A5082144342- Trauma and Emergency Care Studies
- Diabetes Management and Research
- Cardiac Arrest and Resuscitation
- Emergency and Acute Care Studies
- Hyperglycemia and glycemic control in critically ill and hospitalized patients
- Diabetes Management and Education
- Injury Epidemiology and Prevention
- Automotive and Human Injury Biomechanics
- Homelessness and Social Issues
- Disaster Response and Management
- Healthcare Technology and Patient Monitoring
- Crime, Illicit Activities, and Governance
- Electronic Health Records Systems
- Suicide and Self-Harm Studies
- Contact Dermatitis and Allergies
- Atrial Fibrillation Management and Outcomes
- Social Work Education and Practice
- Traffic and Road Safety
- Respiratory Support and Mechanisms
- Venous Thromboembolism Diagnosis and Management
- Healthcare Policy and Management
- Criminal Justice and Corrections Analysis
- Non-Invasive Vital Sign Monitoring
- Cardiac Imaging and Diagnostics
- Food Allergy and Anaphylaxis Research
University of Stirling
2014-2024
Scottish Health Services
2015-2022
North Carolina State University
2020-2021
North Central State College
2020
Trinity College Dublin
2009-2019
KLE Society Hospital
2018
Sir Ganga Ram Hospital
2018
Bayer (United States)
2016
Cambridge University Hospitals NHS Foundation Trust
2016
Nepean Hospital
2011-2015
People experiencing a mental health crisis receive variable and poorer quality care than those physical crisis. Little is known about the epidemiology, subsequent pathways of self-harm emergencies attended by ambulance services, all-cause mortality, including deaths suicide. This first national epidemiological analysis processes outcomes people an due to or emergency. The study aimed describe patient characteristics, volume, case-mix, following attendance in this population.A linked data...
Background Scotland has three prehospital critical care teams (PHCCTs) providing enhanced support to a usually paramedic-delivered ambulance service. The effect of the PHCCTs on patient survival following trauma in is not currently known nationally. Methods National registry-based retrospective cohort study using 2011–2016 data from Scottish Trauma Audit Group. 30-day mortality was compared between groups after multivariate analysis account for confounding variables. Results Our set...
Abstract Background and aims On 1 May 2018, Scotland introduced a minimum unit price (MUP) of £0.50 for alcohol, with one UK alcohol being 10 ml pure ethanol. This study measured the association between MUP changes in volume alcohol‐related ambulance call‐outs overall population subsets (night‐time subpopulations higher incidence harm). Design An interrupted time−series (ITS) was used to measure variations daily call‐outs. We performed uncontrolled ITS on both intervention control group...
The case history of a patient with afibrinogenaemia, who developed multiple pulmonary emboli as consequence treatment, is described.
Background: Community First Responders (CFR) are volunteers who respond to appropriate medical emergencies while an ambulance is en route. The that CFRs attend situations where stress inherent, yet little known of which stressors and demands present considered be the greatest attributer experienced. Objective: This survey aims gain further understanding experienced by CFRs. Design: An online using a modified NASA-TLX scoring system was distributed throughout Scotland (n=535). were asked...
Poor communication during patient handover is recognised internationally as a root cause of significant proportion preventable deaths. Improving the accuracy and quality may reduce associated mortality morbidity. Although practice between Ambulance Emergency Department clinicians has received some attention over recent years there little evidence to support best within prehospital domain. Further research therefore urgently required understand most appropriate way deliver clinical...
(1) To compare the experiences of people who are affected by diabetes-related hypoglycaemia and either do or not require an emergency attendance (2) to measure prevalence impaired awareness in patients attended ambulance service due a severe hypoglycaemic event.A sequential mixed-methods study.A qualitative interview study was undertaken with 31 diabetes (types 1 2) resident central belt Scotland. A national survey 590 Scottish Ambulance Service had recently experienced requiring clinicians...
