A5071092366- Trauma and Emergency Care Studies
- Cardiac Arrest and Resuscitation
- Emergency and Acute Care Studies
- Disaster Response and Management
- Sepsis Diagnosis and Treatment
- Respiratory Support and Mechanisms
- Pediatric Pain Management Techniques
- Trauma, Hemostasis, Coagulopathy, Resuscitation
- Cardiovascular Syncope and Autonomic Disorders
- Infant Development and Preterm Care
- Airway Management and Intubation Techniques
- Nasal Surgery and Airway Studies
- Homicide, Infanticide, and Child Abuse
- Grief, Bereavement, and Mental Health
- Injury Epidemiology and Prevention
- Pericarditis and Cardiac Tamponade
- Nursing Roles and Practices
- Aortic Thrombus and Embolism
- Family and Patient Care in Intensive Care Units
- Crime and Detective Fiction Studies
- Taxation and Compliance Studies
- Clinical Reasoning and Diagnostic Skills
- Intensive Care Unit Cognitive Disorders
- Traumatic Brain Injury and Neurovascular Disturbances
- Auditing, Earnings Management, Governance
University of California, Los Angeles
2023-2025
UCLA Health
2023
London Ambulance Service NHS Trust
2014-2022
National Health Service
2016
Wright State University
2001
Brooklyn College
1876
BackgroundThe International Liaison Committee on Resuscitation has called for a randomised trial of delivery to cardiac arrest centre. We aimed assess whether expedited centre compared with current standard care following resuscitated reduces deaths.MethodsARREST is prospective, parallel, multicentre, open-label, superiority trial. Patients (aged ≥18 years) return spontaneous circulation out-of-hospital without ST elevation were randomly assigned (1:1) at the scene their by London Ambulance...
Introduction The National Early Warning Score (NEWS) aids the early recognition of those at risk becoming critically ill. NEWS has been recommended for use by ambulance services, but very little work undertaken to date determine its suitability. This paper examines whether a prehospital derived from service clinical observations is associated with hospital ED disposition. Methods Prehospital was retrospectively calculated records 287 patients who were treated and transported hospital. In...
ABSTRACT Hemorrhage remains one of the leading causes death from traumatic injury in both civilian and military populations. Resuscitative endovascular balloon occlusion aorta (REBOA) is a minimally invasive technique that can be used to treat hemorrhage critically ill. An alternative maximally methods such as resuscitative thoracotomy, REBOA temporizing measure prevent exsanguination allow for transition definitive control. It easily deployed by trained users does not require surgical...
Introduction Tranexamic acid (TXA) use has been associated with thrombotic complications. Objective We aim to investigate outcomes TXA in the setting of high- (HP) and low-profile (LP) introducer sheaths for resuscitative endovascular balloon occlusion aorta (REBOA). Participants The Aortic Occlusion Resuscitation Trauma Acute Care Surgery (AORTA) database was queried patients who underwent REBOA using a 7 French or high-profile, 11-14 between 2013 2022. Demographics, physiology, were...
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Shaw-hitr<t-ocular (Circulation. 207'this opening, and sanions pus flowed freely from the antrum.This, also nasal cavity, were washed out by a spray of glveerole water, gr.x to 3j.She afterward remembered that after amalgam filling was put in molar tooth, she had severe pain it which lasted but short time, soon neuralgic symptoms supervened.This death throe dental pulp.After few weeks' local general treatment, spent months mountains, returned cured her neuralgia..The strabismus much better...
Background Worldwide, the number of people aged over 60 is growing faster than any other age group. Increased associated with a higher risk falling and roughly third individuals 65 experience fall each year. One way in which ambulance services may impact outcome patients time taken for response to arrive on scene. Lying floor long has been found be strongly serious injuries, admission hospital, mortality. However, previous research not assessed times Methods To determine whether there...
Introduction The end of life care good practice guide encourages organisations to enable terminally ill patients be cared for and die outside hospital. Ambulance services play a critical role in achieving this goal, however little guidance exists ambulance crews. Method To determine the current levels provided, retrospective review was conducted 50 records. Findings were communicated staff with questionnaire confidence caring these (61 responded); prior prospective further 30 Results Only 4%...
