioners working in or alongside the emergency department: The GPED mixed-methods study (2022)
Journal Article

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

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

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.

What are the barriers and facilitators to effective health promotion in urgent and emergency care? A systematic review (2022)
Journal Article

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.

The use of mechanical insufflation-exsufflation in invasively ventilated critically ill adults (2022)
Journal Article

Mechanical insufflation-exsufflation (MI-E) is traditionally used in the neuromuscular popula-tion. There is growing interest of MI-E use in invasively ventilated critically ill adults. We aimed to map current evidence on MI-E use in invasively venti... Read More about The use of mechanical insufflation-exsufflation in invasively ventilated critically ill adults.

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.

Neurocognitive function following out-of-hospital cardiac arrest: A systematic review (2021)
Journal Article

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.

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

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.

Current provision of general practitioner services in or alongside emergency departments in England (2021)
Journal Article

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.

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.

Factors influencing ambulance conveyance of older adults with minor head injury to the emergency department: A systematic review protocol (2020)
Other

Randomized trial of the i-gel supraglottic airway device versus tracheal intubation during out of hospital cardiac arrest (AIRWAYS-2): Patient outcomes at three and six months (2020)
Journal Article

© 2020 The Author(s) Aim: The AIRWAYS-2 cluster randomised controlled trial compared the i-gel supraglottic airway device (SGA) with tracheal intubation (TI) as the first advanced airway management (AAM) strategy used by Emergency Medical Service cli... Read More about Randomized trial of the i-gel supraglottic airway device versus tracheal intubation during out of hospital cardiac arrest (AIRWAYS-2): Patient outcomes at three and six months.

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.

Pre-hospital assessment of minor trauma in the older adult (Silver MinT) (2020)
Presentation / Conference Contribution

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).

Exploring how paramedics are deployed in general practice and the perceived benefits and drawbacks: a mixed-methods scoping study (2020)
Journal Article

Background: General practice in the UK faces continuing challenges to balance a workforce shortage against rising demand. The NHS England GP Forward View proposes development of the multidisciplinary, integrated primary care workforce to support fron... Read More about Exploring how paramedics are deployed in general practice and the perceived benefits and drawbacks: a mixed-methods scoping study.

A qualitative study on conveyance decision-making during emergency call outs to people with dementia: The HOMEWARD project (2020)
Journal Article

Background
Paramedics are increasingly required to make complex decisions as to whether they should convey a patient to hospital or manage their condition at the scene. Dementia can be a significant barrier to the assessment process. However, to our... Read More about A qualitative study on conveyance decision-making during emergency call outs to people with dementia: The HOMEWARD project.

What factors affect the administration of Tranexamic acid (TXA) to trauma patients in pre-hospital settings: A systematic review protocol (2020)
Other

Models of paramedic involvement in general practice (2019)
Journal Article

Editorial

Paramedic perceptions of bleeding in trauma and the use of tranexamic acid (TXA) (2019)
Presentation / Conference Contribution

Design and implementation of a large and complex trial in emergency medical services (2019)
Journal Article

Background: The research study titled “Cluster randomised trial of the clinical and cost effectiveness of the i-gel supraglottic airway device versus tracheal intubation in the initial airway management of out-of-hospital cardiac arrest (AIRWAYS-2)”... Read More about Design and implementation of a large and complex trial in emergency medical services.