A5047185091- Cardiac Arrest and Resuscitation
- Airway Management and Intubation Techniques
- Respiratory Support and Mechanisms
- Trauma and Emergency Care Studies
- Acute Ischemic Stroke Management
- Emergency and Acute Care Studies
- Healthcare Systems and Practices
- Nursing Roles and Practices
- Abdominal Trauma and Injuries
- Stroke Rehabilitation and Recovery
- Trauma, Hemostasis, Coagulopathy, Resuscitation
- Clinical practice guidelines implementation
- Cerebrovascular and Carotid Artery Diseases
South Western Ambulance Service NHS Foundation Trust
2009-2022
<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...
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,...
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...
Objective To carry out a prospective evaluation of tranexamic acid (TXA) use in trauma patients. Patients and methods TXA was introduced to all emergency ambulances departments the South West, UK, on 1 December 2011. We carried patients West Peninsula between 2011 2012. collected prehospital hospital data administration using Trauma Audit Research Network database. Data were cross-checked with Western Ambulance Service Trust. analysed SPSS (version 20). Results Altogether, 82 administered...
This short article comments on the stroke-specific education framework being implemented through UK Forum for Stroke Training. Caroline Watkins, Professor of and Older People's Care, Clinical Practice Research Unit, University Central Lancashire; Tracey Barron, Studies Officer, Priority Dispatch Corp, Bristol; David Davis, Pathways Coordinator/Stroke Lead, South East Coast Ambulance Service NHS Trust; Steve Hatton, Emergency Care Practitioner, Yorkshire Damian Jenkinson, National...
Stroke is the brain equivalent of a heart attack. With 1.9 million neurons being lost every minute, early access to acute care critical. Ambulance clinicians have vital role in ensuring rapid assessment and transfer patients an stroke centre, as principle barrier delivering thrombolysis enabling treatment within narrow therapeutic time window. Timely management transient ischaemic attacks (TIAs) reduces mortality, morbidity use precious NHS resources. services need develop pathways that...
Rapid identification of patients with life-threatening conditions is the main priority for any ambulance telephone triage system. Historically there has been a focus on in cardiac arrest; however, clinical benefits early recognition peri-arrest could be considered equally important. An expanded definition highest response, Red 1, was introduced to identify who are critically unwell, at high risk arrest, and would benefit clinically from fastest level response service. evaluation impact new 1...