• Ambulance staff awareness of vitamin D and risk of deficiency in a UK ambulance service: a survey-based evaluation

      Prothero, Larissa (2021-03)
      The aim of this service evaluation was to explore staff awareness of vitamin D and the risks associated with deficiency in the ambulance setting, to inform the need for appropriate well-being support and resources. Abstract published with permission.
    • Mental health, well-being and support interventions for UK ambulance services staff: an evidence map, 2000 to 2020

      Clark, Lucy V.; Fida, Roberta; Skinner, Jane; Murdoch, Jamie; Rees, Nigel; Williams, Julia; Foster, Theresa; Sanderson, Kristy (2021-03)
      Prior to COVID-19 there had been a renewed policy focus in the National Health Service on the health and well-being of the healthcare workforce, with the ambulance sector identified as a priority area. This focus is more important than ever as the sector deals with the acute and longer-term consequences of a pandemic. Abstract published with permission.
    • Mobile stroke unit in the UK healthcare system: avoidance of unnecessary accident and emergency admissions

      Phillips, Daniel J.; Grunwald, Iris Q.; Walter, Silke; Faßbender, Klaus (2021-03)
      The aim of the study was to explore the benefit of a mobile stroke unit (MSU) in the UK National Health Service (NHS) for reduction of hospital admissions. Abstract published with permission.
    • Research paramedics’ observations regarding the challenges and strategies employed in the implementation of a large-scale out-of-hospital randomised trial

      Green, Jonathan; Robinson, Maria; Pilbery, Richard; Whitley, Gregory; Hall, Helen; Clout, Madeleine; Reeves, Barnaby; Kirby, Kim; Benger, Jonathan (2020-06-01)
      Introduction: AIRWAYS-2 was a cluster randomised controlled trial (RCT) comparing the clinical and cost effectiveness of the i-gel supraglottic airway device with tracheal intubation in the initial airway management of out-of-hospital cardiac arrest (OHCA). In order to successfully conduct this clinical trial, it was necessary for research paramedics to overcome multiple challenges, many of which will be relevant to future emergency medical service (EMS) research. This article aims to describe a number of the challenges that were encountered during the out-of-hospital phase of the AIRWAYS-2 trial and how these were overcome. Methods: The research paramedics responsible for conducting the pre-hospital phase of the trial were asked to reflect on their experience of facilitating the AIRWAYS-2 trial. Responses were then collated by the lead author. A process of iterative revision and review was undertaken by the research paramedics to produce a consensus of opinion. Results: The main challenges identified by the trial research paramedics related to the recruitment and training of paramedics, screening of eligible patients and investigation of protocol deviations / reporting errors. Even though a feasibility study was conducted prior to the commencement of AIRWAYS-2, the scale of these challenges was underestimated. Conclusion: Large-scale pragmatic cluster randomised trials are being successfully undertaken in out-of-hospital care. However, they require intensive engagement with EMS clinicians and local research paramedics, particularly when the intervention is contentious. Feasibility studies are an important part of research but may fail to identify all potential challenges. Therefore, flexibility is required to manage unforeseen difficulties. Abstract published with permission.
    • A survey-based evaluation of ambulance staff awareness of vitamin D and risk of deficiency in a UK ambulance service

      Prothero, Larissa; Foster, Theresa (2021-09)
      Healthcare professions, shift-working and indoor-working are risk factors for vitamin D deficiency. The aim of this survey was to investigate ambulance staff awareness of vitamin D, and the risks associated with deficiency, to inform the need for appropriate well-being resources. Abstract published with permission.