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All Outputs (155)

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.

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.

Temperature measurement of babies born in the pre-hospital setting: Analysis of ambulance service data and qualitative interviews with paramedics (2022)
Journal Article
Goodwin, L., Voss, S., McClelland, G., Beach, E., Bedson, A., Black, S., …Benger, J. (2022). Temperature measurement of babies born in the pre-hospital setting: Analysis of ambulance service data and qualitative interviews with paramedics. Emergency Medicine Journal, 39, 826-832. https://doi.org/10.1136/emermed-2021-211970

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.

Barriers and facilitators to the administration of prehospital 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. (2022). Barriers and facilitators to the administration of prehospital tranexamic acid: A paramedic interview study using the theoretical domains framework. Emergency Medicine Journal, 39(7), 540-546. 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 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.

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.

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.

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
Benger, J. R., Lazaroo, M. J., Clout, M., Voss, S., Black, S., Brett, S. J., …Rogers, C. A. (2020). 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. Resuscitation, 157, 74-82. https://doi.org/10.1016/j.resuscitation.2020.09.026

© 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.

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.

Design and implementation of a large and complex trial in emergency medical services (2019)
Journal Article
Robinson, M. J., Taylor, J., Brett, S. J., Nolan, J. P., Thomas, M., Reeves, B. C., …Benger, J. R. (2019). Design and implementation of a large and complex trial in emergency medical services. Trials, 20, Article 108. https://doi.org/10.1186/s13063-019-3203-0

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.

Cluster randomised comparison of the effectiveness of 100% oxygen versus titrated oxygen in patients with a sustained return of spontaneous circulation following out of hospital cardiac arrest: A feasibility study. PROXY: Post ROSC OXYgenation study (2019)
Journal Article
Thomas, M., Voss, S., Benger, J., Kirby, K., & Nolan, J. P. (2019). Cluster randomised comparison of the effectiveness of 100% oxygen versus titrated oxygen in patients with a sustained return of spontaneous circulation following out of hospital cardiac arrest: A feasibility study. PROXY: Post ROSC OXYgenation study. BMC Emergency Medicine, 19, Article 16. https://doi.org/10.1186/s12873-018-0214-1

Background: Hyperoxia following out of hospital cardiac arrest (OHCA) is associated with a poor outcome. Animal data suggest the first hour post resuscitation may be the most important. In the UK the first hour usually occurs in the prehospital envir... Read More about Cluster randomised comparison of the effectiveness of 100% oxygen versus titrated oxygen in patients with a sustained return of spontaneous circulation following out of hospital cardiac arrest: A feasibility study. PROXY: Post ROSC OXYgenation study.

The impact of emergency department patient-controlled analgesia (PCA) on the incidence of chronic pain following trauma and non-traumatic abdominal pain (2018)
Journal Article
Rockett, M., Creanor, S., Squire, R., Barton, A., Benger, J., Cocking, L., …Smith, J. E. (2019). The impact of emergency department patient-controlled analgesia (PCA) on the incidence of chronic pain following trauma and non-traumatic abdominal pain. Anaesthesia, 74(1), 69-73. https://doi.org/10.1111/anae.14476

© 2018 The Authors. Anaesthesia published by John Wiley & Sons Ltd on behalf of Association of Anaesthetists. The effect of patient-controlled analgesia during the emergency phase of care on the prevalence of persistent pain is unkown. We studied i... Read More about The impact of emergency department patient-controlled analgesia (PCA) on the incidence of chronic pain following trauma and non-traumatic abdominal pain.

General practitioners and emergency departments (GPED) - Efficient models of care: A mixed-methods study protocol (2018)
Journal Article
Morton, K., Brandling, J., Benger, J., Gibson, A., & Voss, S. (2018). General practitioners and emergency departments (GPED) - Efficient models of care: A mixed-methods study protocol. BMJ Open, 8(10), e024012. https://doi.org/10.1136/bmjopen-2018-024012

© Author(s) (or their employer(s)) 2018. Re-use permitted under CC BY. Published by BMJ. Introduction Pressure continues to grow on emergency departments in the UK and throughout the world, with declining performance and adverse effects on patient ou... Read More about General practitioners and emergency departments (GPED) - Efficient models of care: A mixed-methods study protocol.

