keyword
MENU ▼
Read by QxMD icon Read
search

Ambulance, paramedic, nhs

keyword
https://www.readbyqxmd.com/read/27752318/a-collaborative-improvement-project-by-an-nhs-emergency-department-and-scottish-ambulance-paramedics-to-improve-the-identification-and-delivery-of-sepsis-6
#1
Martin Carberry, John Harden
Early identification of patients with sepsis is key to the delivery of the sepsis 6 bundle including antibiotic therapy within an hour.[1-3] Demand versus capacity challenges in the Emergency Department (ED) led to delays in antibiotic and sepsis 6 delivery. An alerting tool was developed that provided criteria for Scottish Ambulance Service (SAS) Paramedics to alert the ED of potential sepsis patients. Data from patients presenting to the ED prior to the alerting process commencing (n=50) and during alerting (n=50) were analysed, a questionnaire was used to ascertain feedback from all staff groups; nurses doctors, and paramedics (n=38)...
2016: BMJ Quality Improvement Reports
https://www.readbyqxmd.com/read/27189852/paramedics-experiences-of-end-of-life-care-decision-making-with-regard-to-nursing-home-residents-an-exploration-of-influential-issues-and-factors
#2
Georgina Murphy-Jones, Stephen Timmons
INTRODUCTION: For a patient nearing the end of his or her life, transfer from a nursing home to the ED can be inappropriate, with potentially negative consequences, but transfer in these circumstances is, regrettably, all too common. There is a lack of published literature exploring how paramedics make decisions in end-of-life care situations. This study aims to explore how paramedics make decisions when asked to transport nursing home residents nearing the end of their lives. METHODS: Phenomenological influenced design with a pragmatic approach...
October 2016: Emergency Medicine Journal: EMJ
https://www.readbyqxmd.com/read/27121111/an-exploration-of-the-views-of-paramedics-regarding-airway-management
#3
Janet Brandling, Megan Rhys, Matthew Thomas, Sarah Voss, Sian Emma Davies, Jonathan Benger
BACKGROUND: Paramedics are a skilled group of clinicians with expertise in airway management. Our research group has completed a trial comparing supraglottic airway devices with tracheal intubation during out of hospital cardiac arrest. This is a contentious topic amongst paramedics in the United Kingdom (UK). We explored the customs and beliefs of UK paramedics in relation to airway management, and whether tracheal intubation contributes to and sustains paramedic professional identity...
2016: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
https://www.readbyqxmd.com/read/25991782/feasibility-study-of-a-novel-pain-assessment-tool-for-improving-prehospital-pain-management
#4
Mohammad Iqbal, P Anne Spaight, Ros Kane, Zahid Asghar, A Niroshan Siriwardena
BACKGROUND: Pain affects 4 out of 5 patients presenting to ambulance services and is often poorly assessed and treated. Currently, patients' pain is assessed by ambulance clinicians using a numerical verbal (zero to ten) pain score (NVPS). Our previous qualitative study showed that NVPS were poorly understood by patients and that a better pain assessment tool was needed. This current study sought to develop and test a novel pain assessment tool 'Patient Reported Outcome Measure for Pain Treatment (PROMPT)' for feasibility of use by ambulance paramedics...
June 2015: Emergency Medicine Journal: EMJ
https://www.readbyqxmd.com/read/25890967/sicker-from-the-start-copd-exacerbation-and-distance-to-hospital
#5
Leila Bassir, Linda Dykes, Rob Perry
INTRODUCTION: We noticed that COPD patients travelling long distances to our rural ED arrived in a worse condition than those living nearby. We suspected this might be due to oxygen-driven nebulisers en route: high-flow oxygen during transfer is known to increase COPD mortality. METHODS: We conducted a retrospective chart review of ED patients who arrived by ambulance and were admitted with exacerbations of COPD December 2010-March 2011. ▸ 42/114 lacked ambulance records, leaving 72 cases for analysis...
May 2015: Emergency Medicine Journal: EMJ
https://www.readbyqxmd.com/read/25890966/where-next-for-the-paramedic-profession-an-ethnography-of-work-culture-and-occupational-identity
#6
Leo McCann, Edward Granter, John Hassard, Paula Hyde
The paramedic profession, along with the broader structure and mission of NHS emergency ambulance provision, is undergoing significant but rather undefined change. The clinical scope of the paramedic role has broadened, and the opening of new patient pathways has enabled a broader range of treatment and referral options for attending ambulance crews. Ambulance trusts have moved to an all-graduate intake for new paramedics, and significant advances have been made in establishing the classic steps of a 'professionalization project' (such as the growth of the College of Paramedics, the development of peer-reviewed practitioner journals, and the introduction of advanced paramedic roles...
