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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?.

The impact of COVID-19 on emergency medical service-led out-of-hospital cardiac arrest resuscitation: A qualitative study (2022)
Journal Article
Coppola, A., Kirby, K., Black, S., & Osborne, R. (2022). The impact of COVID-19 on emergency medical service-led out-of-hospital cardiac arrest resuscitation: A qualitative study. British Paramedic Journal, 7(2), 8-15. https://doi.org/10.29045/14784726.2022.09.7.2.8

Background: Following the emergence of COVID-19, there have been local and national changes in the way emergency medical service (EMS) staff respond to and treat patients in out-of-hospital cardiac arrest (OHCA). The views of EMS staff on the impact... Read More about The impact of COVID-19 on emergency medical service-led out-of-hospital cardiac arrest resuscitation: A qualitative study.

Improving the Emergency Medical Service recognition and response for patients who are at imminent risk of out-of-hospital cardiac arrest (2022)
Thesis
Kirby, K. Improving the Emergency Medical Service recognition and response for patients who are at imminent risk of out-of-hospital cardiac arrest. (Thesis). University of the West of England. Retrieved from https://uwe-repository.worktribe.com/output/9030811

Current international guidelines and the associated “chain of survival” emphasise the recognition of critically unwell patients in the community followed by an efficient response in the hope of preventing out-of-hospital cardiac arrest, which occurs... Read More about Improving the Emergency Medical Service recognition and response for patients who are at imminent risk of out-of-hospital cardiac arrest.

Mapping the patient and family liaison role in UK helicopter emergency medical services: A service evaluation (2022)
Journal Article
Kirby, K., Caswell, K., Petheram, J., Hyde, P., & Crouch, R. (2022). Mapping the patient and family liaison role in UK helicopter emergency medical services: A service evaluation. Air Medical Journal, 41(5), 458-462. https://doi.org/10.1016/j.amj.2022.04.003

Objective: Patient and family liaison practitioners are a relatively recent addition to UK helicopter emergency medical services to support patients with their recovery. A service evaluation was completed that mapped the current provision of patient... Read More about Mapping the patient and family liaison role in UK helicopter emergency medical services: A service evaluation.

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.

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
Stokes, E. A., Lazaroo, M. J., Clout, M., Brett, S. J., Black, S., Kirby, K., …Wordsworth, S. (2021). 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. Resuscitation, 167, 1-9. https://doi.org/10.1016/j.resuscitation.2021.06.002

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.

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.

Exploring how paramedics are deployed in general practice and the perceived benefits and drawbacks: a mixed-methods scoping study (2020)
Journal Article
Schofield, B., Voss, S., Proctor, A., Benger, J., Coates, D., Kirby, K., …Booker, M. (2020). Exploring how paramedics are deployed in general practice and the perceived benefits and drawbacks: a mixed-methods scoping study. BJGP Open, 4(2), bjgpopen20X101037. https://doi.org/10.3399/bjgpopen20x101037

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.

The experiences of EMS providers taking part in a large randomised trial of airway management during out of hospital cardiac arrest, and the impact on their views and practice. Results of a survey and telephone interviews (2020)
Journal Article
Kirby, K., Brandling, J., Robinson, M., Thomas, M., Voss, S., & Benger, J. (2020). The experiences of EMS providers taking part in a large randomised trial of airway management during out of hospital cardiac arrest, and the impact on their views and practice. Results of a survey and telephone interviews. Resuscitation, 149, 1-9. https://doi.org/10.1016/j.resuscitation.2020.01.034

© 2020 Aims: To explore EMS experiences of participating in a large trial of airway management during out-of-hospital cardiac arrest (AIRWAYS-2), specifically to explore: 1. Any changes in views and practice as a result of trial participation. 2. Exp... Read More about The experiences of EMS providers taking part in a large randomised trial of airway management during out of hospital cardiac arrest, and the impact on their views and practice. Results of a survey and telephone interviews.

A qualitative study on conveyance decision-making during emergency call outs to people with dementia: The HOMEWARD project (2020)
Journal Article
Voss, S., Brandling, J., Pollard, K., Taylor, H., Black, S., Buswell, M., …Benger, J. (2020). A qualitative study on conveyance decision-making during emergency call outs to people with dementia: The HOMEWARD project. BMC Emergency Medicine, 20(1), Article 6. https://doi.org/10.1186/s12873-020-0306-6

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
Nicholson, H., Robinson, M., Briscoe, S., Benger, J., Voss, S., Kirby, K., …Thompson-Coon, J. (2020). What factors affect the administration of Tranexamic acid (TXA) to trauma patients in pre-hospital settings: A systematic review protocol. Online

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.

Ambulance clinicians’ perceptions,assessment and management of frailty: Thematic analysis of focus groups (2018)
Journal Article
Green, J., Kirby, K., & Hope, S. (in press). Ambulance clinicians’ perceptions,assessment and management of frailty: Thematic analysis of focus groups. British Paramedic Journal, 3(3), 23-33. https://doi.org/10.29045/14784726.2018.12.3.3.23

Frailty is an increasingly relevant concept/diagnosis and ambulance services are well positioned to identify frailty and influence the ‘care pathways’ through which patients are directed (thereby influencing health outcomes. Throughout the South West... Read More about Ambulance clinicians’ perceptions,assessment and management of frailty: Thematic analysis of focus groups.

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.

Data quality and 30-day survival for out-of-hospital cardiac arrest in the UK out-of-hospital cardiac arrest registry: A data linkage study (2017)
Journal Article
Rajagopal, S., Booth, S. J., Brown, T. P., Ji, C., Hawkes, C., Siriwardena, A. N., …Perkins, G. D. (2017). Data quality and 30-day survival for out-of-hospital cardiac arrest in the UK out-of-hospital cardiac arrest registry: A data linkage study. BMJ Open, 7(11), https://doi.org/10.1136/bmjopen-2017-017784

© Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2017. All rights reserved. No commercial use is permitted unless otherwise expressly granted. Objectives The Out-of-Hospital Cardiac Arrest Outcomes (OHCAO)... Read More about Data quality and 30-day survival for out-of-hospital cardiac arrest in the UK out-of-hospital cardiac arrest registry: A data linkage study.

Emergency medical service provider decision-making in out of hospital cardiac arrest: An exploratory study (2017)
Journal Article
Benger, J., Kirby, K., Brandling, J., Black, S., & Voss, S. (2017). Emergency medical service provider decision-making in out of hospital cardiac arrest: An exploratory study. BMC Emergency Medicine, 17(1), https://doi.org/10.1186/s12873-017-0136-3

© 2017 The Author(s). Background: There are approximately 60,000 out-of-hospital cardiac arrests (OHCA) in the United Kingdom (UK) each year. Within the UK there are well-established clinical practice guidelines that define when resuscitation should... Read More about Emergency medical service provider decision-making in out of hospital cardiac arrest: An exploratory study.