Background Ambulance services have a vital role in the shift towards delivery of health care outside hospitals, when this is better for patients, by offering alternatives to transfer emergency department. The introduction information technology ambulance electronically capture, interpret, store and patient data can support out-of-hospital care. Objective We aimed understand how electronic records be most effectively implemented pre-hospital context order safe effective from acute...
Hypoglycaemia is a common and potentially life threatening consequence of insulin sulphonylurea treated Diabetes. Some severe hypoglycaemic events result in emergency ambulance attendance. Many these patients are at home do not require immediate transportation to an Emergency Department. However only 27-37 % then follow up their care with diabetes specialist. Consequently repeat occur. The intervention was implemented for 8 months, using prospective cohort design historic control, one...
Abstract Background COVID-19 has overwhelmed health services across the world; its global death toll exceeded 5.3 million and continues to grow. There have been almost 15 cases of in UK. The need for rapid accurate identification, appropriate clinical care decision making, remains a priority UK ambulance service. To support identification conveyance decisions patients presenting with symptoms Scottish Ambulance Service introduced revised Medical Priority Dispatch System Protocol 36, enhanced...
Almost 20 years ago, the frequencies of severe hypoglycemia requiring emergency medical treatment were reported in people with types 1 and 2 diabetes Tayside region Scotland. With subsequent improvements diabetes, concurrent changes provision care, a decline frequency could be anticipated. The present population-based data-linkage cohort study aimed to ascertain whether temporal change has occurred incidence rates services diabetes.The population comprised all Tayside, Scotland over period...
Background: Alcohol consumption places a significant burden on emergency services, including ambulance which often represent patients’ first, and sometimes only, contact with health services. We aimed to (1) improve the assessment of this services in Scotland using low-cost easy implement algorithm screen free-text electronic patient record forms (ePRFs), (2) present estimates alcohol callouts Scotland. Methods: Two paramedics manually reviewed 5416 ePRFs make professional judgement whether...
The University of Aberdeen MIME project (Managing Information in Medical Emergencies) aimed to develop technology support volunteer rural community first responders when managing patients. This can be a particularly stressful activity with many challenges overcome while waiting for ambulance clinicians arrive. system employed lightweight medical sensors streaming data (heart and respiratory rate, blood oxygen saturation) wirelessly tablet computer. Novel software was developed present these...
Many hospitals struggle to implement the full sepsis care bundle, but research suggests that many patients with are transported hospital by ambulance. In 2011, Scottish Ambulance Service introduced a pre-hospital screening tool (PSST) expedite identification and delivery. However, ambulance clinicians have reported varying degrees of interest enthusiasm from staff during handover. Therefore, an online survey was set up investigate medical nursing perceptions experiences introduction PSST....
The aim of this study was to explore the impact motion generated by ambulance patient management on performance two lightweight physiologic sensors. Two sensors were applied pre-hospital patients. first Contec Medical Systems CMS50FW finger pulse oximeter, monitoring heart rate (HR) and blood oxygen saturation (SpO2). second RESpeck respiratory (RR) sensor, which wireless-enabled with a Bluetooth® Low Energy protocol. Sensor data recorded from 16 patients, who monitored for 21.2 ± 9.8 min,...
Purpose The purpose of this paper is to expose the failure criminal justice system England and Wales provide an effective response widespread fraud point sources from which a new doctrine may be created. author’s approach draws on public sources, in particular, recent Home Office publications, work House Commons Affairs Committee studies undertaken by Mayor London’s offices 2014/2015. Design/methodology/approach uses critical assessment based own experience as prosecutor. Findings Among...
Accurately forecasting county level COVID-19 confirmed cases is crucial to optimizing medical resources. Forecasting emerging outbreaks pose a particular challenge because many existing techniques learn from historical seasons trends. Recurrent neural networks (RNNs) with LSTM-based cells are logical choice of model due their ability temporal dynamics. In this paper, we adapt the state and influenza model, TDEFSI-LONLY, proposed in Wang et a. [l2020] national data. We show that poorly...