A5030955724- Shoulder Injury and Treatment
- Tendon Structure and Treatment
- Sports injuries and prevention
- Cardiac Arrest and Resuscitation
- Trauma and Emergency Care Studies
- Airway Management and Intubation Techniques
- Emergency and Acute Care Studies
- Cardiac, Anesthesia and Surgical Outcomes
- Trauma, Hemostasis, Coagulopathy, Resuscitation
- Palliative Care and End-of-Life Issues
- Frailty in Older Adults
- Orthopedic Surgery and Rehabilitation
- Primary Care and Health Outcomes
- Patient-Provider Communication in Healthcare
- Sarcoidosis and Beryllium Toxicity Research
- Diversity and Impact of Dance
- Anesthesia and Pain Management
- Child and Adolescent Health
- Myofascial pain diagnosis and treatment
- Trauma Management and Diagnosis
- Acute Kidney Injury Research
- Clinical practice guidelines implementation
- Delphi Technique in Research
- Musculoskeletal Disorders and Rehabilitation
- Hip disorders and treatments
Herts and Essex Hospital
2021-2025
Imperial College London
2016-2025
Rocky Vista University
2025
University of Edinburgh
2024
Children's Hospital of Philadelphia
2024
University of Pennsylvania
2024
Royal Brompton Hospital
2024
Chelsea and Westminster Hospital NHS Foundation Trust
2020-2023
Lanchester Road Hospital
2023
Queen Mary University of London
2013-2021
Patellofemoral pain is a common and often debilitating musculoskeletal condition. Clinical translation evidence synthesis of patellofemoral research are compromised by heterogenous inadequately reported study details. This consensus statement associated checklist provides standards for REPORTing quantitative PatelloFemoral Pain (REPORT-PFP) to enhance clinical synthesis, support clinician engagement with data collection. A three-stage Delphi process was initiated at the 2015 International...
Numerous risk factors have been identified for patellar tendinopathy (PT), often in small population studies. The aim was to use an international online questionnaire generate a large database and identify significant factors.Case-control study.Private practice sporting teams recruited from England, Spain, Italy with the available all 3 languages (equivalence between self-administration shown previously). All data were anonymized password protected.Eight hundred twenty-five sets collected...
Background: the aim was to quantify effect of a novel high volume-image guided injection (HVIGI) technique for recalcitrant patellar tendinopathy (PT).Methods: twenty patients (8 prospective; 12 retrospective) with ultrasonographically confirmed proximal PT were recruited.A HVIGI under ultrasound guidance 10 ml 0.5% Bupivacaine, 25 mg Hydrocortisone and 30 normal saline at interface tendon Hoffa's fat pad administered.A standardised eccentric loading rehabilitation protocol...
Background Appropriate dispatch of critical care teams to out-of-hospital cardiac arrest (OHCA) has been identified as a research priority emergency in the UK. The study aimed understand criteria informing decision physician-paramedic prehospital team OHCA one UK region. Methods An invitation participate an anonymised online survey was sent by email clinicians and non-clinicians working on (physician-paramedic) desk for East England Ambulance Service NHS Trust between June July 2023....
Herpes zoster, commonly known as shingles, results from the reactivation of varicella zoster virus, typically occurring in older adults. The advent vaccination has caused a decline primary infection cases; however, herpes still occurs, albeit rarely, fully vaccinated children. This report presents case 17-year-old white American female, highlighting importance considering immunocompetent, patient presented with rash along multiple dermatomes, which spread despite antiviral treatment. After...
the aim was to quantify effect of a novel high volume-image guided injection (HVIGI) technique for recalcitrant patellar tendinopathy (PT).twenty patients (8 prospective; 12 retrospective) with ultrasonographically confirmed proximal PT were recruited. A HVIGI under ultra-sound guidance 10 ml 0.5% Bupivacaine, 25 mg Hydrocortisone and 30 normal saline at interface tendon Hoffa's fat pad administered. standardised eccentric loading rehabilitation protocol prescribed.the VISA-P score improved...
Resuscitative thoracotomy (RT) is an intervention that can be performed in the prehospital setting for relieving cardiac tamponade and/or obtaining vascular control of suspected sub-diaphragmatic haemorrhage patients traumatic arrest. The aim this retrospective case study to compare rates return spontaneous circulation (ROSC) RTs both penetrating and blunt trauma over 6 years a mixed urban rural environment.The electronic records single helicopter emergency medical service were reviewed...
Objective Urgent care centres’ (UCCs) hours were developed with the aim of reducing inappropriate emergency department (ED) attendances in England. We aimed to examine presenting complaint and outcomes 2 general practitioner (GP)-led UCCs extended opening times. Design Retrospective observational epidemiological study using routinely collected data. Setting GP-led London, colocated a hospital ED. Participants All children aged under 5 years, attending over 3-year period. Outcomes for...
High volume image-guided injections and structured rehabilitation improve greater trochanter pain syndrome in the short medium term: a combined retrospective prospective case series (±27.6)mm at final time point, mean of 60 weeks (p<0.01).The Hip Groin Outcome Score group showed non-significant increase from 173.2 to 296.1 (p=0.12).Conclusion: HVIGI&SR should be considered when short-and medium-term pain-relieving treatment for GTPS is required.Controlled studies are warranted fully...
Stroke is the second commonest cause of death worldwide and a leading severe disability, yet there are no published trials palliative care in stroke. To design evaluate interventions for people with stroke, researchers need to know what measurable outcomes matter most patients families, stroke professionals, other service providers.
Pre-Hospital Emergency Anaesthesia (PHEA) has undergone significant developments since its inception. However, optimal drug dosing remains a challenge for both medical and trauma patients. Many prehospital teams have adopted regimen of 3 mcg/kg fentanyl, 2 mg/kg ketamine 1 rocuronium ('3:2:1'). At Essex Herts Air Ambulance Trust (EHAAT) new standard was introduced in August 2021: (up to maximum dose 150 mg) ('1:2:2'). The aim this study evaluate the cardiorespiratory consequences attenuated...
Objective Urgent care centres (UCCs) co-located within an emergency department were developed to reduce the numbers of inappropriate admissions. Since then various UCC models have developed, including a novel general practitioner (GP)-led that incorporates both GPs and nurse practitioners (ENPs). Traditionally these two groups do not work alongside each other setting. Although good teamwork is crucial better patient outcomes, there little literature about development team consisting...