A5024005551- Cardiac Arrest and Resuscitation
- Aerodynamics and Acoustics in Jet Flows
- Traumatic Brain Injury and Neurovascular Disturbances
- Acute Ischemic Stroke Management
- Emergency and Acute Care Studies
- Trauma and Emergency Care Studies
- Fluid Dynamics and Turbulent Flows
- Acute Myocardial Infarction Research
- Insect-Plant Interactions and Control
- Plant and animal studies
- Plasma and Flow Control in Aerodynamics
- Combustion and flame dynamics
- Computational Fluid Dynamics and Aerodynamics
- Stroke Rehabilitation and Recovery
- Vehicle Noise and Vibration Control
- Flow Measurement and Analysis
- Insect behavior and control techniques
- Cardiac Health and Mental Health
- EEG and Brain-Computer Interfaces
- Healthcare Systems and Public Health
- Family and Patient Care in Intensive Care Units
- Shoulder Injury and Treatment
- Hip and Femur Fractures
- Noise Effects and Management
- Underwater Acoustics Research
University of Surrey
2015-2024
ORCID
2020-2023
South East Coast Ambulance Service NHS Foundation Trust
2015-2022
North East Ambulance Service NHS Foundation Trust
2015-2022
University of KwaZulu-Natal
2018
United States Navy
2010
Naval Air Warfare Center Training Systems Division
2010
Georgia Institute of Technology
2001-2003
Purdue University West Lafayette
1996
Use of bystander video livestreaming from scene to Emergency Medical Services (EMS) is becoming increasingly common aid decision making about the resources required. Possible benefits include earlier, more appropriate dispatch and clinical financial gains, but evidence sparse.
Helicopter Emergency Medical Services (HEMS) are a scarce resource that can provide advanced emergency medical care to unwell or injured patients. Accurate tasking of HEMS is required incidents where pre-hospital clinical needed. We sought evaluate any association between non-clinically trained dispatchers, following bespoke algorithm, compared with paramedic dispatchers respect requiring critical intervention. Retrospective analysis prospectively collected data from two 12-month periods was...
Circulation control wings are a type of pneumatic high-lift device that have been extensively researched as to their aerodynamic benefits. However, there has little research into the possible airframe noise reduction benefits circulation wing. The key element is jet associated with sheet emitted from blowing slot. This essentially high aspect-ratio rectangular jet. Thus, fully understand wing, jets must also be understood. A nozzle was fabricated study general characteristics aspect ratios...
Three large-scale mating disruption (MD) trials were conducted from 2001 to 2004 in an organic citrus orchard inland southeastern Australia evaluate the effectiveness of MD dispenser Isomate LBAM Plus controlling lightbrown apple moth, Epiphyas postvittana (Walker), citrus. At application rate 364–728 dispensers per ha, reduced pheromone trapping E. almost undetectable levels for ≈6 mo treated area. During this period, most sentinel females area failed mate. Infestation by was >50%. If...
To investigate the association between pre-hospital 12-lead electrocardiogram (PHECG) use in patients presenting to emergency medical services (EMS) with acute stroke, and clinical outcomes system delays.Multi-centre linked cohort study. Patients verified stroke admitted hospital via EMS were identified through routinely collected data records unique identifiers. Ordinal logistic regression analyses undertaken analyse relationship having a PHECG modified Rankin Scale (mRS); mortality; time...
Circulation control technology uses tangential blowing around a rounded trailing edge or leading to change the force and moment characteristics of an aerodynamic body. This has been applied circular cylinders, wings, helicopter rotors, even automobiles for improved performance. Only limited research conducted on acoustic this technology. Since wing flaps contribute environmental noise aircraft, alternate blown high lift system without complex mechanical could prove beneficial in reducing...
Mechanical lower back pain (MLBP) and sacroiliac joint dysfunction (SIJD) are common problems among golfers. There currently few studies on golfers regarding the relationship between MLBP SIJD.The objective of this study was to determine prevalence SIJD their association in at two golf clubs Durban, South Africa.A correlation design included convenience sampling. The Standardised Nordic Questionnaire for analysis musculoskeletal symptoms determined MLBP. Sacroiliac provocative tests SIJD....
