All Outputs (141)

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. (in press). 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, 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.

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.

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.

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.

Factors influencing conveyance of older adults with minor head injury by paramedics to the emergency department: A multiple methods study (2022)
Journal Article
Nicholson, H., Voss, S., Black, S., Taylor, H., Williams, D., & Benger, J. (2022). Factors influencing conveyance of older adults with minor head injury by paramedics to the emergency department: A multiple methods study. BMC Emergency Medicine, 22(1), 184. https://doi.org/10.1186/s12873-022-00747-w

Background: Head injury (HI) in older adults due to low-energy falls result in a substantial number of emergency department (ED) attendances. However, mortality associated with minor HI is very low. Reducing conveyance to hospital is important for ol... Read More about Factors influencing conveyance of older adults with minor head injury by paramedics to the emergency department: A multiple methods study.

The CRYOSTAT2 trial: The rationale and study protocol for a multi-Centre, randomised, controlled trial evaluating the effects of early high-dose cryoprecipitate in adult patients with major trauma haemorrhage requiring major haemorrhage protocol activation (2022)
Journal Article
Curry, N., Davenport, R., Lucas, J., Deary, A., Benger, J., Edwards, A., …Stanworth, S. J. (in press). The CRYOSTAT2 trial: The rationale and study protocol for a multi-Centre, randomised, controlled trial evaluating the effects of early high-dose cryoprecipitate in adult patients with major trauma haemorrhage requiring major haemorrhage protocol activation. Transfusion Medicine, https://doi.org/10.1111/tme.12932

Objectives: To describe the protocol for a multinational randomised, parallel, superiority trial, in which patients were randomised to receive early high-dose cryoprecipitate in addition to standard major haemorrhage protocol (MHP), or Standard MHP a... Read More about The CRYOSTAT2 trial: The rationale and study protocol for a multi-Centre, randomised, controlled trial evaluating the effects of early high-dose cryoprecipitate in adult patients with major trauma haemorrhage requiring major haemorrhage protocol activation.

General practitioners working in or alongside the emergency department: The GPED mixed-methods study (2022)
Journal Article
Benger, J., Brant, H., Scantlebury, A., Anderson, H., Baxter, H., Bloor, K., …Adamson, J. (2022). General practitioners working in or alongside the emergency department: The GPED mixed-methods study. Health and Social Care Delivery Research, 10(30), VII-110. https://doi.org/10.3310/HEPB9808

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
Scantlebury, A., Adamson, J., Salisbury, C., Brant, H., Anderson, H., Baxter, H., …Benger, J. R. (2022). Do general practitioners working in or alongside the emergency department improve clinical outcomes or experience? A mixed-methods study. BMJ Open, 12(9), e063495. https://doi.org/10.1136/bmjopen-2022-063495

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
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.

Perspectives of GPs working in or alongside emergency departments in England: Qualitative findings from the GPs and emergency departments study (2022)
Journal Article
Anderson, H., Scantlebury, A., Leggett, H., Salisbury, C., Benger, J., & Adamson, J. (2022). Perspectives of GPs working in or alongside emergency departments in England: Qualitative findings from the GPs and emergency departments study. British Journal of General Practice, 72(723), E764-E772. https://doi.org/10.3399/BJGP.2021.0713

Background Around 43% of emergency department (ED) attendances can be managed in general practice. Strategies to address this include directing appropriate patients to GPs working in or alongside EDs (GPED). Views of GPs choosing to work in GPED role... Read More about Perspectives of GPs working in or alongside emergency departments in England: Qualitative findings from the GPs and emergency departments study.

What are the barriers and facilitators to effective health promotion in urgent and emergency care? A systematic review (2022)
Journal Article
Schofield, B., Rolfe, U., McClean, S., Hoskins, R., Voss, S., & Benger, J. (2022). What are the barriers and facilitators to effective health promotion in urgent and emergency care? A systematic review. BMC Emergency Medicine, 22(1), Article 95. https://doi.org/10.1186/s12873-022-00651-3

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.

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.

Assessing the safety of home oximetry for COVID-19: A multisite retrospective observational study (2021)
Journal Article
Clarke, J., Flott, K., Fernandez Crespo, R., Ashrafian, H., Fontana, G., Benger, J., …Elkin, S. (2021). Assessing the safety of home oximetry for COVID-19: A multisite retrospective observational study. BMJ Open, 11(9), e049235. https://doi.org/10.1136/bmjopen-2021-049235

Objectives To determine the safety and effectiveness of home oximetry monitoring pathways for patients with COVID-19 in the English National Health Service. Design Retrospective, multisite, observational study of home oximetry monitoring for patients... Read More about Assessing the safety of home oximetry for COVID-19: A multisite retrospective observational study.