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All Outputs (32)

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.

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.

Pre-hospital lactate testing in the recognition and management of sepsis and septic shock: A proof (2017)
Journal Article
Stanley, J., Kirby, K., & Robinson, M. (2017). Pre-hospital lactate testing in the recognition and management of sepsis and septic shock: A proof. Journal of Paramedic Practice, 9(4), 146-149

Sepsis is a common condition, with a high mortality rate. Patients with this condition are routinely encountered by ambulance clinicians, but recognition of septic shock can be challenging. The pre-hospital phase of sepsis care provides the earliest... Read More about Pre-hospital lactate testing in the recognition and management of sepsis and septic shock: A proof.

Home or hospital for people with dementia and one or more other multimorbidities: What is the potential to reduce avoidable emergency admissions? the HOMEWARD Project Protocol (2017)
Journal Article
Benger, J., Voss, S., Black, S., Brandling, J., Buswell, M., Cheston, R., …Taylor, H. (2017). Home or hospital for people with dementia and one or more other multimorbidities: What is the potential to reduce avoidable emergency admissions? the HOMEWARD Project Protocol. BMJ Open, 7(4), e016651. https://doi.org/10.1136/bmjopen-2017-016651

© 2017 Published by the BMJ Publishing Group Limited. IntroductionOlder people with multimorbidities frequently access 999 ambulance services. When multimorbidities include dementia, the risk of ambulance use, accident and emergency (A&E) attendance... Read More about Home or hospital for people with dementia and one or more other multimorbidities: What is the potential to reduce avoidable emergency admissions? the HOMEWARD Project Protocol.

Design and implementation of the AIRWAYS-2 trial: A multi-centre cluster randomised controlled 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 (2016)
Journal Article
Benger, J. R., Taylor, J., Black, S., J. Brett, S., Kirby, K., Nolan, J. P., …Benger, J. (2016). Design and implementation of the AIRWAYS-2 trial: A multi-centre cluster randomised controlled 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. Resuscitation, 109, 25-32. https://doi.org/10.1016/j.resuscitation.2016.09.016

© 2016 Health outcomes after out of hospital cardiac arrest (OHCA) are extremely poor, with only 7–9% of patients in the United Kingdom (UK) surviving to hospital discharge. Currently emergency medical services (EMS) use either tracheal intubation or... Read More about Design and implementation of the AIRWAYS-2 trial: A multi-centre cluster randomised controlled 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.

The impact of working shifts: Exploring the views of UK paramedics (2016)
Journal Article
Kirby, K., Moreland, S., & Pollard, J. (2016). The impact of working shifts: Exploring the views of UK paramedics. Journal of Paramedic Practice, 8(5), 252-257

There is limited research within the UK investigating the effects of shift work on paramedics. Paramedics have relatively high rates of sickness levels and there are links between shift work and health. This study explores UK paramedics' perception... Read More about The impact of working shifts: Exploring the views of UK paramedics.