• Characteristics of Restart a Heart 2019 event locations in the UK

      Hawkes, C.A.; Brown, T.; Noor, U.; Carlyon, J.; Davidson, N.; Soar, J.; Perkins, G.D.; smyth, mike; Lockey, A. (2021-05-10)
    • Emergency Medicine Journal COVID-19 monthly top five

      Tonkins, Michael; Miles, Jamie; O'Keeffe, Colin; Jiminez Forero, Sonia; Goodacre, Steve (2021-02-12)
      Following from the successful ‘RCEM weekly top five’ series starting in April 2020, this is the third of a monthly format for EMJ readers. We have undertaken a focused search of the PubMed literature using a standardised COVID-19 search string. Our search between 1 December and 31 December 2020 returned 1183 papers limited to human subjects and English language. We also searched high impact journals for papers of interest. https://emj.bmj.com/content/early/2021/02/11/emermed-2021-211203 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-2021-211203
    • Evaluate the improved value that NHS 111 can provide to palliative care patients and their families by utilising specialist palliative care nurses within urgent and emergency care

      Bradley, Alison; Littlewood-Prince, Michela; Kaushal, Usha; Mitchell, Kathryn; Leyland, Claire; Wanstall, Judith; Cooper, Nicholas; NHS 111 (2016-09)
      Introduction NHS111 Yorkshire and Humber, using the 4C’s framework to review Concerns, Complaints, Compliments and Comments became aware of issues regarding ‘delays’ to care for palliative care patients. We conducted a systematic review of palliative care services to identify areas for improvement. Aims To improve the value that NHS111 could provide to palliative care patients by understanding pathways for palliative care, testing the use of specialist palliative resources, developing ideas for technology developments, enhancing access to medicines through the use of pharmacists and to understand how NHS111 can work to enhance out-of-hours palliative care services in the region. Methods Intelligence was gathered to identify the current position to support palliative patients. Interventions were designed to provide new and improved ways of working. Palliative Nurses were employed for 5-weeks during out-of-hours and training provided to the wider healthcare team. Results Analysis of the results allowed further improvements to the provision of 24-hour care and out-of-hours provision. Higher levels of demand were experienced during weekend hours and at the start of a Bank Holiday periods. Palliative Care Nurses were also able to provide high levels of self-care’ advice without requiring onward referral. Conclusions We directly identified empirical evidence and delivered a range of benefits which support the ‘Dying without Dignity’ report and provided recommendations to directly address the issues of poor symptom control, inadequate out of hour’s service and poor care planning. Furthermore Training and Development for NHS 111 staff in palliative care matters was further enhanced with the development of a palliative care e-learning package. https://spcare.bmj.com/content/6/3/406.1 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. See: http://creativecommons.org/licenses/by-nc/4.0/ http://dx.doi.org/10.1136/bmjspcare-2016-001204.57
    • Medical and prehospital care training in UK fire and rescue services

      Walker, Alison; Robson, Brian (2010-12)
      We were interested to see the paper by Quinn et al1 in this month's EMJ. We undertook a similar survey published in the EMJ in 2005 on the Fire Service management of burns,2 which concentrated on burns but also reviewed general levels of clinical training and skills within the Fire and Rescue Services (FRS), also with a response rate of over 70%. At the time 44/62 services had trained all their firefighters in the delivery of supplementary oxygen (71%), and it seems in some areas there is little change in skills, as in this paper 72% of responding services trained firefighters to provide supplementary oxygen. We also found similar levels of involvement in clinical training from both local hospitals and other prehospital organisations including NHS Ambulance Trusts. Since the publication of both our paper and that of Lee and Porter3 in 2007, the UK FRS through the Chief Fire Officers Association (CFOA) have been working to standardise prehospital immediate care provided by UK firefighters. This work has been looking at ways to develop a minimum standard of knowledge and application that satisfies the demanding requirements of both the FRS and the Health and Safety Executive. A further area for development has been in considering effective Clinical Governance systems; an area which the FRS has had little previous involvement. The work has recently been given project status by the Department for Communities and Local Government (CLG), the government department responsible for the FRS. In London, excellent results have been seen in a pilot project (Immediate Emergency Care), in which the London Fire Brigade (LFB) have worked closely with London Ambulance Service (LAS) in all aspects of the delivery of training, operational and clinical governance policies and procedures, and shared equipment protocols. The pilot is now being rolled out to all operational staff across LFB and has been made available to other regions as a working model. It is widely accepted that the natural partners for the FRS are NHS Ambulance Trusts. The main objective of the CLG project is to consider whether the progress made in London can be duplicated across the UK, reducing the requirement for FRS to rely on commercially driven or locally produced training. Initial indications suggest that this can be delivered. The Faculty of Prehospital Care has also supported developments in FRS Immediate Care. In summary, a great deal of work has already been completed, with more in development, around immediate emergency care by the UK Fire and Rescue Services. https://emj.bmj.com/content/27/12/960.2. 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/ DOI http://dx.doi.org/10.1136/emj.2009.081828