- Cardiac Arrest and Resuscitation
- Trauma and Emergency Care Studies
- Emergency and Acute Care Studies
- Traumatic Brain Injury and Neurovascular Disturbances
- Cardiac, Anesthesia and Surgical Outcomes
- Airway Management and Intubation Techniques
- Legal Education and Practice Innovations
- Global Health Care Issues
- Disaster Response and Management
- Surgical Simulation and Training
- Ultrasound in Clinical Applications
- Trauma Management and Diagnosis
- Anatomy and Medical Technology
- COVID-19 and healthcare impacts
- Chronic Obstructive Pulmonary Disease (COPD) Research
- Medical Imaging Techniques and Applications
- Delphi Technique in Research
- Cardiac Imaging and Diagnostics
- Sexual Assault and Victimization Studies
- Advanced MRI Techniques and Applications
- Injury Epidemiology and Prevention
- Acute Myocardial Infarction Research
- Atomic and Subatomic Physics Research
- Global Cancer Incidence and Screening
North West Ambulance Service NHS Trust
2015-2023
Background Reconfiguration of trauma services, with direct transport traumatic brain injury (TBI) patients to neuroscience centres (NCs), bypassing non-specialist acute hospitals (NSAHs), could potentially improve outcomes. However, delays in stabilisation airway, breathing and circulation (ABC) the difficulties reliably identifying TBI at scene may make this practice deleterious compared selective secondary transfer from nearest NSAH NC. National Institute for Health Care Excellence...
Objective Reconfiguration of trauma services, with direct transport patients traumatic brain injury (TBI) to specialist neuroscience centres (SNCs)—bypassing non-specialist acute hospitals (NSAHs), could improve outcomes. However, delays in stabilisation airway, breathing and circulation (ABC) may worsen outcomes when compared selective secondary transfer from nearest NSAH SNC. We conducted a pilot cluster randomised controlled trial determine the feasibility plausibility bypassing suspected...
Only 16% of women over 40 years age are being screened regularly with mammography. To learn what radiologists and technologists can do to increase patient adherence the screening guidelines American Cancer Society, especially by poor, urban women, authors surveyed patients at a county facility immediately after mammography document patients' experiences procedure. Analysis these data led conclusion that radiologist should encourage an expanded role for technologist as breast health educator....
Head Injury Transportation Straight to Neurosurgery was a cluster randomised trial studying suspected severe head injury treatment pathways conducted in the North East Ambulance Service NHS Foundation Trust and West between January 2012 March 2013. This world's first large scale of any trauma bypass as feasibility study. short report will describe some lessons learnt during this ground breaking complex trial.
The safety and utility of endotracheal intubation by paramedics in the UK is a matter debate. Considering controversy surrounding paramedic-performed intubation, any interventions that enhance patient should be evaluated for implementation based on solid evidence their effectiveness. A systematic review performed Hansel colleagues (2022) sought to assess compare video laryngoscopes against direct clinical practice. This commentary aims critically appraise methods used within et al expand...
Objectives The Manchester Acute Coronary Syndromes ECG (MACS-ECG) prediction model calculates a score based on objective measurements to give the probability of non-ST elevation myocardial infarction (NSTEMI). showed good performance in emergency department (ED), but its accuracy pre-hospital setting is unknown. We aimed externally validate MACS-ECG environment. Methods undertook secondary analysis from Pre-hospital Evaluation Sensitive Troponin (PRESTO) study, multi-centre prospective study...
The prehospital emergency airway management is a key moderating factor for patient survival and mortality rates. There has been much debate around the optimum method of management. This commentary critically appraises recent systematic review which assesses harms benefits three different strategies range clinical scenarios. Commentary on: Carney N, Totten AM, Cheney T et al. Prehospital Airway Management: A Systematic Review. Prehosp Emerg Care. 2021;1–12....
Early bystander cardiopulmonary resuscitation, use of defibrillators (including automated external defibrillators) and timely treatment by emergency medical services are known to increase the chances survival for a patient experiencing an out-of-hospital cardiac arrest (OHCA). However, impact COVID-19 pandemic on this is unclear from examining previous literature. This commentary critically appraises recent systematic review meta-analysis, which assessed effect prehospital care OHCA.
The provision of safe and effective healthcare is a mainstay for all services clinicians associated with the delivery pre-hospital care, however little empirically known about prevalence impact harm caused in phase. This commentary critically appraises recent systematic review which sought to identify frequency patient safety incidents them prehospital care.
Background Improving telephone triage for patients with chest pain has been identified as a national research priority. However, there is lack of strong evidence to define the life-threatening conditions (LTCs) that ought identify. Therefore, we aimed build consensus LTCs associated be during emergency calls. Methods We conducted Delphi study in three rounds. Twenty experts pre-hospital care and medicine experience from UK were invited participate. In round I, asked list all would require...
Abstract Background Improving telephone triage for patients with chest pain has been identified as a national research priority. However, there is lack of strong evidence to define the life-threatening conditions (LTCs) that ought identify. Therefore, we aimed build consensus LTCs associated be during emergency calls. Methods We conducted Delphi study in three rounds. Twenty experts pre-hospital care and medicine experience from UK were invited participate. In round I, asked list all would...