Assessment and management of children with head injury: Practice and opinion

Proctor, Alyesha; Voss, Sarah; Lyttle, Mark; Benger, Jonathan

doi:10.12968/jpar.2023.15.2.58

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.

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.

Mechanical insufflation-exsufflation to promote extubation success in critically ill adults on intensive care: Protocol for a randomised controlled feasibility trial (2023)
Journal Article
Swingwood, E., Voss, S., Tume, L. N., Bewley, J., Turner, N., Ntoumenopoulos, G., …Cramp, F. (2023). Mechanical insufflation-exsufflation to promote extubation success in critically ill adults on intensive care: Protocol for a randomised controlled feasibility trial. Pilot and Feasibility Studies, 9(1), Article 129. https://doi.org/10.1186/s40814-023-01362-7

Background: Extubation failure, defined as reintubation within 48h, is associated with increased intensive care unit (ICU) length of stay and higher mortality risk. One cause of extubation failure is secretion retention, resulting from an inability t... Read More about Mechanical insufflation-exsufflation to promote extubation success in critically ill adults on intensive care: Protocol for a randomised controlled feasibility trial.

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.

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.