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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.

The use of mechanical insufflation-exsufflation in invasively ventilated critically ill adults (2022)
Journal Article
Swingwood, E. L., Stilma, W., Tume, L. N., Cramp, F., Voss, S., Bewley, J., …Rose, L. (2022). The use of mechanical insufflation-exsufflation in invasively ventilated critically ill adults. Respiratory Care, 67(8), 1043-1057. https://doi.org/10.4187/respcare.09704

Mechanical insufflation-exsufflation (MI-E) is traditionally used in the neuromuscular popula-tion. There is growing interest of MI-E use in invasively ventilated critically ill adults. We aimed to map current evidence on MI-E use in invasively venti... Read More about The use of mechanical insufflation-exsufflation in invasively ventilated critically ill adults.

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.

Neurocognitive function following out-of-hospital cardiac arrest: A systematic review (2021)
Journal Article
Zook, N., Voss, S., Blennow Nordstrom, E., Brett, S. J., Jenkinson, E., Shaw, P., …Benger, J. (2022). Neurocognitive function following out-of-hospital cardiac arrest: A systematic review. Resuscitation, 170, 238-246. https://doi.org/10.1016/j.resuscitation.2021.10.005

Objectives: The primary aim of this review was to investigate neurocognitive outcomes following out-of-hospital cardiac arrest (OHCA). Specifically, the focus was on identifying the different neurocognitive domains that are assessed, the measures use... Read More about Neurocognitive function following out-of-hospital cardiac arrest: A systematic review.

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.

Potential impacts of general practitioners working in or alongside emergency departments in England: Initial qualitative findings from a national mixed-methods evaluation (2021)
Journal Article
Scantlebury, A., Brant, H., Anderson, H., Leggett, H., Salisbury, C., Cowlishaw, S., …Adamson, J. (2021). Potential impacts of general practitioners working in or alongside emergency departments in England: Initial qualitative findings from a national mixed-methods evaluation. BMJ Open, 11(5), Article e045453. https://doi.org/10.1136/bmjopen-2020-045453

Objectives To explore the potential impacts of introducing General Practitioners into Emergency Departments (GPED) from the perspectives of service leaders, health professionals and patients. These 'expectations of impact' can be used to generate hyp... Read More about Potential impacts of general practitioners working in or alongside emergency departments in England: Initial qualitative findings from a national mixed-methods evaluation.

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.

Pre-hospital assessment of minor trauma in the older adult (Silver MinT) (2020)
Presentation / Conference
Nicholson, H., Voss, S., & Benger., J. (2020, July). Pre-hospital assessment of minor trauma in the older adult (Silver MinT). Presented at British Society of Gerontology Annual Conference, Online

The UK population is growing and getting older; in 2018 there were nearly 12 million people aged 65 and above in the UK. The rate of people living with dementia is also increasing, with figures suggesting that 1 in 14 people over the age of 65 (7%) a... Read More about Pre-hospital assessment of minor trauma in the older adult (Silver MinT).

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.

Taxonomy of the form and function of primary care services in or alongside emergency departments: Concepts paper (2019)
Journal Article
Cooper, A., Edwards, M., Brandling, J., Carson-Stevens, A., Cooke, M., Davies, F., …Edwards, A. (2019). Taxonomy of the form and function of primary care services in or alongside emergency departments: Concepts paper. Emergency Medicine Journal, 36(10), 625-630. https://doi.org/10.1136/emermed-2018-208305

Primary care services in or alongside emergency departments look and function differently and are described using inconsistent terminology. Research to determine effectiveness of these models is hampered by outdated classification systems, limiting t... Read More about Taxonomy of the form and function of primary care services in or alongside emergency departments: Concepts paper.