May 2015: Emergency Medicine Journal: EMJ
https://www.readbyqxmd.com/read/25890960/trials-and-tribulations-the-story-of-the-safer-2-study
#7
Robin Chatters, Helen Snooks, Sarah Gaze, Marina Koniotou
BACKGROUND: The SAFER 2 study is an RCT looking to improve the care provided by ambulance service to elderly patients who fall, by providing paramedics with a complex intervention consisting of a paramedic training programme, referral pathway to Falls Prevention Services, clinical support, a clinical decision flowchart and referral feedback. The study received confirmation of funding in December 2008; originally, patient recruitment was scheduled to finish in December 2011. METHODS: Information regarding the progress of the study was sought from study staff, study timelines and quarterly reports sent to the study funders (HTA)...
May 2015: Emergency Medicine Journal: EMJ
https://www.readbyqxmd.com/read/25890958/single-dose-activated-charcoal-for-pre-hospital-use-a-feasibility-study-by-south-western-ambulance-service-nhs-foundation-trust
#8
Richard Walker, Sarah Black
In 2004 The National Institute for Health and Care Excellence (NICE) recommended in that ambulance services should carry Single Dose Activated Charcoal (SDAC) as an antidote to self-poisoning. A survey of ambulance services conducted a year later found a strong reluctance by services to carry the medication. As a result of a research project supporting the recommendation of NICE the South Western Ambulance Service conducted a six month trial of SDAC in two of its zones. A Patient Group Directive was produced and an education programme put in place...
May 2015: Emergency Medicine Journal: EMJ
https://www.readbyqxmd.com/read/25890956/a-systematic-review-of-literature-on-the-care-of-older-people-who-fall-and-use-out-of-hospital-emergency-services
#9
Mary Halter, Robin Chatters, Marina Koniotou, Bridie Evans
BACKGROUND: Older people who fall have been a priority area for the NHS since the publication of the National Service Framework for Older People. Evidence suggests falls prevention can reduce further falls. With rising numbers using Emergency Departments, there is a policy shift for ambulances to convey fewer patients and efforts to refer falls patients to other services OBJECTIVE: To review evidence about impact and implementation of interventions delivered by emergency medical services to treat older people who fall to reduce emergency admissions to hospital...
May 2015: Emergency Medicine Journal: EMJ
https://www.readbyqxmd.com/read/25472989/a-qualitative-study-of-systemic-influences-on-paramedic-decision-making-care-transitions-and-patient-safety
#10
Rachel O'Hara, Maxine Johnson, A Niroshan Siriwardena, Andrew Weyman, Janette Turner, Deborah Shaw, Peter Mortimer, Chris Newman, Enid Hirst, Matthew Storey, Suzanne Mason, Tom Quinn, Jane Shewan
OBJECTIVES: Paramedics routinely make critical decisions about the most appropriate care to deliver in a complex system characterized by significant variation in patient case-mix, care pathways and linked service providers. There has been little research carried out in the ambulance service to identify areas of risk associated with decisions about patient care. The aim of this study was to explore systemic influences on decision making by paramedics relating to care transitions to identify potential risk factors...
January 2015: Journal of Health Services Research & Policy
https://www.readbyqxmd.com/read/24076658/critical-care-paramedics-in-england-a-national-survey-of-ambulance-services
#11
Johannes von Vopelius-Feldt, Jonathan Benger
Critical care paramedics (CCPs) have been introduced by individual ambulance trusts in England, but there is a lack of national coordination of training and practice. We conducted an online survey of NHS ambulance services to provide an overview of the current utilization and role of CCPs in England. The survey found significant variations in training, competencies and the working patterns of the ∼90 CCPs working in five ambulance services. All ambulance trusts currently employing CCPs are planning on increasing CCP numbers, whereas 'insufficient financial means' and 'insufficient scientific evidence' are the two major barriers to CCP utilization...
August 2014: European Journal of Emergency Medicine: Official Journal of the European Society for Emergency Medicine
https://www.readbyqxmd.com/read/23717920/planning-like-an-olympian-how-london-ambulance-service-successfully-handled-their-summer-of-sport
#12
Jason Killens
LOCOG Medical managed thousands of patient contacts across all the Games venues without our intervention. A polyclinic in the athlete's village had extensive diagnostic options, including X-ray and magnetic resonance imaging for athletes and the Olympic family. These helped limit the number of patients who needed transport to the ED. Although the delivery was seamless, there were "behind the scenes" moments in the final stages of planning that made us think. We received additional requests for ambulance cover at training venues that hadn't been planned for on short notice...
