Ambulance Research Repository (AMBER)
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2042 research outputs found
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Deciphering the ambulance clinician’s dilemma: assessing head injuries in older adults across the UK
No full textThrown in at the deep end
No full textIn the April issue, I shared my experience of the Newly Qualified Paramedic (NQP) recruitment process, and provided some tips on preparation. Since then, I have completed a 3-week induction and a handful of observational shifts, and have settled into my new rota as part of a double crew ambulance (DCA). Abstract published with permission
Confidence of ambulance staff when attending older adults who have fallen: quantitative results from the AMBOFALL pilot survey
Full text linkChallenges and Strategies in Paramedic Training for the RAPID2 Trial of FICB for Hip Fractures
Full text linkResearch Priorities in the Development of a National Research Strategy for Paramedicine in Ireland: A Delphi Study
No full textCombinations of first responder and drone delivery to achieve 5-minute AED deployment in OHCA
No full textSupport from advanced practitioners in critical care for ankle fracture dislocation
No full textBackground: Analgesic imitations, under-recognition of injury severity and delayed restoration of neutral alignment are common problems around ankle fracture dislocation (AFD). Optimal prehospital management improves long-term outcomes. Aims: This study aimed to explore ambulance clinicians’ experiences of AFD incidents when supported by advanced practitioners in critical care (APCCs). Methods: Semi-structured online interviews were conducted. Data sets were coded and grouped to identify themes via thematic content analysis. Findings: Six clinicians agreed to take part (response rate 42%). AFDs were encountered infrequently (once per year). Four themes were identified: clinicians’ confidence in managing AFD; value-added role of APCCs; prehospital challenges; and reflections on the incident. Conclusions: Benefits of the APCC role include enhanced technical skills, including in ankle reduction and analgesia, and in non-technical skills, such as leadership and decision-making. Improvements in clinician recognition and management of AFD and better awareness of the APCC role are recommended, as is research on optimal prehospital AFD management. Abstract published with permission
Systematic analysis of approaches used in cardiac arrest trials to inform relatives about trial enrolment of non-surviving patients
No full textMaternity emergencies 2: normal birth
No full textBirth is a physiological process. However, when occurring unplanned prehospitally, it is a clinically significant event that is often unexpected and can be the cause of great anxiety. This is generally due to paramedics’ lack of exposure and training in maternity in general, the fear of the unknown and the concerns about ‘what if something goes wrong?’ An understanding of the physiology and how birth processes work will assist with the decisions around transporting the woman in labour and how to manage a birth if it occurs rapidly and unexpectedly. This series on maternity care will highlight a range of maternity emergencies and detail the pathophysiology as well as their prehospital treatment and management. Abstract published with permission
