A5010786153- Emergency and Acute Care Studies
- Cardiac Arrest and Resuscitation
- Trauma and Emergency Care Studies
- Airway Management and Intubation Techniques
- Primary Care and Health Outcomes
- Respiratory Support and Mechanisms
- Dementia and Cognitive Impairment Research
- Palliative Care and End-of-Life Issues
- Family and Patient Care in Intensive Care Units
- Healthcare Policy and Management
- Intensive Care Unit Cognitive Disorders
- Chronic Disease Management Strategies
- Traumatic Brain Injury and Neurovascular Disturbances
- Nursing Roles and Practices
- Healthcare Decision-Making and Restraints
- Neonatal Respiratory Health Research
- Spinal Fractures and Fixation Techniques
- Musculoskeletal pain and rehabilitation
- Healthcare Systems and Public Health
- Occupational Health and Performance
- School Health and Nursing Education
- Injury Epidemiology and Prevention
- Child and Adolescent Health
- Global Health Workforce Issues
- Traumatic Brain Injury Research
University of the West of England
2016-2025
Prisma Health
2024
The London College
2023
St Vincent's Hospital Sydney
2023
University of Bristol
2023
Edge Hill University
2023
University Hospitals Bristol NHS Foundation Trust
2016-2023
University Hospitals Bristol and Weston NHS Foundation Trust
2023
Blackberry (United States)
2022
QIMR Berghofer Medical Research Institute
2022
<h3>Importance</h3> The optimal approach to airway management during out-of-hospital cardiac arrest is unknown. <h3>Objective</h3> To determine whether a supraglottic device (SGA) superior tracheal intubation (TI) as the initial advanced strategy in adults with nontraumatic arrest. <h3>Design, Setting, and Participants</h3> Multicenter, cluster randomized clinical trial of paramedics from 4 ambulance services England responding emergencies for approximately 21 million people. Patients aged...
To evaluate the efficacy of a 6-week exercise and educational program for patients with fibromyalgia.Forty-one subjects were randomly assigned to or served as waiting list controls. Program outcome was assessed 6-minute walk test, Fibromyalgia Impact Questionnaire, Self-Efficacy Scale, "knowledge" questionnaire (based on information provided during sessions). Waiting control subsequently completed program. reassessed 3 6 months post-program.The produced significant improvements in distance,...
To evaluate the effect of exercise on mood and physical function in individuals with fibromyalgia.Subjects were randomly assigned to an (EX) or control (CTL) group. EX subjects participated 3 30-minute classes per week for 23 weeks. Subjects tested at entry 6, 12, Tests included Beck Depression Inventory (BDI), 6-minute walk, State-Trait Anxiety (STAI), Mental Health (MHI), Fibromyalgia Impact Questionnaire (FIQ), Arthritis Self-Efficacy Scale (ASES), a measure tender points knee...
Introduction Children with head injury are commonly transported to the ED by ambulance. However, most of those conveyed deemed non-serious and discharged at triage. Research is needed explore factors that influence paramedics when deciding convey children minor ED, establish whether a clinical decision tool designed support them would be beneficial. Methods A generic qualitative approach, comprising semistructured interviews front-line ambulance working in UK. Interviews were audio-recorded...
Abstract Objective To measure mood and physical function of individuals with fibromyalgia, 6 12 months following 23 weeks supervised aerobic exercise. Methods This is a followup report who were previously enrolled in land‐based water‐based exercise classes. Outcomes included the 6‐minute walk test, Beck Depression Inventory (BDI), State‐Trait Anxiety Inventory, Arthritis Self‐Efficacy Scale (ASES), Fibromyalgia Impact Questionnaire (FIQ), tender point count, patient global assessment score,...
Background The Additional Roles Reimbursement Scheme (ARRS) was set up to recruit 26 000 additional staff into general practice by 2024, with the aim of increasing patient access appointments. Despite potential benefits integrating ARRS practitioners primary care, their implementation has not always been straightforward. Aim To explore challenges and enablers including its impact on secondary care systems. Design setting Qualitative interview study healthcare professionals key professional...