Randomised controlled trial of the Limit of Detection of Troponin and ECG Discharge (LoDED) strategy versus usual care in adult patients with chest pain attending the emergency department: Study protocol (2018)
Journal Article
Carlton, E., Campbell, S., Ingram, J., Kandiyali, R., Taylor, H., Aziz, S., …Benger, J. R. (2018). Randomised controlled trial of the Limit of Detection of Troponin and ECG Discharge (LoDED) strategy versus usual care in adult patients with chest pain attending the emergency department: Study protocol. BMJ Open, 8(10), e025339. https://doi.org/10.1136/bmjopen-2018-025339

© 2018 Author(s). Published by BMJ. Introduction Observational data suggest a single high-sensitivity troponin blood test taken at emergency department (ED) presentation could be used to rule out major adverse cardiac events (MACE) in 10%-60% of ED p... Read More about Randomised controlled trial of the Limit of Detection of Troponin and ECG Discharge (LoDED) strategy versus usual care in adult patients with chest pain attending the emergency department: Study protocol.

Effect of a strategy of a supraglottic airway device vs tracheal intubation during out-of-hospital cardiac arrest on functional outcome the AIRWAYS-2 randomized clinical trial (2018)
Journal Article
Benger, J. R., Kirby, K., Black, S., Brett, S. J., Clout, M., Lazaroo, M. J., …Rogers, C. A. (2018). Effect of a strategy of a supraglottic airway device vs tracheal intubation during out-of-hospital cardiac arrest on functional outcome the AIRWAYS-2 randomized clinical trial. Journal of the American Medical Association, 320(8), 779-791. https://doi.org/10.1001/jama.2018.11597

© 2018 American Medical Association. All rights reserved. IMPORTANCE The optimal approach to airway management during out-of-hospital cardiac arrest is unknown. OBJECTIVE To determine whether a supraglottic airway device (SGA) is superior to tracheal... Read More about Effect of a strategy of a supraglottic airway device vs tracheal intubation during out-of-hospital cardiac arrest on functional outcome the AIRWAYS-2 randomized clinical trial.

How do people with dementia use the ambulance service? A retrospective study in England: The HOMEWARD project (2018)
Journal Article
Voss, S., Brandling, J., Taylor, H., Black, S., Buswell, M., Cheston, R., …Benger, J. R. (2018). How do people with dementia use the ambulance service? A retrospective study in England: The HOMEWARD project. BMJ Open, 8(7), e022549. https://doi.org/10.1136/bmjopen-2018-022549

© Author(s) (or their employer(s)) 2018. Re-use permitted under CC BY. Published by BMJ. Objectives An increasing number of older people are calling ambulances and presenting to accident and emergency departments. The presence of comorbidities and de... Read More about How do people with dementia use the ambulance service? A retrospective study in England: The HOMEWARD project.

Paramedic views regarding clinical research in out of hospital cardiac arrest (2018)
Journal Article
Rhys, M., Voss, S., Davies, S. E., Coates, D., & Benger, J. (2018). Paramedic views regarding clinical research in out of hospital cardiac arrest. Journal of Paramedic Practice, 10(5), 211-215. https://doi.org/10.12968/jpar.2018.10.5.211

Background: The success of pre-hospital research relies on positive engagement from paramedics. Without adequate participation and protocol compliance trials will not succeed. Aims: To seek feedback from paramedics about trial participation and d... Read More about Paramedic views regarding clinical research in out of hospital cardiac arrest.

Carer and clinician perceptions of the use of emergency medical services by people with dementia: A qualitative study (2018)
Journal Article
Voss, S., Brandling, J., Black, S., Cheston, R., Cullum, S., Iliffe, S., …Benger, J. (2018). Carer and clinician perceptions of the use of emergency medical services by people with dementia: A qualitative study. Primary Health Care Research and Development, 20, 1-4. https://doi.org/10.1017/S1463423618000191

A growing number of older people are accessing emergency medical services (EMS), and many calls to EMS are made by, or on behalf of, people with dementia. Their needs are frequently complex, however EMS staff are often given minimal guidance on ensu... Read More about Carer and clinician perceptions of the use of emergency medical services by people with dementia: A qualitative study.

The psychological health and well-being of emergency medicine consultants in the UK (2017)
Journal Article
Fitzgerald, K., Yates, P., Benger, J., & Harris, A. (2017). The psychological health and well-being of emergency medicine consultants in the UK. Emergency Medicine Journal, 34(7), 430-435. https://doi.org/10.1136/emermed-2015-205246

© 2017 Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/. Objective To explore the experience of psychologi... Read More about The psychological health and well-being of emergency medicine consultants in the UK.