• Ambulance over-conveyance to the emergency department: a large data analysis of ambulance journeys

      Miles, Jamie; O'Keefe, Colin; Jacques, Richard; Stone, Tony; Mason, Suzanne (2018-04-16)
      Over-conveyance by the ambulance service is a compounding factor of emergency department (ED) crowding. Previous solutions have focused on specific patient groups which have a limited impact when compared to the whole urgent and emergency care system. This study aims to analyse non-urgent conveyances by the ambulance service that could be suitable for discharge on-scene. https://bmjopen.bmj.com/content/8/Suppl_1/A22.3. 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 10.1136/bmjopen-2018-EMS.59
    • Pre-hospital hypoglycaemia referral pathways

      Bell, Fiona; Fitzpatrick, David (2016-12)
      Abstract published with permission. A short-cut review was carried out to determine whether referral to specialist diabetes services by ambulance crews improves long-term management of a patient’s diabetes. A total of 269 papers were found, of which three represented the best evidence to address the clinical question. The clinical bottom line is that specialist diabetes referrals by ambulance crews responding to an emergency call for hypoglycaemia may be beneficial for patients, although there is insufficient evidence to determine their impact.