Barrett, Jack
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Biography
Jack is a Paramedic Research Fellow with South East Coast ambulance Service NHS FT (SECAmb), where he is currently undertaking a National Institute of Health Research Clinical Doctoral Research Fellowship (NIHR CDRF) developing a clinical decision rule to support paramedics in the triage of older adults with traumatic brain injury. Prior to starting the NIHR CDRF Jack was a Research Paramedic with SECAmb, supporting the design and delivery of both clinical research network portfolio studies and non-portfolio studies. In addition to this, he has been the lead applicant and co-applicant on successful research grants and progressing through the NIHR Integrated Clinical Academic (ICA) Programme with the support of SECAmb and the University of Surrey. Jack is also an honorary Research Paramedic with Air Ambulance Kent Surrey and Sussex, supporting the charity in it's use of technology in detecting TBI in the critically injured patients. Jack's research expertise is in prehospital TBI both in the severe and mild presentations; in adults and older adults and in the triage and clinical decision making associated with this patient group. He has experience in predominately quantitative research methodologies.
Institutional profile
South East Coast Ambulance Service NHS FT; University of Surrey; Air Ambulance Kent, Surrey and Sussex
13 results
Publication Search Results
Now showing 1 - 10 of 13
Publication Helicopter emergency medical service dispatch in older trauma: time to reconsider the trigger?(2021-05-07) Griggs, J.E.; Barrett, Jack W.; Ter Avest, E.; de Coverly, R.; Nelson, M.; Williams, J.; Lyons, R.M.Publication Paramedics’ health and wellbeing: how important is diet?(2016-04) Barrett, Jack; Williams, JuliaPublication Invited commentary: "Identifying traumatic significant haemorrhage is challenging for patient with low and intermediate risk, not when bleeding is obvious"(2023-12-12) Griggs, Joanne; Lyon, Richard; Sherriff, Martyn; Barrett, Jack; Wareham, Gary; Avest, Ewoud TerPublication A survey of ambulance clinicians’ perceptions of recording and communicating patient information electronically(2021-06-01) Barrett, Jack; Eaton-Williams, Peter; Mortimer, Craig; Land, Victoria; Williams, JuliaObjective: Ambulance services are evolving from use of paper-based recording of patient information to electronic platforms and the impact of this change has yet to be fully explored. The aim of this study is to explore how the introduction of a system permitting electronic information capture and its subsequent sharing were perceived by the ambulance clinicians using it. Methods: An online questionnaire was designed based upon the technology acceptance model and distributed throughout one ambulance service in the south east of England. Closed-ended questions with Likert scales were used to collect data from patient-facing staff who use an online community falls and diabetic referral platform or an electronic messaging system to update GPs following a patient encounter. Results: There were 273 responses from ambulance clinicians. Most participants agreed that they used tablet computers and smartphones to make their life easier (85% and 86%, respectively). Most participants felt that referring patients to a community falls or diabetic team electronically was an efficient use of their time (81% and 81%, respectively) and many believed that these systems improved the communication of confidential patient information. GP summaries were perceived as increasing time spent on scene but most participants (89%) believed they enabled collaborative working. Overall, collecting and sharing patient information electronically was perceived by most participants as beneficial to their practice. Conclusion: In this study, the ability to electronically refer patients to community services and share patient encounters with the GP was predominantly perceived as both safe for patients and an effective use of the participants’ clinical time. However, there is often still a need to communicate to GPs in real time, demonstrating that technology could complement, rather than replace, how clinicians communicate. Abstract published with permission.Publication A retrospective review of patients with significant traumatic brain injury transported by emergency medical services within the south east of England(2019-03) Barrett, JackTraumatic brain injury (TBI) will be a leading cause of death and disability within the Western world by 2020. Currently, 80% of all TBI patients in England are transported to hospital by an ambulance service. The aim of this retrospective study is to compare TBI patients transported to a major trauma centre (MTC) against those transported to a trauma unit (TU). Abstract published with permission.Publication Head injury in older adults presenting to the ambulance service: who do we convey to the emergency department, and what clinical variables are associated with an intracranial bleed? A retrospective case-control study(2023-10-31) Barrett, Jack; Williams, Julia; Skene, S. S; Griggs, J. E; Bootland, D; Leung, J; Da Costa, D; Ballantyne, K; Davies, R; Lyon, R. MPublication Pre-hospital anaesthesia and assessment of head injured patients presenting to a UK Helicopter Emergency Medical Service with a high Glasgow Coma Scale: a cohort study(2019-02) Bootland, Duncan; Rose, Caroline; Barrett, Jack; Lyon, Richard