• Login
    View Item 
    •   Home
    • South Western Ambulance Service [SWAST]
    • Publications - South Western Ambulance Service
    • View Item
    •   Home
    • South Western Ambulance Service [SWAST]
    • Publications - South Western Ambulance Service
    • View Item
    JavaScript is disabled for your browser. Some features of this site may not work without it.

    Browse

    All of amberCommunitiesPublication DateAuthorsTitlesSubjectsJournal TitleThis CollectionPublication DateAuthorsTitlesSubjectsJournal TitleProfilesView

    My Account

    LoginRegister

    About amber

    About amberGeneral Policies Terms of DepositSuggest an addition to amberamber Advisory NoteBrief Guide to searching amber

    Statistics

    Display statistics

    Research paramedics’ observations regarding the challenges and strategies employed in the implementation of a large-scale out-of-hospital randomised trial

    • CSV
    • RefMan
    • EndNote
    • BibTex
    • RefWorks
    Average rating
     
       votes
    Cast your vote
    You can rate an item by clicking the amount of stars they wish to award to this item. When enough users have cast their vote on this item, the average rating will also be shown.
    Star rating
     
    Your vote was cast
    Thank you for your feedback
    Author
    Green, Jonathan cc
    Robinson, Maria
    Pilbery, Richard cc
    Whitley, Gregory cc
    Hall, Helen
    Clout, Madeleine
    Reeves, Barnaby
    Kirby, Kim cc
    Benger, Jonathan cc
    Keyword
    Emergency Medical Services
    Out-of-Hospital Cardiac Arrest (OHCA)
    Cardiac Arrest
    Randomized Controlled Trials as Topic
    Research
    Journal title
    British Paramedic Journal
    
    Metadata
    Show full item record
    URI
    http://hdl.handle.net/20.500.12417/898
    DOI
    10.29045/14784726.2020.06.5.1.26
    Abstract
    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.
    ae974a485f413a2113503eed53cd6c53
    10.29045/14784726.2020.06.5.1.26
    Scopus Count
    Collections
    Publications - East of England Ambulance Service
    Publications - Yorkshire Ambulance Service
    Publications - South Western Ambulance Service

    entitlement

     

    DSpace software (copyright © 2002 - 2023)  DuraSpace
    Quick Guide | Contact Us
    Open Repository is a service operated by 
    Atmire NV
     

    Export search results

    The export option will allow you to export the current search results of the entered query to a file. Different formats are available for download. To export the items, click on the button corresponding with the preferred download format.

    By default, clicking on the export buttons will result in a download of the allowed maximum amount of items.

    To select a subset of the search results, click "Selective Export" button and make a selection of the items you want to export. The amount of items that can be exported at once is similarly restricted as the full export.

    After making a selection, click one of the export format buttons. The amount of items that will be exported is indicated in the bubble next to export format.