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Which elements of hospital-based clinical decision support tools for the assessment and management of children with head injury can be adapted for use by paramedics in prehospital care? A systematic mapping review and narrative synthesis (2024)
Journal Article
Proctor, A., Lyttle, M., Billing, J., Shaw, P., Simpson, J., Voss, S., & Benger, J. R. (2024). Which elements of hospital-based clinical decision support tools for the assessment and management of children with head injury can be adapted for use by paramedics in prehospital care? A systematic mapping review and narrative synthesis. BMJ Open, 14(2), Article e078363. https://doi.org/10.1136/bmjopen-2023-078363

Objective Hospital-based clinical decision tools support clinician decision-making when a child presents to the emergency department with a head injury, particularly regarding CT scanning. However, there is no decision tool to support prehospital cli... Read More about Which elements of hospital-based clinical decision support tools for the assessment and management of children with head injury can be adapted for use by paramedics in prehospital care? A systematic mapping review and narrative synthesis.

A qualitative investigation of the Additional Roles Reimbursement Scheme in primary care (2024)
Journal Article
Jones, B., Anchors, Z., Voss, S., & Walsh, N. (in press). A qualitative investigation of the Additional Roles Reimbursement Scheme in primary care. British Journal of General Practice, https://doi.org/10.3399/bjgp.2023.0433

Background: The Additional Roles Reimbursement Scheme (ARRS) aims to recruit 26,000 additional staff into general practice by 2024, intending to increase patient access to appointments. Despite the potential benefits of integrating ARRS practitioners... Read More about A qualitative investigation of the Additional Roles Reimbursement Scheme in primary care.

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.

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.

Mechanical insufflation-exsufflation to promote extubation success in critically ill adults on intensive care: Protocol for a randomised controlled feasibility trial (2023)
Journal Article
Swingwood, E., Voss, S., Tume, L. N., Bewley, J., Turner, N., Ntoumenopoulos, G., …Cramp, F. (2023). Mechanical insufflation-exsufflation to promote extubation success in critically ill adults on intensive care: Protocol for a randomised controlled feasibility trial. Pilot and Feasibility Studies, 9(1), Article 129. https://doi.org/10.1186/s40814-023-01362-7

Background: Extubation failure, defined as reintubation within 48h, is associated with increased intensive care unit (ICU) length of stay and higher mortality risk. One cause of extubation failure is secretion retention, resulting from an inability t... Read More about Mechanical insufflation-exsufflation to promote extubation success in critically ill adults on intensive care: Protocol for a randomised controlled feasibility trial.

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.

Cross-cultural adaptation and its impact on research in emergency care (2023)
Journal Article
Roberts, T., Carlton, E., Booker, M., Voss, S., Vaillancourt, S., Jafar, A. J. N., & Benger, J. (2023). Cross-cultural adaptation and its impact on research in emergency care. Emergency Medicine Journal, 40(6), 396-403. https://doi.org/10.1136/emermed-2022-212337

The perspective of patients is increasingly recognised as important to care improvement and innovation. Patient questionnaires such as patient-reported outcome measures may often require cross-cultural adaptation (CCA) to gather their intended inform... Read More about Cross-cultural adaptation and its impact on research in emergency care.

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.

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.

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.

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.

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.

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.

Adult intraosseous access: A comparison of devices (2018)
Journal Article
Dixon, M., & Voss, S. (2018). Adult intraosseous access: A comparison of devices. Journal of Paramedic Practice, 10(9), 376-382. https://doi.org/10.12968/jpar.2018.10.9.376

Background: Evidence to support device choice in intraosseous access is lacking in UK paramedic practice. Being unable to access the sternum with devices may result in under-treatment because of the inability to gain timely vascular access. This repr... Read More about Adult intraosseous access: A comparison of devices.

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.

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.

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.

