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amber contains records of published research authored by staff working in NHS ambulance services in England, Wales, Scotland and Northern Ireland. 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 LKS ASE. If you have any further questions about amber or our data please eMail library@nwas.nhs.uk.

Congratulations to Betul Yalcin on winning the LKS ASE Best Elevator Pitch Prize at 999EMS Research Forum 2023, Manchester.


  • A vision for the NHS Ambulance Service in co-designing urgent and emergency care provision

    Association of Ambulance Chief Executives: AACE; NHS Providers; NHS Confederation (2024-03)
  • Navigating the breadth and depth of primary care

    Romano, Vincent (2024-03-02)
    This book states that it is aimed at both paramedics who are new to the world of primary care and those who are already working within a primary care environment. The authors clearly have a wealth of experience in primary care and the prehospital setting, which are equally important when writing about paramedic care in the primary care setting. Alongside the three authors, there are no less than 19 contributors, again representing some crucial clinical areas such as midwifery, end-of-life care, education, and safeguarding. Abstract published with permission
  • Baptism of fire

    Sofield, Katy (2024-03-02)
    Having spent 5 weeks on operational placement, Katy Sofield describes her ‘baptism of fire’. Abstract published with permission.
  • Can the clinical frailty scale predict futility in out-of-hospital cardiac arrest?

    Ash, Michael; Smith, Neil; Doughlin, Troy (2024-03-02)
    Background: Cardiopulmonary resuscitation (CPR) is considered an essential intervention in unanticipated cardiac arrest, but in the out-of hospital setting it is often the default treatment for many patients dying of chronic and incurable disease who experience this. The Clinical Frailty Scale (CFS) can predict an individual’s vulnerability to adverse health outcomes and might be a useful tool in prognostication in the prehospital setting. Aims: The primary aim was to assess if the CFS can be used for prognostication in cardiac arrest and whether UK paramedics would be able to use the CFS in the context of an out-of-hospital cardiac arrest. Methods: A rapid review of the literature was undertaken to identify research relating to frailty’s influence on cardiac arrest outcomes. Five primary research articles were identified and were included. Findings: All the primary research focused on in-hospital cardiac arrest and demonstrated that an higher clinical frailty score was associated with increased mortality following cardiac arrest, with a significant reduction in survival at CFS ≥6. Conclusion: Research could assess whether these findings would be replicated in the out-of-hospital cardiac arrest context and whether paramedics could use the CFS to aid in prognostication in this situation. Abstract published with permission.

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