Ambulance Research Repository (AMBER)
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The space in between
In her first column, Alice Cochrane navigates the space in between university and practice Abstract published with permission
‘Just in case’ Medicines Use By Paramedics Responding to End of Life Care in the Community: a Multi-methods Study of the Experiences of Paramedics, Doctors, Family and Carers
How do emergency ambulance clinicians decide what to do for older adults who have fallen? An analysis of qualitative survey data
Deprivation links to bystander cardiopulmonary resuscitation and defibrillation rates
Background: Public access defibrillators and cardiopulmonary resuscitation (CPR) have been at the forefront of public health campaigns and public education and are key links in the chain of survival. Despite this, survival rates for out-of-hospital cardiac arrest (OHCA) in 2024 in the UK are lower than in comparable countries. Aims: This study aimed to critically review research in the UK to identify whether a patient’s level of socioeconomic deprivation impacts their chances of receiving bystander CPR and defibrillation. Methods: A rapid evidence review was conducted with literature searches from 2013 to July 2023 carried out. Five studies were identified. Findings: OHCA incidence was lowest in areas of least deprivation, while the most deprived populations had lower rates of bystander CPR (BCPR) with higher OHCA incidences. Automated external defibrillator (AED) provision did not correlate with OHCA incidence. Conclusion: Research is needed to look at areas with a high incidence of OHCA associated with low rates of BCPR, with the aim to target high-risk areas of low BCPR and high OHCA incidences for public education and AED installation, including qualitative research into the population’s thoughts and knowledge of CPR and defibrillation. Abstract published with permission
Reasons for secondary transfer of patients attended by a helicopter emergency medical service – a 1-year retrospective review using hospital episode statistics
Hypothermic cardiac arrest: A case report of an unexpected survivor using air medical transportation in Nepal
Never struggle alone
This shift started like every other and after a couple of jobs, we were on our way to hospital for a category 2 interfacility transfer. However, no less than a mile away from our last job, the stand down alert came through as we were changed to a category 1. The sat nav re-routed to the new location as my crew mate read out the words no one wants to hear: 'Katy, it’s a paediatric arrest'. What went through my mind at that moment is not for the printed page, but a gamut of emotions was flowing. Multiple alerts were pinging through, and control was radioing us. Abstract published with permissio