Abstract Background General practice in the UK is under substantial pressure and practices are increasingly including paramedics as part of their workforce. Little known about how different models paramedic working may affect successful implementation role, viewed from patient, clinician system perspectives. This realist synthesis developed theories ‘models general practice’ contexts to understand impact. Methods The rapid comprised data from: (1) empirical grey literature searches; (2)...
AimThe best method of initial airway management during resuscitation for out hospital cardiac arrest (OHCA) is unknown. The techniques used currently by UK paramedics OHCA are not well documented. This study describes the in usual practice arm REVIVE-Airways feasibility study, and documents pathway interventions to secure sustain ventilation OHCA.MethodData were collected from OHCAs attended participating trial between March 2012 February 2013. Patients included if they enrolled fulfilled...
Hyperoxia following out of hospital cardiac arrest (OHCA) is associated with a poor outcome. Animal data suggest the first hour post resuscitation may be most important. In UK usually occurs in prehospital environment. A prospective controlled trial, cluster randomised by paramedic, comparing titrated oxygen 100% for after return spontaneous circulation (ROSC) OHCA. The trial was done single emergency medical services (EMS) system United Kingdom (UK) admitting patients to three departments....
Background General practice services are under pressure due increased demand. Alongside substantial national recruitment challenges, there exists a shortage of general practitioners to meet current need. Resultingly, allied healthcare professionals, including paramedics, being utilised in practice. Aim To determine the models paramedics settings; mechanisms that underpin effective practice; and impact on safety, costs clinical patient-reported outcomes experience. Design A mixed-methods...
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 in UK. The Joint Royal Colleges Ambulance Liaison Committee recently concluded that newer supraglottic devices (SADs) are safe and effective for hospital procedures their use should be investigated. This study will address an identified gap current knowledge by assessing...
Health outcomes after out of hospital cardiac arrest (OHCA) are extremely poor, with only 7-9% patients in the United Kingdom (UK) surviving to discharge. Currently emergency medical services (EMS) use either tracheal intubation or newer supraglottic airway devices (SGAs) provide advanced management during OHCA. Equipoise between two techniques has led calls for a well-designed randomised controlled trial. The primary objective AIRWAYS-2 trial is assess whether clinical effectiveness i-gel,...
Links between Alzheimer’s disease (AD) and vascular dementia (VaD) have been examined, this paper investigates the role of executive control function (ECF) within syndrome. 307 AD patients, 168 VaD patients 208 controls were compared on tests cognitive function. Results indicated that outperformed both patient groups (p < 0.001) all tests. performed more poorly than 11 18 0.05). Factor analysis data existence 3 factors generated from battery tests, relating to episodic memory, ECF face...
There are approximately 60,000 out-of-hospital cardiac arrests (OHCA) in the United Kingdom (UK) each year. Within UK there well-established clinical practice guidelines that define when resuscitation should be commenced OHCA, and cease. Background literature indicates decision-making commencement cessation of efforts OHCA is complex, not comprehensively understood. No relevant research from has been published to date this study seeks explore influences on Emergency Medical Service (EMS)...
Background When a cardiac arrest occurs, cardiopulmonary resuscitation should be started immediately. However, there is limited evidence about the best approach to airway management during arrest. Objective The objective was determine whether or not i-gel ® (Intersurgical Ltd, Wokingham, UK) supraglottic superior tracheal intubation as initial advanced strategy in adults with non-traumatic out-of-hospital Design This pragmatic, open, parallel, two-group, multicentre, cluster randomised...
Survival from in-hospital cardiac arrest is approximately 18%, but for patients who require advanced airway management survival lower. Those do survive are often left with significant disability. Traditionally, resuscitation of has included tracheal intubation, however insertion a supraglottic gained popularity as an alternative approach to management. Evidence out-of-hospital suggests no differences in mortality or morbidity between these two approaches, there randomised evidence during...
How much do doctors know about the notification of infectious diseases?