A5052442247- Cardiac Arrest and Resuscitation
- Trauma and Emergency Care Studies
- Emergency and Acute Care Studies
- Trauma Management and Diagnosis
- Airway Management and Intubation Techniques
- Acute Myocardial Infarction Research
- Nerve Injury and Rehabilitation
- Delphi Technique in Research
- Disaster Response and Management
- Cardiac Imaging and Diagnostics
- Epilepsy research and treatment
- Traumatic Brain Injury and Neurovascular Disturbances
- Shoulder and Clavicle Injuries
- Ultrasound in Clinical Applications
- Global Maternal and Child Health
- Healthcare Decision-Making and Restraints
- Hip and Femur Fractures
- Pain Mechanisms and Treatments
- COVID-19 and healthcare impacts
- Health Systems, Economic Evaluations, Quality of Life
- Botulinum Toxin and Related Neurological Disorders
- Pharmacological Effects and Toxicity Studies
- Abdominal Trauma and Injuries
- Sepsis Diagnosis and Treatment
- Adolescent Sexual and Reproductive Health
North West Ambulance Service NHS Trust
2003-2025
Burnet Institute
2025
UNSW Sydney
2025
Glasgow Victoria Infirmary
2013-2018
SUNY College of Optometry
2005
In patients with out-of-hospital cardiac arrest, the effectiveness of drugs such as epinephrine is highly time-dependent. An intraosseous route drug administration may enable more rapid than an intravenous route; however, its effect on clinical outcomes uncertain.
Unsafe abortion is a preventable contributor to maternal morbidity and mortality, particularly for young unmarried women in low resource settings. In Papua New Guinea, legally restricted highly stigmatised, limiting access safe post-abortion care, resulting unsafe abortion. This paper explores people's lived experiences agency relation We undertook qualitative research between 2019 2021 rural, peri-urban urban settings Guinea found that was enacted or constrained at different points along...
Introduction Within the UK, chest pain is one of most common reasons for emergency (999) ambulance calls and reason hospital admission. Diagnosing acute coronary syndromes (ACS) in a patient with prehospital setting by paramedic challenging. The Troponin-only Manchester Acute Coronary Syndromes (T-MACS) decision rule validated tool used department (ED) to stratify patients suspected ACS following single blood test. We are seeking evaluate diagnostic accuracy T-MACS aid algorithm ‘rule out’...
IntroductionTo identify service users' preferences for an alternative care pathway adults with epilepsy presenting to the ambulance service.MethodsExtensive formative work (qualitative, survey and knowledge exchange) informed design of a stated preference discrete choice experiment (DCE). This hypothetical was hosted online consisted 12 binary choices pathways described in terms of: paramedic's access medical records/ 'care plan', what happens next (described conveyance), time, availability...
Introduction Traumatic brain injury (TBI) is a common presentation in the prehospital environment. At present, paramedics do not routinely use tools to identify low-risk patients who could be left at scene or taken local hospital rather than major trauma centre. The Canadian CT Head Rule (CCHR) was developed guide of imaging hospital. It has been evaluated setting. We aim address this gap by evaluating feasibility and acceptability implementing CCHR paramedics, conducting full-scale clinical...
The PARAMEDIC-3 trial evaluates the clinical and cost-effectiveness of an intraosseous first strategy, compared with intravenous for drug administration in adults who have sustained out-of-hospital cardiac arrest.
Objective The objective of this study is to determine research priorities for the management major trauma, representing shared patients, their families, carers and healthcare professionals. Design/setting An international priority-setting partnership. Participants People who have experienced relatives, professionals involved in treating patients after trauma. scope included chest, abdominal pelvic injuries as well bleeding, multiple those that threaten life or limb. Methods A multiphase...
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...
Introduction Traumatic brain injury (TBI) is a major global health burden that results in disability and loss of health. Identifying those patients who require specialist neuroscience care can be challenging due to the low accuracy existing prehospital trauma triage tools. Despite widespread use decision aids ‘rule out’ TBI hospitals, they are not widely used environment. We aim provide snapshot current practices UK, explore facilitators challenges may encountered when adopting new tools for...
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...
Objectives With a projected rise in care home residency and the disproportionate impact of epilepsy seizures on older adults, understanding seizure-related needs this population is crucial. Data silos inconsistent recording residence status make challenging. We thus leveraged ambulance data to investigate seizure call-out incidence, characteristics, management costs homes compared with wider community. Design Retrospective analysis dispatch from regional English service over four 9-month...
Abstract Background Timely and effective pre-hospital management of penetrating neck injuries (PNI) is critical to improve patient outcomes. Pre-hospital interventions in patients with PNI can be especially challenging due the anatomical injury site coupled a resource-limited environment. Nationally, United Kingdom, no consensus statement or expert agreed guidance exists on how best manage setting. Method We conducted national modified e-Delphi study subject matter experts (SMEs) from...
<h3>Background</h3> Busy periods, such as 'winter pressures' months, can create challenges for Emergency Departments (EDs) managing patient flow. This may increase risks throughout the healthcare system. ED patients receive suboptimal care, some remain in ambulances, sometimes hours, whilst queued ambulances cannot attend other patients. In EDs, ambulance queueing is relatively rare; others, it more common. As part of STALLED study, we investigated any association between mean handover time...
<h3>Background</h3> Paramedic engagement is crucial for the success of prehospital research studies. The Head injury evaluatiOn and aMbulancE Diagnosis (HOME) study aims to examine feasibility a diagnostic-test accuracy assess using Canadian CT Rule in setting improve triage. However, significant recruitment challenges led undertaking this qualitative study, aiming identify barriers facilitators paramedic engagement. <h3>Methods</h3> A was conducted semi-structured interviews with 13...
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....