A5080500592- Trauma and Emergency Care Studies
- Cardiac, Anesthesia and Surgical Outcomes
- Airway Management and Intubation Techniques
- Trauma Management and Diagnosis
- Cardiac Arrest and Resuscitation
- Hip and Femur Fractures
- Trauma, Hemostasis, Coagulopathy, Resuscitation
- Enhanced Recovery After Surgery
- Acute Kidney Injury Research
- Frailty in Older Adults
- Respiratory Support and Mechanisms
- Abdominal Trauma and Injuries
- Orthopaedic implants and arthroplasty
- Pleural and Pulmonary Diseases
- Medical Imaging Techniques and Applications
- Particle physics theoretical and experimental studies
- Simulation-Based Education in Healthcare
- Radioactive Decay and Measurement Techniques
- Hip disorders and treatments
- Eosinophilic Disorders and Syndromes
- Appendicitis Diagnosis and Management
- Neuroendocrine Tumor Research Advances
- Health Promotion and Cardiovascular Prevention
- Cancer Risks and Factors
- Dialysis and Renal Disease Management
South Western Ambulance Service NHS Foundation Trust
2023
East Midlands Ambulance Service NHS Trust
2023
North Bristol NHS Trust
2011-2022
Southmead Hospital
2020-2021
Aneurin Bevan University Health Board
2021
University Hospitals Bristol NHS Foundation Trust
2020
University Hospitals Bristol and Weston NHS Foundation Trust
2020
Croydon University Hospital
2019
St George's Hospital
2018-2019
Northwick Park Hospital
2016-2018
We reviewed the seven- to ten-year results of our previously reported prospective randomised controlled trial comparing total hip replacement and hemiarthroplasty for treatment displaced intracapsular fracture femoral neck. Of original study group 81 patients, 47 were still alive. After a mean follow up nine years (7 10) overall mortality was 32.5% 51.2% after hemiarthroplasty, respectively (p = 0.09). At 100 months postoperatively significantly greater proportion patients had died 0.026)....
In trauma patients intubated in a physician-led pre-hospital service we prospectively examined the rate of misplaced tracheal tubes, presence and nature gross airway contamination, value 'quick look' assessment to identify with subsequent difficult laryngoscopy. Patients requiring intubation 16 month period were included. Intubation success rate, tube Cormack Lehane grade, contamination recorded at Tube placement was verified carbon dioxide detection chest x-ray. After visual physicians...
The coronavirus disease 2019 (COVID-19) results in hypoxia around a fifth of adult patients. Severe the absence visible respiratory distress ('silent hypoxia') is increasingly recognised these There are no published data evaluating lowest recorded pre-hospital oxygen saturation or National Early Warning Score 2 (NEWS2) as predictor outcome patients with COVID-19.In this retrospective service evaluation, we included inpatients laboratory confirmed COVID-19 who were discharged from hospital...
Abstract Background: Tracheal intubation is a high-risk intervention for exposure to airborne infective pathogens, including the novel coronavirus disease 2019 (COVID-19). During recent pandemic, personal protective equipment (PPE) was essential protect staff during but recognized make practical conduct of anesthesia and more difficult. In early phase some simple alterations were made emergency standard operating procedure (SOP) prehospital critical care service attempt maintain high success...
Education and training delivered within ambulance services is vital to clinicians maintaining competence, confidence currency. Simulation debrief in medical education aims imitate clinical experience provide real-time feedback. The South Western Ambulance Service NHS Foundation Trust employs senior doctors their learning development (L&D) team support the of 'train trainer' courses for L&D officers (LDOs). This short report a quality improvement initiative describes implementation evaluation...
A 12-year-old boy presented with central chest pain, shortness of breath and type 1 respiratory failure. He had a background graft versus host disease (GvHD), which was currently managed imatinib therapy. focused bedside ultrasound scan performed revealing large pericardial effusion. The child referred to tertiary paediatric cardiology centre where he underwent emergency pericardiocentesis, draining total 800 mL fluid. Fluid analysis excluded infection, no other concerns for GvHD flare the...
Traumatic pneumothoraces are present in one-fifth of multiple trauma victims. Traditional teaching mandates the insertion a chest drain majority cases. However, recent observational evidence suggests trend towards conservative management. The aim this survey was to understand current emergency medicine (EM) practice placing drains for management moderate severe traumatic pneumothoraces.The developed through expert consensus and sent electronically senior EM doctors 21 sites internationally....
The seventh London Trauma Conference was once again held at Royal Geographical Society in from 10–13 December 2013. Over four days the latest innovations and best practice cardiac, trauma pre-hospital care were presented discussed. It opened with Cardiac Arrest Symposium, kindly sponsored by Zoll, Dr David Zideman providing Douglas Chamberlain Lecture; an insightful presentation into world of Sports Medicine. subsequent three days, delegates heard internationally acclaimed speakers who...
Methods Patients requiring pre-hospital intubation in a physician– led trauma service over 16 months were included. Intubation success rate, misplaced tracheal tube Cormack and Lehane grade the presence nature of gross airway contamination recorded at laryngoscopy. Tube placement was verified with carbon dioxide detection chest x-ray. After visual assessment physicians stated whether laryngoscopy expected to be straightforward or ‘difficult’. The compared subsequent grade.
For patients undergoing surgery, GPs have a major role in the perioperative medicine pathway, identifying causes of increased morbidity with opportunity to optimise chronic medical conditions, while providing vital continuity care and advice postoperatively. The Association Anaesthetists Great Britain Ireland (AAGBI) has for many years produced consensus guidelines covering wide range topics. These are free download at https://www.aagbi.org/publications/publications-guidelines, also...
Aims/Objectives/Background Traumatic pneumothoraces are present in one-fifth of multiple trauma victims. Traditional teaching mandates the insertion a chest drain majority cases. However, recent retrospective observational evidence suggests trend towards conservative management. The aim this survey was to understand current emergency medicine (EM) practice placing drains for management moderate/severe traumatic pneumothoraces. Methods/Design This scoping developed through expert consensus....
I1: Trauma, Pre-hospital and Cardiac Arrest Care 2015 Pascale Avery, Leopold Salm, Flora Bird A1: Retrospective evaluation of HEMS 'Direct to CT' protocol Anja Hutchinson, Ashley Matthies, Anthony Hudson, Heather Jarman A2 Rush hour – Crush hour: temporal relationship cyclist vs. HGV trauma admissions. A single site observational study Maria Bergman Nilsson, Tom Konig, Nigel Tai A3 Semiprone position endotracheal intubation during continuous cardiopulmonary resuscitation in drowned children...