Psychological wellbeing in survivors of cardiac arrest, and its relationship to neurocognitive function (2016)
Journal Article
Davies, S. E., Rhys, M., Voss, S., Greenwood, R., Thomas, M., & Benger, J. R. (2017). Psychological wellbeing in survivors of cardiac arrest, and its relationship to neurocognitive function. Resuscitation, 111, 22-25. https://doi.org/10.1016/j.resuscitation.2016.11.004

© 2016 Objective To characterise psychological wellbeing in survivors of out-of-hospital cardiac arrest (OHCA), and examine its relationship to cognitive function. Patients Forty-one highly functioning cardiac arrest survivors were drawn from the fol... Read More about Psychological wellbeing in survivors of cardiac arrest, and its relationship to neurocognitive function.

An exploration of the views of paramedics regarding airway management (2016)
Journal Article
Brandling, J., Rhys, M., Thomas, M., Voss, S., Davies, S. E., & Benger, J. (2016). An exploration of the views of paramedics regarding airway management. Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine, 24(1), 56. https://doi.org/10.1186/s13049-016-0243-2

© 2016 Brandling et al. Background: Paramedics are a skilled group of clinicians with expertise in airway management. Our research group has completed a trial comparing supraglottic airway devices with tracheal intubation during out of hospital cardi... Read More about An exploration of the views of paramedics regarding airway management.

Randomised comparison of the effectiveness of the laryngeal mask airway supreme, i-gel and current practice in the initial airway management of out of hospital cardiac arrest: A feasibility study (2016)
Journal Article
Benger, J., Coates, D., Davies, S., Greenwood, R., Nolan, J., Rhys, M., …Voss, S. (2016). Randomised comparison of the effectiveness of the laryngeal mask airway supreme, i-gel and current practice in the initial airway management of out of hospital cardiac arrest: A feasibility study. British Journal of Anaesthesia, 116(2), 262-268. https://doi.org/10.1093/bja/aev477

© 2016 The Author. Published by Oxford University Press on behalf of the British Journal of Anaesthesia. All rights reserved. Background: The best initial approach to advanced airway management during out of hospital cardiac arrest (OHCA) is unknown.... Read More about Randomised comparison of the effectiveness of the laryngeal mask airway supreme, i-gel and current practice in the initial airway management of out of hospital cardiac arrest: A feasibility study.

The development and evaluation of an educational intervention for primary care promoting person-centred responses to dementia (2015)
Journal Article
Iliffe, S., Voss, S. E., Edwards, R., Voss, S., & lliffe, S. (2015). The development and evaluation of an educational intervention for primary care promoting person-centred responses to dementia. Dementia, 14(4), 468-482. https://doi.org/10.1177/1471301213499768

© 2013, © The Author(s) 2013. Background Early diagnosis of dementia within primary care is important to allow access to support. However, dementia remains under-detected in general practice. Aim This work aimed to develop and evaluate an educational... Read More about The development and evaluation of an educational intervention for primary care promoting person-centred responses to dementia.

The 'Necksafe' head articulation control system: A novel cervical immobilisation device (2014)
Journal Article
Sparke, A., Torlei, K., Voss, S., Page, M., Benger, J., Matthews, E., …Harris, N. (2015). The 'Necksafe' head articulation control system: A novel cervical immobilisation device. Emergency Medicine Journal, 32(7), 564-570. https://doi.org/10.1136/emermed-2013-203527

Introduction: The early application of a semirigid disposable cervical collar following trauma is considered a routine practice. The aim of these devices is to immobilise the cervical spine and minimise the risk of additional neurological damage. How... Read More about The 'Necksafe' head articulation control system: A novel cervical immobilisation device.

