Recent Submissions

  • What factors influence clinical decision making for paramedics when attending to paediatric emergencies in the community within one ambulance service trust?

    Hetherington, Jeff; Jones, Ian (2021-05-01)
    Children's healthcare needs are complex and diverse. Paramedics are expected to respond to a range of emergency calls across the patient demographic spectrum and to make complex clinical decisions, whilst facing growing pressures to seek provisions of care for their patients within the community. Abstract published with permission.
  • The types and effects of feedback received by emergency ambulance staff: a systematic mixed studies review with narrative synthesis

    Wilson, Caitlin (2021-03)
    The phenomenon of feedback is well-researched within the wider healthcare context, where it is suggested that feedback can improve patient care and patient safety by enhancing clinical performance and staff mental health (Ivers et al., 2012). Within a pre-hospital context, systematic reviews have been conducted for automated feedback from defibrillators and debrief after simulation, but not on the wider concept of feedback. The aim of this systematic review was to identify, describe and synthesise the published literature on the types and effects of feedback received by emergency ambulance staff. Abstract published with permission.
  • Boerhaave syndrome, a rare oesophageal rupture: a case report

    Horrocks, Rebecca (2021-03)
    Boerhaave syndrome is a disorder mainly unknown among ambulance staff. However, the high mortality and morbidity rates associated with this rare disorder, and the fact that other conditions present with similar symptoms, suggest that this is one disorder to add to the differential diagnosis list. This case study describes a 17-year-old male complaining of left-sided 'pressure'-type chest pain and persistent vomiting who on examination was found to have subcutaneous emphysema present. Deceived by a differential diagnosis, the patient was transferred under the belief that he had suffered a spontaneous pneumothorax as he was tall, young and thin. This case report reviews the literature surrounding Boerhaave syndrome and how it can present. Abstract published with permission.
  • How it's done: search tools and techniques for major bibliographic databases

    Holland, Matt; Dutton, Michelle; Glover, Steve (2021-05)
    This article explains how to write an effective search plan using simple steps. The article takes you through the tools and techniques that are widely used in major bibliographic databases such as MEDLINE and CINAHL to conduct searches. These include Boolean logic, truncation and wildcards, in-field searching, proximity operators, limits and subject thesauri. Each process is illustrated with an example to help you apply them to your own searches. The process of using these tools and techniques to either narrow (find fewer results) or broaden (find more results) is described and summarised in an easy-to-use table. Abstract published with permission.
  • 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. 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. DOI
  • 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. ] 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. DOI

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