Welcome to amber - the home of ambulance service research

amber contains records of published research authored by NHS staff working in Ambulance Services in England. amber is managed by the Library and Knowledge Services for NHS Ambulance Services in England [LKS ASE]. For more information see the About pages or contact Matt Holland, LKS ASE Librarian. Additional material is available on the LKS ASE website.

We are committed to delivering and maintaining a high quality of data.  If you are aware of any inaccuracies in the data on amber do contact us and we will correct it.  amber is a work in progress. Currently it contains records from 2011 - 2019. We will update this page as more records are added.

  • Understanding right ventricular myocardial infarction in prehospital care

    Master, Shamima (2021-02)
    Right ventricular myocardial infarction (RVMI) most commonly occurs in relation to an inferior myocardial infarction. Patients with this condition where the culprit right coronary artery (RCA) is occluded have a poor prognosis. Early recognition and the specific treatment pathway for RVMI differ from the treatment for general acute coronary syndrome (ACS) which could help the paramedic to treat this condition more appropriately. This article explores current guidelines for the recognition and treatment of RVMI and the possible application of specific guidelines in a prehospital setting with regards to using right-sided precordial ECG, the administration of fluids and potential complications arising from vasodilatory drugs. Furthermore, the purpose of this article is to help educate and develop the understanding of RVMI in this high-risk subgroup who have an increased morbidity and mortality. Abstract published with permission.
  • Emergency Medicine Journal COVID-19 monthly top five

    Tonkins, Michael; Miles, Jamie; O'Keeffe, Colin; Jiminez Forero, Sonia; Goodacre, Steve (2021-02-12)
    Following from the successful ‘RCEM weekly top five’ series starting in April 2020, this is the third of a monthly format for EMJ readers. We have undertaken a focused search of the PubMed literature using a standardised COVID-19 search string. Our search between 1 December and 31 December 2020 returned 1183 papers limited to human subjects and English language. We also searched high impact journals for papers of interest. https://emj.bmj.com/content/early/2021/02/11/emermed-2021-211203 This is an Open Access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. http://creativecommons.org/licenses/by-nc/4.0/ DOI http://dx.doi.org/10.1136/emermed-2021-211203
  • Where to now? Searching beyond Medline

    Holland, Matt; Dutton, Michelle; Glover, Steve (2021-02-10)
    This article looks at the tools available to you to extend your search beyond the major bibliographic sources. The article identifies the type of literature you can find and which tools are suitable to use to find them. It aims to help you to broaden the scope of your search to find more relevant material. There is a warning about predatory journals and the need to take a critical approach to material that has not been peer-reviewed. Abstract published with permission.
  • Impact of videolaryngoscopy introduction into prehospital emergency medicine practice: a quality improvement project.

    Steel, Alistair; Haldane, Charlotte; Cody, Dan (2021-02-15)
    Advanced airway management is necessary in the prehospital environment and difficult airways occur more commonly in this setting. Failed intubation is closely associated with the most devastating complications of airway management. In an attempt to improve the safety and success of tracheal intubation, we implemented videolaryngoscopy (VL) as our first-line device for tracheal intubation within a UK prehospital emergency medicine (PHEM) setting. https://emj.bmj.com/content/early/2021/02/14/emermed-2020-209944 This is an Open Access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. http://creativecommons.org/licenses/by-nc/4.0/ DOI http://dx.doi.org/10.1136/emermed-2020-209944
  • Alternatives to direct emergency department conveyance of ambulance patients: a scoping review of the evidence

    Blodgett, Joanna M; Robertson, Duncan; Pennington, Elspeth; Ratcliffe, David; Rockwood, Kenneth (2021-01)

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