Introduction Pain is one of the most frequently reported symptoms to UK ambulance services and pain management a known area for improvement. This especially true paediatric patients who may not be able communicate their levels as effectively adults. Method A criterion-based retrospective clinical audit evaluated assessment children less than 12 years old suspected fracture. To determine how assessments could improved, an investigation methods used in other areas NHS was undertaken. laminated...
Introduction: Transient loss of consciousness (T-LOC) is thought to be underestimated and under-managed in the pre-hospital setting. This clinical audit aims assess compliance ambulance clinicians against National Institute Clinical Excellence guidance on management patients with T-LOC. Method: Ninety-four patients' records electrocardiograms (ECGs) were reviewed determine appropriateness assessment patient management. Results: In this limited sample, findings show standard assessments...
In July 2001, the London Ambulance Service NHS Trust (LAS) introduced furosemide for use by paramedics to treat pulmonary edema secondary left ventricular failure (LVF). 2002, a clinical audit identified that had difficulty distinguishing LVF from other conditions, and also issues with drug administration records. As result, LAS training packages were reviewed in line dosage guidelines, which reissued nationally 2006. Later publications on highlighted some concerns about accuracy of...
Introduction Some ambulance services in the UK use Medical Priority Dispatch System (MPDS) to triage 999 calls and determine response allocated patients. When MPDS was developed 1970s Sickle Cell Disease (SCD) not common therefore included system. As ethnic diversity increased so did prevalence of SCD, yet were still unable identify this group patients assess their specific needs. Patients with SCD usually contact service when they experience a Crisis (SCC), which is characterised by severe...
Assessing a child with difficulty in breathing is challenge pre-hospital setting, especially children under 3 years old. Nevertheless, hypoxia must be treated early, and respiratory assessment essential to ensuring the well being of these patients. The aim this audit was update research, as there have been changes equipment training since last addressed. A criterion-based clinical undertaken 253 patient report forms collected from London Ambulance Service over one-month period. clinician...
Background In the UK EZ-IO® Intraosseous Infusion System is a paramedic delivered technique involving placement of (IO) needle into patient's bone marrow via an EZ-IO driver. The primary use for when intravenous (IV) access not possible, mainly patients in cardiac arrest but may include severely unwell/injured patients. This study aimed to determine success rate, including impact on return spontaneous circulation (ROSC). Methods One hundred and ninety-five patient records where was attempted...
Background Sepsis is responsible for over 37,000 deaths a year in the UK, with long term morbidity consequences survivors. More than 40% of cases develop within community, making ambulance service vitally important. This project sought to ascertain current level sepsis knowledge UK services better understand potential gaps. Methods observational study used an online questionnaire describe and how it recognised managed pre-hospital setting. A convenience sample clinicians at one was invited...
<h3>Aim</h3> In 2006 the London Ambulance Service (LAS) developed a laminated card to allow for better pain assessment children. The contained faces-based scoring system used in hospitals.<sup>1</sup> LAS paediatric and management was reviewed 2012 demonstrating improvement of as result card. Administration relief also improved, however further progress needed analgesia provision immobilisation. Following review, immobilisation included clinical training sessions, equipment review conducted....
Background Successful airway management is a fundamental part of cardiac and respiratory arrest care. Since our last record review in 2010, the supraglottic (SGA) has replaced endotracheal intubation (ETI) as primary advanced intervention, i-Gel become SGA device choice. This re-audit aimed to assess for improvements since 2010 ensure all aspects essential are being carried out effectively. Methods A retrospective 384 clinical records were assessed against standards care derived from...
Texas’ beloved Blue Bell Creameries was one of the leading ice cream brands worldwide until contaminated products issues culminated in 2015. During outbreak, three people died and forced to issue a total product recall. Governmental investigations revealed company knew its production facilities had contamination as early 2009. In 2020, pled guilty shipping paid over $19 million fines. Paul Kruse, Bell’s long-standing president, alleged have ordered cessation testing program destruction...