Recent Submissions

  • Community resilience: what significance does it have for an ambulance service?

    Jackson, Angela (2011-09)
    The Scottish Ambulance Service (SAS) has developed a strategy for community resilience. This article explains what community resilience is from an ambulance service perspective, and why this approach is considered critical for the service to meet its objective of delivering quality patient care, and to address some of the major challenges currently experienced. Important benefits for communities and partners from other sectors are identified, and an outcome-focused approach indicates how these will be achieved. The five key strategic components are outlined, with examples related to practice. Challenges and opportunities for taking the agenda forward are discussed. Abstract published with permission.
  • Air ambulance tasking: why and how?

    Parker, Andrew; Corfield, Alasdair (2011-06)
    Air ambulances are a scarce and expensive resource and their use carries significant risk for crew and patients (Hennesy; 2005; Holland et al, 2005; Hinkelbein et al, 2008; Lutman et al, 2008). To benefit appropriate patients while minimizing risk and cost, tasking of air ambulance assets should ideally be sensitive and specific. Within the UK and across Europe, there are no standardized criteria to dispatch these resources (Littlewood et al, 2010; Wigman et al, 2010). Even where dispatch criteria are agreed, compliance is variable (Tiamfook-Morgan et al, 2008). The purpose of this review is to look at the evidence and rationale for tasking of air ambulance assets. Abstract published with permission.
  • Outlining the Diploma in Immediate Medical Care

    Rutherford, Gary; Inglis, Drew
    The Diploma in Immediate Medical Care (Dip IMC) awarded by the Royal College of Surgeons of Edinburgh (RCSEd) was initiated in 1988 with the aim of providing a structured assessment of those practicing in pre-hospital care. Abstract published with permission.
  • Post-discharge survival following pre-hospital cardiopulmonary arrest due to cardiac aetiology: temporal trends and impact of changes in clinical management

    Pell, Jill P; Corstorphine, Mhairi; McConnachie, Alex; Walker, Nicola L; Caldwell, Jane C; Marsden, Andrew; Grubb, Neil R; Cobbe, Stuart (2006)
  • Destination healthcare facility of shocked trauma patients in Scotland: Analysis of transfusion and surgical capability of receiving hospitals

    Peach, Christopher; Morrison, Jonathan J.; Apodaca, Amy N.; Egan, Gerry; Watson, Henry; Jansen, Jan O. (2013-10)
  • Demographic and geographical characteristics of pediatric trauma in Scotland

    Wohlgemut, Jared M.; Morrison, Jonathan J.; Apodaca, Amy N.; Egan, Gerry; Sponseller, Paul D.; Driver, Christopher P.; Jansen, Jan O. (2013-07-27)
  • Using Q-CPR to measure the effect of patient extrication and ambulance transport on quality of resuscitation after OHCA

    Crookston, Colin; Clarke, Scott; Short, Steven; Lyon, Richard; Clegg, Gareth (2014-08-07)
  • Rural and urban distribution of trauma incidents in Scotland

    Morrison, J. J.; McConnell, Nicola; Orman, J.A.; Egan, Gerry; Jansen, Jan O. (2013-02)
  • Developing a prioritised vehicle equipment check-sheet (VECS): a modified Delphi Study

    Duncan, Edward; Fitzpatrick, David (2011-10-14)
    The number, type; and complexity of equipment carried on frontline ambulances is increasing each year. While this enhances the range of prehospital interventions available, it also results in lengthy equipment checks which, on occasion, are interrupted by emergency calls. This can lead to ambulances arriving at an incident without vital equipment, or with equipment that malfunctions. Although equipment check-sheets have previously been developed to support ambulance clinicians, an informal audit of Scottish Ambulance Service practice indicated that these were outdated, un-prioritised and not in routine use. https://emj.bmj.com/content/28/11/e2.11 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-20110200645.4
  • Evaluation of Point of Care (POC) Prehospital Testing for Troponin I (cTnI) while in Hospital Transit via the Scottish Ambulance Service (SAS)- a Preliminary Study using the Samsung LABGEOIB10 Analyzer

    Scotland, S.; Lunts, P.; Nicoll, G.; Barclay, K.; Baxter, C.; Archibald, I.; Miller, G.; Bluestein, B.I.; Brennan, E.; Kim, D.; et al. (2013-10)
  • Consensus on items and quantities of clinical equipment required to deal with a mass casualties big bang incident: a national Delphi study

