- Anesthesia and Sedative Agents
- Cardiac, Anesthesia and Surgical Outcomes
- Intensive Care Unit Cognitive Disorders
- Emergency and Acute Care Studies
- Elbow and Forearm Trauma Treatment
- Cardiovascular Syncope and Autonomic Disorders
- Airway Management and Intubation Techniques
- Orthopedic Surgery and Rehabilitation
- Anesthesia and Neurotoxicity Research
- Healthcare Systems and Technology
- Shoulder Injury and Treatment
- Healthcare Decision-Making and Restraints
- Palliative Care and End-of-Life Issues
- Cardiac Arrhythmias and Treatments
- Family and Patient Care in Intensive Care Units
- Cardiac Arrest and Resuscitation
- Hip disorders and treatments
- Surgical Simulation and Training
- Appendicitis Diagnosis and Management
- Opioid Use Disorder Treatment
- Medical Coding and Health Information
- Trauma Management and Diagnosis
- Pain Management and Opioid Use
- Pediatric Pain Management Techniques
- Simulation-Based Education in Healthcare
College of New Jersey
2025
Royal Devon and Exeter Hospital
2007-2019
Royal Devon & Exeter NHS Foundation Trust
2008-2019
Government of the United Kingdom
2018
Exeter Hospital
2016
Bristol Royal Infirmary
2000-2003
<b>Objective</b> To determine whether full elbow extension as assessed by the test can be used in routine clinical practice to rule out bony injury patients presenting with injury. <b>Design</b> Adults: multicentre prospective interventional validation study secondary care. Children: observational <b>Setting</b> Five emergency departments southwest England. <b>Participants</b> 2127 adults and children department acute <b>Intervention</b> Elbow during care staff need for radiography guide...
Patients with palpitations and pre-syncope commonly present to Emergency Departments (EDs) but underlying rhythm diagnosis is often not possible during the initial presentation. This trial compares symptomatic detection rate of a smartphone-based event recorder (AliveCor) alongside standard care versus alone, for participants presenting ED no obvious cause evident at consultation.Multi-centre open label, randomised controlled trial. Participants ≥ 16 years old 10 UK hospital EDs were...
One of the strategies to address persistent youth mental health crisis is school-based educational programming. This paper reports on two distinct studies regarding Coming Up for AIR, a education program: 1) program effectiveness, measured as gains in student literacy; and 2) trends help-seeking behavior before, during, after pandemic. A survey content was administered assess effectiveness. Data collected between 2020 2023 from four schools yielded 473 responses. comparison pre- post-scores...
Ketamine is growing in popularity for procedural sedation the paediatric population, yet safety concerns remain. We performed a retrospective review of practice and outcomes ketamine using World SIVA International Sedation Task Force reporting tool.A inspection dedicated emergency department electronic database subsequent note chart was all sedations throughout 7 yr period from September 2006. All adverse events were stratified.During study period, provided total 243 children, whom 215...
Scoring pain should lead to providing better analgesia for children attending the emergency department (ED). Our ED found that it offered only 75% of with painful injuries-36% them receiving opiates, while scoring in 74%. This report describes what happened when we tried ensure every child had their scored an effort improve provision.We ensured mandatory at triage during introduction our computerised notes system, backing this up extra training new staff and increased publicity tools. A...
<h3>Objective:</h3> To explore the safety and efficacy of propofol as a sedative for relocation hip prostheses in emergency department. <h3>Methods:</h3> A prospective observational study was performed 100 patients aged 37–93 years who received sedation with department prosthetic relocation. All intravenous titrated morphine prior to radiography, followed by 1 mg/kg bolus after adequate preoxygenation. At 60 s, joint attempted an independent physician. Data each patient were recorded,...
Robert Taylor, specialist registrar emergency medicine1, Manish M Gandhi, consultant cardiologist2, Gavin Lloyd, physician1Emergency Department, Royal Devon and Exeter Hospital, EX2 5DWDepartment of Cardiology, HospitalCorrespondence to: G Lloyd gavin.lloyd{at}rdeft.nhs.ukAccepted 4 July 2009
<h3>Background:</h3> Dislocation of a hip prosthesis is painful event which has an incidence 4% for primary total arthroplasty. Relocation traditionally performed under general anaesthesia in the operating theatre, but relocation using sedation emergency department (ED) been reported, with limited success rate 62%. A study was undertaken to compare door times ED and theatre anaesthesia. <h3>Methods:</h3> The notes all patients attending five centres south west England prosthetic dislocation...
<h3>Background</h3> Tracheal mucosal blood flow is impaired when tracheal tube cuff pressure above 30 cm of water, with the potential for necrosis. Previous studies have found excessive pressures in simulated patients intubated by North American emergency physicians as well prehospital setting and department (ED). This study assessed whether a UK or ED had pressures. <h3>Method</h3> Prospective observational five southwest England over 2-month period. All 18 years were included. Clinical...
<h3>Background:</h3> Children with simple radial fractures requiring manipulation are conventionally admitted for under general anaesthesia. On the assumption that children (and their parents) wish to spend as little time in hospital possible, a study was undertaken explore experience of distal <h3>Methods:</h3> A retrospective analysis performed taken from arrival at emergency department (ED) anaesthesia and ED discharge three centres south-west England: Bristol Children’s Hospital,...
Newstead, B.; Bradburn, S.; Appelboam, A.; Reuben, Harris, Hudson, Jones, L.; Mclauchlan, C.; Riou, P.; Jadav, M.; Lloyd, G. Author Information
What I read forget see remember do understand The use of manikins in emergency department medical education is well established. Early models enabled training hands-on cardiopulmonary resuscitation. Later improvements manikin technology provided the realistic simulation intubation and defibrillation. The educational advantages low-level simulators scenario-based teaching have been previously described1 (box 1). Indeed, they a key role adult paediatric life support group courses....
Patients with ankylosing spondylitis are prone to low impact fractures. Maintain a threshold for medical imaging
Background: Patients with palpitations and pre-syncope commonly present to Emergency Departments (EDs) but underlying rhythm diagnosis is often not possible during the initial presentation. This trial compares symptomatic detection rate of a smart phone based event recorder (AliveCor) alongside standard care versus alone, for participants presenting ED no obvious cause evident at consultation.
Perimortem caesarean section is the intervention of choice for unresponsive cardiorespiratory arrest during third trimester pregnancy. We present a case emergent surgical in an arrested patient with abdominopelvic mass, which revealed ruptured granulosa cell ovarian neoplasm haemoperitoneum.