Publications from the North West Ambulance Service. To find out more about NWAS visit their website at https://www.nwas.nhs.uk

Collections in this community

Recent Submissions

  • Use of a modified Delphi process to develop research priorities in major trauma

    McElroy, Luke; Robinson, Lisa; Battle, Ceri; Laidlow, Lynn; Teager, Alistair; de Bernard, Louis; McGillvray, Jack; Tsang, Kevin; Bell, Steve; Leech, Caroline; et al. (2021-06-16)
  • Recovering from COVID-19: Community resilience

    Boaden, Ruth; Powell, David; Shaw, Duncan; Bealt, Jennifer; O’Grady, Nathaniel; Fattoum, Ayham; Furnival, Joy (2020-06)
  • Recovering from COVID-19: The key issues

    Boaden, Ruth; Powell, David; Shaw, Duncan; Bealt, Jennifer; O’Grady, Nathaniel; Fattoum, Ayham; Furnival, Joy (2020-12)
  • Consequences of the emergency response to COVID-19: a whole health care system review in a single city in the United Kingdom

    Tankel, Jeremy W.; Ratcliffe, David; Smith, Martin; Mullarkey, Andrew; Pover, Jennifer; Marsden, Zoe; Bennett, Paula; Green, Darren (2021-05-01)
  • Paramedic research literature 2011–2019. A bibliographic analysis of the contents of Amber, the ambulance research repository

    Holland, Matt; Dutton, Michelle (2020-10)
    The data held by amber presents an opportunity to understand the structure of the published paramedic literature, specifically the output of NHS staff working in English ambulance services 2011–2019. This period is of interest because it represents part of the development phase of paramedic research in England. The authors apply a series of bibliometric measures to generate a profile of the published literature. https://emj.bmj.com/content/emermed/37/10/e9.3.full.pdf. 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-2020-999abs.19
  • Why take a peak flow in asthma – a review

    van Wamel, Annelies; Procter, Shaun (2010-02)
    Current asthma protocols advocate the measurement of peak flow expiratory rate (PEFR) by staff in pre-hospital care in their assessment and management of acute asthma. Yet in practice many, if not most, omit to do this. The limited amount of recent research available – which has been conducted by doctors and accident and emergency staff and concerns patients admitted to accident and emergency departments – shows that PEFR is one of the best, if not the best, predictive assessment tool available to ambulance staff. Pulse oximetry and PEFR do not measure the same things and cannot replace each other. Not taking a pre- and post-treatment PEFR is potentially detrimental to patient care and does not comply with Joint Royal Colleges Service Liaison Committee and British Thoracic Society standards. Paramedic-led research on assessment and management of acute asthma in pre-hospital settings is lacking. Abstract published with permission.
  • Clinically unnecessary and avoidable emergency health service use for epilepsy: A survey of what English services are doing to reduce it

    Mathieson, Amy; Marson, Anthony G.; Jackson, Mike; Ridsdale, Leone; Goodacre, Steve; Dickson, Jon M.; Noble, Adam J. (2020-02-19)
  • The prehospital early warning triage tool

    Earley, Darren (2010-12)
    The purpose of this article is to provide background information and guidance in the use of the prehospital early warning triage tool (PHEWT); and completion of the PHEWT documentation. The system is intended to provide an aid to prehospital care clinicians in ensuring all patients (ages 16 years and above) are triaged and conveyed to the department or unit best suited to their needs. In order to bring this triage system to fruition, a forward thinking ambulance service could take this on as a well constructed, multi-centre validation study. The article itself is simply the generation of that idea. Abstract published with permission.
  • Heliox in acute severe asthma in the A&E setting: a review

    Scholes, Steven (2013-09-29)
    Heliox (HeO2) is a mixture of helium and oxygen, often mixed in 80:20 or 70:30 ratios for use in medicine and clinical investigations. Heliox has been available for use in the UK since 2002 and is supplied as Heliox 21 (21% oxygen and 79% helium) by BOC Gases for medical use in asthma, croup, chronic obstructive pulmonary disease and other medical procedures. Heliox use in asthma exacerbations remains largely experimental owing to the limited number of randomized controlled trials. This review aims to critically analyse the efficiency of Heliox use in acute asthma exacerbations in the Accident and Emergency (A&E) setting, evaluate its effectiveness as a medium for nebulization, and assess potential benefits to clinical practice. Prehospital application will also be discussed in moderate-severe asthma exacerbations. It is envisaged that the factors relating to Heliox use in asthma are focused to provide an additional therapy to the current choice of therapies for prehospital clinicians. Abstract published with permission.
  • Acute quadriceps injury: a case study

    Newton, Mark; Walker, Jacqui (2004-12)
  • Practice education in paramedic science: theories and application

    Romano, Vincent (2021-01-02)
    This book is immediately recognisable as another Class Professional Publishing release. For me, this sets the expectation high given the number of previous good quality releases. They are often written by experts in their field and are very paramedic-focused. I was curious if this trend would be followed given it is addressing education—a topic that often draws much of its evidence from the nursing profession, especially around mentorship. However, both authors are registered paramedics with a background in education and have gained their own relevant qualifications. This gives the reader further confidence that this book will be aimed at the learning environment specifically within the prehospital setting. Abstract published with permission.
  • Development of V-FAST: a vision screening tool for ambulance staff

    Rowe, Fiona J.; Dent, Joseph; Allen, Frank; Hepworth, Laura R.; Bates, Rachel (2020-08)
    About two-thirds of stroke survivors experience visual problems and most patients who have a stroke limited to the occipital lobe will have visual impairments only. Aim: The V-FAST screening tool, which assesses visual symptoms, eye movements, visual field and visual extinction, and a training package to improve diagnostic accuracy of identifying visual impairment in hyperacute strokes were developed and evaluated. Abstract published with permission.
  • The unique advantages of advanced paramedic practitioners

    Brown, Lucy; Hedgecock, Liz; Simm, Catherine; Swift, Juliette; Swinburn, Andy (2011-03-22)
  • Paramedic clinical leadership

    Martin, John; Swinburn, Andy (2012-03)
    Developing the paramedic profession is at the heart of the mission for the College of Paramedics. As any profession develops it evolves to take leadership and responsibility for a growing body of knowledge that informs practice. Back in 2008 the College published the second edition of the curriculum framework for paramedics clearly outlining the need for the development of roles at a variety of clinical levels. Having these levels populated creates a clinical framework that will deliver patient benefit and develop future paramedic practice. At its recent Council meeting the College outlined the need to develop education standards, clinical guidelines, and voluntary regulation for these emerging elements on the career framework, and is set to do this over the coming year. In this article Andy Swinburn the College Council representative for NW region outlines how the North West Ambulance Service NHS Trust has put into place a structured career development spanning the professional roles from first registration to consultant practice. https://www.magonlinelibrary.com/doi/full/10.12968/jpar.2012.4.3.181 ] 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/10.12968/jpar.2012.4.3.181
  • An alternative model of pre-hospital care for 999 patients who require non-emergency medical assistance

    Blodgett, Joanna M; Robertson, Duncan; Ratcliffe, David; Rockwood, Kenneth (2017-05)
  • Predictors of effective management of acute pain in children within a UK ambulance service: A cross-sectional study

    Whitley, Gregory; Hemingway, Pippa; Law, Graham Richard; Wilson, Caitlin; Siriwardena, Aloysius (2020-07)
  • 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.
  • 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.

View more