    Duncan, E.A.S.; Colver, K.; Dougall, N.; Swingler, K.; Stephenson, J.; Abhyankar, P. (2014-02-22)
  • Prehospital critical care team attendance increases the survival of major trauma patients: national registry data

    Maddock, A; Corfield, Alasdair; Donald, M.; Hearns, Stephen; Lyon, R.; Fitzpatrick, David; Sinclair, N. (2017-05-21)
    To investigate the effect of prehospital critical care team attendance, versus usual ambulance care, on trauma patient mortality. https://bmjopen.bmj.com/content/7/Suppl_3/A4.1 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/bmjopen-2017-EMSabstracts.10
  • Cultural challenges in getting it right for every child: a reflective account

    Haley, Anthony (2012-03-02)
    Paramedics working within health care services are faced with difficult decisions almost every day. They are required to work within organizational and professional boundaries and in the best interests of their patients at all times. In cases involving children it is especially important to ensure the child is properly empowered and included in the decision-making process. Sometimes these requirements are difficult to assess and paramedics will draw on professional and personal experience to assist them in deciding how best to ensure appropriate empowerment and that patient care has taken place. When dealing with patients from cultural backgrounds they are unfamiliar with, language barriers and cultural differences may make it difficult for paramedics to assess whether their patient has been properly empowered and included. Abstract published with permission.
  • Pre-hospital improvised bronchodilator therapy of a patient on bi-level positive airway pressure therapy

    Haley, Anthony; Forbes, Anthony (2012-04)
    Patients suffering acute breathlessness is a common emergency situation, many patients with airways disease require bronchodilator therapy with β-agonists. To assist the management of these cases paramedics use guidelines drawn up by the Joint Royal Colleges Ambulance Liaison Committee (JRCALC). They provide guidance on the management of most situations paramedics are likely to encounter. However, there will be occasions when paramedics are called to deal with a situation which is outside of their experience and the JRCALC guidelines do not provide the appropriate guidance required to fully inform clinical decision making. In the UK telephone support from a physician skilled in the specific discipline they require is generally not available, so paramedics have become skilled at improvising. This case study describes such an improvisation, in the management of acute breathlessness in a patient who is on home bi-level positive airway pressure (BiPAP) therapy. Abstract published with permission.
  • Improving the management and care of people with sepsis

    Fitzpatrick, David; McKenna, Michael; Rooney, Kevin; Beckett, Dan; Pringle, Norma (2014-04-02)
  • An insight into the demands and stressors experienced by Community First Responders

    Kindess, Peter; Fitzpatrick, David; Mellish, Chris; Masthoff, Judith; O'Meara, Patrick; McEwan, Murray (2014-07-02)
    Community First Responders (CFR) are volunteers who respond to appropriate medical emergencies while an ambulance is en route. The emergencies that CFRs attend are situations where stress is inherent, yet little is known of which stressors and demands are present and which are considered to be the greatest attributer to stress experienced. Abstract published with permission.
  • Pre-hospital technology research: reflecting on a collaborative project between ambulance service and academia

    Mort, Alasdair; Fitzpatrick, David; Schneider, Anne; Wilson, Philip; Mellish, Chris (2015-04-07)
    The University of Aberdeen MIME project (Managing Information in Medical Emergencies) aimed to develop technology to support volunteer rural community first responders when managing patients. This can be a particularly stressful activity with many challenges to overcome while waiting for ambulance clinicians to arrive. The MIME system employed lightweight medical sensors streaming data (heart and respiratory rate, and blood oxygen saturation) wirelessly to a tablet computer. Novel software was developed to present these data on-screen in a simple way and facilitate the quick digital capture of first responder actions and observations. MIME also applied the technique of Natural Language Generation, which interrogated sensor data, user-inputted actions and observations to automatically generate a handover report in English. This paper describes the MIME system, and then focuses on our collaboration journey between academia and the Scottish Ambulance Service. We illustrate the challenges encountered during our research and development, and describe the academia-ambulance service collaboration model that was developed to deliver success. We also discuss the Knowledge Exchange sub-context to our research activities, which coincided with the early development of research capacity within the ambulance service. Abstract published with permission.

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