- Cardiac Arrest and Resuscitation
- Trauma and Emergency Care Studies
- Airway Management and Intubation Techniques
- Trauma Management and Diagnosis
- Disaster Response and Management
- Emergency and Acute Care Studies
- Respiratory Support and Mechanisms
- Trauma, Hemostasis, Coagulopathy, Resuscitation
- Tracheal and airway disorders
- Cardiac, Anesthesia and Surgical Outcomes
- Restraint-Related Deaths
- Pelvic and Acetabular Injuries
- Traumatic Brain Injury and Neurovascular Disturbances
- Abdominal Trauma and Injuries
- Anesthesia and Sedative Agents
- Renal function and acid-base balance
- Sepsis Diagnosis and Treatment
- Hemodynamic Monitoring and Therapy
- Blood transfusion and management
- Foreign Body Medical Cases
- Poisoning and overdose treatments
- Blood donation and transfusion practices
- COVID-19 and healthcare impacts
- Thermal Regulation in Medicine
- Hip and Femur Fractures
University of Bristol
2012-2025
London Ambulance Service NHS Trust
2014-2025
Royal London Hospital
2012-2025
Barts Health NHS Trust
2008-2025
Queen Mary University of London
2016-2025
Swansea Bay University Health Board
2024-2025
Royal College of Surgeons of Edinburgh
2021-2025
North Bristol NHS Trust
2013-2023
University of Ulster
2009-2023
Royal Victoria Hospital
2009-2023
The incidence and origin of contamination the vocal cords in 53 trauma patients was studied when tracheal intubation performed before hospital admission. Eighteen (34%) had gross which blood 15 gastric contents three patients. This has implications for prehospital airway management particularly use laryngeal mask airway.
Prehospital cardiac arrest associated with trauma almost always results in death. A case of survival after prehospital thoracotomy was published 1994 and several others have followed. This article describes the result a physician-led system for patients stab wounds to chest who suffered on scene.A 15-year retrospective database review identified victims scene had performed according local standard operating procedures.Overall, 71 met inclusion criteria. Thirteen (18%) survived hospital...
Physician-manned emergency medical teams supplement other services in some countries. These are often selectively deployed to patients who considered likely require critical care treatment the pre-hospital phase. The evidence base for guidelines triage and immediate is poor. We used a recognised consensus methodology define key priority areas research within subfield of physician-provided care. A European expert panel participated process based upon four-stage modified nominal group...
Pre-hospital emergency anaesthesia with oral tracheal intubation is the technique of choice for trauma patients who cannot maintain their airway or achieve adequate ventilation. It should be carried out as soon safely possible, and performed to same standards in-hospital anaesthesia. only conducted within organisations comprehensive clinical governance arrangements. Techniques straightforward, reproducible, simple possible supported by use checklists. Monitoring equipment meet standards....
Abstract Introduction Rapid Sequence Induction of anaesthesia (RSI) is the recommended method to facilitate emergency tracheal intubation in trauma patients. In situations, a simple and standardised RSI protocol may improve safety effectiveness procedure. A crucial component developing selection induction agents. The aim this study compare traditional using etomidate suxamethonium with modified fentanyl, ketamine rocuronium. Methods We performed comparative cohort major patients undergoing...
Current management principles of hemorrhagic shock after trauma emphasize earlier transfusion therapy to prevent dilution clotting factors and correct coagulopathy. London's Air Ambulance (LAA) was the first UK civilian prehospital service routinely offer red blood cell (RBC) (phRTx). We investigated effect phRTx on mortality.Retrospective database study comparing mortality before implementation with in exsanguinating patients. Univariate logistic regression performed for unadjusted...
Abstract Background Road traffic injury is the leading cause of death among young people globally, with motor vehicle collisions often resulting in severe injuries and entrapment. Traditional extrication techniques focus on limiting movement to prevent spinal cord injuries, but recent findings from EXIT project challenge this approach. This paper presents updated recommendations Faculty Pre-Hospital Care (FPHC) that reflect latest evidence practices. Methods A systematic scoping review...
Traumatic cardiac arrest (TCA) presents a critical challenge in trauma care, often occurring rapidly after injury before effective interventions are available. To evaluate the association of prehospital resuscitative thoracotomy with survival outcomes for TCA. This retrospective cohort study examined all cases TCA London from January 1999 to December 2019. Data were analyzed July 2022 2023. Prehospital The primary outcome was hospital discharge. Secondary included admission and neurological...