Circulation control wings are a type of pneumatic high-lift device that have been extensively researched as to their aerodynamic benefits. However, there has little research into the possible airframe noise reduction benefits circulation wing. The key element is jet associated with sheet emitted from blowing slot. High aspect-ratio acoustic results (aspect-ratios 100 3,000) related study showed this was proportional slot height 3/2 power and width 1/2 power. Fluid dynamic experiments were...
Healthcare is becoming increasingly complex. The pre-hospital setting no exception, especially when considering the unpredictable environment. To address complex clinical problems and improve quality of care for patients, researchers need to use innovative methods create necessary depth breadth knowledge. Quantitative approaches such as randomised controlled trials observational (e.g. cross-sectional, case control, cohort) methods, along with qualitative including interviews, focus groups...
Suspected transient ischaemic attack (TIA) is a common presentation to emergency medical services (EMS) in the United Kingdom (UK). Several EMS systems have adopted ABCD2 score aid pre-hospital risk stratification and decision-making on patient disposition, such as direct referral an Emergency Department or specialist TIA clinic. However, score, developed for hospital use, has not been validated use context of care. We conducted pilot study assess eligibility criteria, recruitment rates,...
Mixed methods research, a methodology entailing the integration of qualitative and quantitative data within single study, offers researchers ability to investigate complex processes systems in health healthcare. The collective strength gained through combination can provide an enhanced understanding research problems, providing ideal solution clinical issues range settings. In pre-hospital practice, where often uncontrollable variables environmental considerations increase healthcare...
A qualitative exploration into the views, opinions and decision-making of paramedics involved in undertaking pre-hospital 12-lead electrocardiograms (PHECGs) for stroke patients was undertaken, order to gain a deeper understanding clinical occupational context that work within, acceptability using PHECGs consequences influences their decision-making.
Noise from high performance military fighter aircraft impacts the hearing and of personnel working near these can be a source annoyance to people living airbases, airports 1 , ranges where are operated. Developers operators must report noise produced in communities as part NEPA (National Environmental Policy Act 1974) process. Additionally, overexposure levels/durations result permanent loss, number one veteran disability United States, negatively impact voice communication capability....
Development of Epipyas postvittna (Walker) (Lepidoptera: Tortricidae), on leaves and fruit ‘Valencia’, ‘Washington navel’, ‘Navelina’ orange trees was studied under constant fluctuating temperatures. E. able to complete its life cycle feeding exclusively or trees. However, larval survival rate very low (<20%) tissues compared with that noncitrus hosts. Among the four types tissues, young afforded larvae higher rates than mature fruit. Fruit (young mature) produced heavier pupae mature)....
<h3>AIM</h3> Emergency medical services (EMS) play a vital role in the recognition, management and transportation of acute stroke patients. UK guidelines recommend clinicians consider performing prehospital 12-lead electrocardiogram (PHECG) patients with suspected , but this recommendation is based on expert consensus, rather than robust evidence. The aim study was to investigate association between PHECG modified Rankin scale (mRS). Secondary outcomes included in-hospital mortality, EMS...
Background Emergency medical services (EMS) play a vital role in the recognition, management and transportation of acute stroke patients. UK guidelines recommend clinicians consider performing prehospital 12-lead electrocardiogram (PHECG) patients with suspected stroke, but this recommendation is based on expert consensus, rather than robust evidence. The aim study was to investigate association between PHECG modified Rankin scale (mRS). Secondary outcomes included in-hospital mortality, EMS...
Background The pre-hospital 12-lead electrocardiogram (PHECG) is recommended in patients presenting to emergency medical services (EMS) with suspected acute coronary syndrome (ACS). Prior research found PHECG was associated improved 30-day survival, but a third of ACS under EMS care did not have PHECG. Such tended be female, older and/or comorbidities. This previous study undertaken when thrombolytic treatment the main for ST segment elevation myocardial infarction (STEMI); practice has...
Background Use of the Pre-Hospital 12-lead Electrocardiogram (PHECG) is recommended in patients presenting to emergency medical services (EMS) with suspected acute coronary syndrome (ACS). Objectives To investigate differences mortality between those who did/did not receive PHECG. Methods Population-based, linked cohort study using Myocardial Ischaemia National Audit Project (MINAP) data from 2010-2017. Results Of 330,713 patients, 263,420 (79.6%) had PHECG, 67,293 (20.3%) did not. 30-day...