How do paramedics manage the airway during out of hospital cardiac arrest? (2014)
Journal Article
Voss, S., Rhys, M., Coates, D., Greenwood, R., Nolan, J. P., Thomas, M., & Benger, J. (2014). How do paramedics manage the airway during out of hospital cardiac arrest?. Resuscitation, 85(12), 1662-1666. https://doi.org/10.1016/j.resuscitation.2014.09.008

© 2014 The Authors. Aim: The best method of initial airway management during resuscitation for out of hospital cardiac arrest (OHCA) is unknown. The airway management techniques used currently by UK paramedics during resuscitation for OHCA are not we... Read More about How do paramedics manage the airway during out of hospital cardiac arrest?.

Education about dementia in primary care: Is person-centredness the key? (2014)
Journal Article
Edwards, R., Voss, S., & Iliffe, S. (2014). Education about dementia in primary care: Is person-centredness the key?. Dementia, 13(1), 111-119. https://doi.org/10.1177/1471301212451381

Primary care is ideally placed to recognise and manage dementia and yet dementia can be overlooked or misattributed by primary care practitioners and is underdiagnosed. This might be explained by a lack of formal training in the diagnosis of dementia... Read More about Education about dementia in primary care: Is person-centredness the key?.

The measurement of tissue interface pressures and changes in jugular venous parameters associated with cervical immobilisation devices: A systematic review (2013)
Journal Article
Sparke, A., Voss, S., & Benger, J. (2013). The measurement of tissue interface pressures and changes in jugular venous parameters associated with cervical immobilisation devices: A systematic review. Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine, 21(1), 81. https://doi.org/10.1186/1757-7241-21-81

Cervical immobilisation is commonly applied following trauma, particularly blunt head injury, but current methods of immobilisation are associated with significant complications. Semi-rigid disposable cervical collars are known to cause pressure ulce... Read More about The measurement of tissue interface pressures and changes in jugular venous parameters associated with cervical immobilisation devices: A systematic review.

Randomised comparison of the effectiveness of the laryngeal mask airway supreme, i-gel and current practice in the initial airway management of prehospital cardiac arrest (REVIVE-Airways): A feasibility study research protocol (2013)
Journal Article
initial airway management of prehospital cardiac arrest (REVIVE-Airways): A feasibility study research protocol. BMJ Open, https://doi.org/10.1136/bmjopen-2012-002467

Introduction: Effective cardiopulmonary resuscitation with appropriate airway management improves outcomes following out-of-hospital cardiac arrest (OHCA). Historically, tracheal intubation has been accepted as the optimal form of OHCA airway manage... Read More about Randomised comparison of the effectiveness of the laryngeal mask airway supreme, i-gel and current practice in the initial airway management of prehospital cardiac arrest (REVIVE-Airways): A feasibility study research protocol.

Methods for evaluating cervical range of motion in trauma settings (2012)
Journal Article
Voss, S., Page, M., & Benger, J. (2012). Methods for evaluating cervical range of motion in trauma settings. Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine, 20(50), https://doi.org/10.1186/1757-7241-20-50

Immobilisation of the cervical spine is a common procedure following traumatic injury. This is often precautionary as the actual incidence of spinal injury is low. Nonetheless, stabilisation of the head and neck is an important part of pre-hospital c... Read More about Methods for evaluating cervical range of motion in trauma settings.

Violence in the emergency department (Editorial) (2011)
Journal Article
Voss, S., Lloyd, T., Joyner, O., Lousada, J., Caldwell, N., & Benger, J. (2011). Violence in the emergency department (Editorial). British Journal of Hospital Medicine, 72(12), 664-665

Executive function: The core feature of dementia? (2004)
Journal Article
Bullock, R. A., & Voss, S. (2004). Executive function: The core feature of dementia?. Dementia and Geriatric Cognitive Disorders, 18(2), 207-216. https://doi.org/10.1159/000079202

Links between Alzheimer's disease (AD) and vascular dementia (VaD) have been examined, and this paper investigates the role of executive control function (ECF) within the dementia syndrome. 307 AD patients, 168 VaD patients and 208 controls were comp... Read More about Executive function: The core feature of dementia?.