Ambulance Research Repository (AMBER)
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2042 research outputs found
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Using the properties of the odds ratio to improve precision in meta-analysis: an update on the benefits of targeted deployment of physician-led interprofessional pre-hospital teams on the care of critically ill and injured patients
No full textDefining the terminology of first responders alerted for out-of-hospital cardiac arrest by medical dispatch centres: an international consensus study on nomenclature
No full textFeedback from A&E and reflective practice
No full textHave you ever found yourself wondering, ‘What happened with that patient that I took to hospital?’, ‘How are they doing?’ or ‘Did I do the right thing?’. I often chase down the busy triage nurses in accident and emergency (A&E) to find out how my patients from earlier that shift are doing. Were they discharged? Was it a myocardial infarction? Did the bag of fluids I gave help their blood pressure? I’m always keen to find out if I did the right thing or – in all honesty – whether I have done anything wrong, so that I don’t make a similar mistake again. It can be personally frustrating if for some reason I can’t ‘scratch that itch’ so to speak – especially for the more complex patients or the rarer presentations. It is this desire to learn more that led me to start my journey towards a master’s degree, which has introduced me to concepts that underpin the clinical decision-making we use as professionals. Abstract published with permission
Prehospital recognition and antibiotics for 999 patients with sepsis: feasibility study results
No full textBackground Sepsis is a common condition which kills approximately 44,000 people annually in the UK. Early recognition and management of sepsis has been shown to reduce mortality and improve outcomes. Paramedics frequently attend patients with sepsis, and are well placed to provide early diagnosis and treatment. We aimed to assess whether a multi-centre randomised trial to evaluate pre-hospital antibiotics was feasible. https://emj.bmj.com/content/36/10/e8.1 Methods Volunteer paramedics used scratchcards to allocate patients with ‘Red Flag’ Sepsis at random between experimental and control arms. The primary outcome was mortality at six months. We also measured: adverse events, costs, final diagnosis, length of stay in hospital, and quality of care; and collected qualitative data about acceptability to patients in interviews, and paramedics in focus groups. We pre-specified criteria for deciding whether to progress to a fully powered trial based on: recruitment of paramedics and patients; retrieval of outcome data; safety; acceptability; and diagnostic accuracy. Results Fifty-four paramedics completed their training and were issued scratchcards to randomly allocate patients to trial arms. Patients were recruited from 1.12.17 to 31.5.18. In total, 118 patients were randomly allocated to trial arms; four patients dissented to be included in the trial, leaving 114 patients to follow-up. Sixty-two patients (54%) were allocated to the intervention arm. The mean age of the control arm was 71.2 years (range 28–97); 33 (65%) control participants were female. In the intervention arm the mean age was 75.6 years (range 30–99) and 38 patients (61%) were female. Nine patients in the control group (18%) and 17 in the intervention group (28%) were already taking antibiotics at the time of their 999 call. Twenty-three questionnaires were received. No serious adverse events were reported. Conclusions Complete results will be presented at the time of the conference, when routine linked anonymised outcomes are available. 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/openhrt-2015-000281 BPJ and JPP Abstract published with permission
Pedagogical use of board games to enhance professional attributes for healthcare students in higher education: a scoping review
No full textCuddle pocket implementation for miscarriage/early pregnancy loss: a Northern Ireland Ambulance Service Project
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