M.; Kent, Surrey and Sussex Air Ambulance TrustObjectives Patients who sustain a head injury but maintain a Glasgow Coma Scale (GCS) of 13–15 may still be suffering from a significant brain injury. We aimed to assess the appropriateness of triage and decision to perform prehospital rapid sequence induction (RSI) in patients attended by a UK Helicopter Emergency Medical Service (HEMS) following head injury. Design A retrospective cohort study of patients attended by Kent Surrey & Sussex Air Ambulance Trust (KSSAAT) HEMS. Setting A mixed urban and rural area of 4.5million people in South East England. Participants GCS score of 13, 14 or 15 on arrival of the HEMS team and clinical findings suggesting head injury. Patients accompanied by the HEMS team to hospital (‘Escorted’), and those that were ‘Assisted’ but conveyed by the ambulance service were reviewed. No age restrictions to inclusion were set. Primary outcome measure Significant brain injury. Secondary outcome measure Recognition of patients requiring prehospital anaesthesia for head injury. Results Of 517 patients, 321 had adequate follow-up, 69% of these were Escorted, 31% Assisted. There was evidence of intracranial injury in 13.7% of patients and clinically important brain injury in 7.8%. There was no difference in the rate of clinically important brain injury between Escorted and Assisted patients (p=0.46). Nineteen patients required an RSI by the HEMS team and this patient group was significantly more likely to have clinically important brain injury (p=0.04). Conclusion In patients attended by a UK HEMS service with a head injury and a GCS of 13–15, a small but significant proportion had a clinically important brain injury and a proportion were appropriately recognised as requiring prehospital RSI. For patients deemed not to need a HEMS intervention, differentiating between those with and without clinically important brain injury appears challenging. https://bmjopen.bmj.com/content/9/2/e023307.long 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. See: http://creativecommons.org/licenses/by-nc/4.0/ http://dx.doi.org/10.1136/bmjopen-2018-023307Publication A national survey of ambulance paramedics on the identification of patients with end of life care needs(2020-12-01) Eaton-Williams, Peter; Barrett, Jack; Mortimer, Craig; Williams, JuliaObjectives: Developing the proactive identification of patients with end of life care (EoLC) needs within ambulance paramedic clinical practice may improve access to care for patients not benefitting from EoLC services at present. To inform development of this role, this study aims to assess whether ambulance paramedics currently identify EoLC patients, are aware of identification guidance and believe this role is appropriate for their practice. Methods: Between 4 November 2019 and 5 January 2020, registered paramedics from nine English NHS ambulance service trusts were invited to complete an online questionnaire. The questionnaire initially explored current practice and awareness, employing multiple-choice questions. The Gold Standards Framework Proactive Identification Guidance (GSF PIG) was then presented as an example of EoLC assessment guidance, and further questions, permitting freetext responses, explored attitudes towards performing this role. Results: 1643 questionnaires were analysed. Most participants (79.9%; n = 1313) perceived that they attended a patient who was unrecognised as within the last year of life on at least a monthly basis. Despite 72.0% (n = 1183) of paramedics indicating that they had previously made an EoLC referral to a General Practitioner, only 30.5% (n = 501) were familiar with the GSF PIG and of those only 25.9% (n = 130) had received training in its use. Participants overwhelmingly believed that they could (94.4%; n = 1551) and should (97.0%; n = 1594) perform this role, yet current barriers were identified as the inaccessibility of a patient’s medical records, inadequate EoLC education and communication difficulties. Consequently, facilitators to performing this role were identified as the provision of training in EoLC assessment guidance and establishing accessible, responsive EoLC referral pathways. Abstract published with permission.Publication Fit to practise: does more need to be done to improve the health and wellbeing of paramedics?(2016-10) Barrett, JackAbstract published with permission. Paramedics are exposed to both physiological and psychological stressors that the general population does not typically face. Although there is evidence to show that paramedics can be resilient to these, cardiovascular disease, mental health problems and musculoskeletal injuries are still prevalent among paramedics. Exercise has been shown to reduce the physical demands of lifting for paramedics, but data on the effects in other areas of paramedic life are limited. In the general population, exercise is becoming a popular treatment option for mental health problems. However, the methodologies used are inconsistent and it is difficult to draw definitive conclusions from the data available. A more thorough examination of how regular exercise could positively impact the health and well-being of paramedics, who are key, front-line personnel in the medical services, is an area that requires crucial further research.Publication National Early Warning Score Lactate (NEWS–L): is it good news for pre-hospital care?(2016-10) Barrett, Jack