March 2013: JEMS: a Journal of Emergency Medical Services
https://www.readbyqxmd.com/read/23148348/support-and-assessment-for-fall-emergency-referrals-safer-2-research-protocol-cluster-randomised-trial-of-the-clinical-and-cost-effectiveness-of-new-protocols-for-emergency-ambulance-paramedics-to-assess-and-refer-to-appropriate-community-based-care
#13
Helen Snooks, Rebecca Anthony, Robin Chatters, Wai-Yee Cheung, Jeremy Dale, Rachael Donohoe, Sarah Gaze, Mary Halter, Marina Koniotou, Phillippa Logan, Ronan Lyons, Suzanne Mason, Jon Nicholl, Ceri Phillips, Judith Phillips, Ian Russell, A Niroshan Siriwardena, Mushtaq Wani, Alan Watkins, Richard Whitfield, Lynsey Wilson
INTRODUCTION: Emergency calls to ambulance services are frequent for older people who have fallen, but ambulance crews often leave patients at the scene without ongoing care. Evidence shows that when left at home with no further support older people often experience subsequent falls which result in injury and emergency-department attendances. SAFER 2 is an evaluation of a new clinical protocol which allows paramedics to assess and refer older people who have fallen, and do not need hospital care, to community-based falls services...
2012: BMJ Open
https://www.readbyqxmd.com/read/23117421/prehospital-anaesthesia-by-a-physician-and-paramedic-critical-care-team-in-southwest-england
#14
Johannes von Vopelius-Feldt, Jonathan R Benger
OBJECTIVES: Prehospital anaesthesia using rapid sequence induction (RSI) is carried out internationally and in the UK despite equivocal evidence of clinical benefit. It is a core skill of the prehospital critical care service established by the Great Western Ambulance Service NHS Trust (GWAS) in 2008. This retrospective analysis of the service's first 150 prehospital RSIs describes intubation success rates and complications, thereby contributing towards the ongoing debate on its role and safety...
December 2013: European Journal of Emergency Medicine: Official Journal of the European Society for Emergency Medicine
https://www.readbyqxmd.com/read/20807293/what-influences-pre-hospital-cannulation-intentions-in-paramedics-an-application-of-the-theory-of-reasoned-action
#15
Smita C Banerjee, A Niroshan Siriwardena, Mohammad Iqbal
BACKGROUND: Intravenous cannulation is a common and important intervention undertaken by paramedics for administration of fluids and drugs in the pre-hospital setting. This study was a partial application of the theory of reasoned action to the prediction of pre-hospital cannulation intentions as part of an evaluation of an educational intervention to change cannulation behaviour in paramedics in line with national guidance. METHODS: In 2008 a self-completion questionnaire was sent to paramedics from Nottinghamshire and Lincolnshire divisions of East Midlands Ambulance Service NHS Trust, UK...
February 2011: Journal of Evaluation in Clinical Practice
https://www.readbyqxmd.com/read/20515914/ambulance-provision-for-children-a-uk-national-survey
#16
Rosie Houston, Gale A Pearson
BACKGROUND: The purpose of this national survey of UK ambulance services was to provide an up-to-date assessment of service provision for children in the prehospital setting and to identify the challenges faced in providing optimal services to this group. METHODS: Questionnaires were sent to clinical directors of the 16 UK NHS ambulance services in April 2009. RESULTS: Questionnaires were returned by 13 (81%) respondents. Paramedics and most emergency medical technicians receive a limited amount of paediatric training...
August 2010: Emergency Medicine Journal: EMJ
https://www.readbyqxmd.com/read/19465626/paramedic-led-prehospital-thrombolysis-is-safe-and-effective-the-east-anglian-experience
#17
S N Khan, P Murray, L McCormick, L S Sharples, P Salahshouri, J Scott, P M Schofield
INTRODUCTION: Prehospital thrombolysis has been shown to improve patient outcomes in clinical trials and this has been confirmed in the ongoing large national myocardial infarction registry (Myocardial Infarction National Audit Project; MINAP) reports. This paper describes a system to improve the delivery of prehospital thrombolysis and the associated governance requirements to gain maximum patient benefit. METHODS: Demographic data were prospectively collected on all patients treated by the East Anglian Ambulance Trust with bolus thrombolytics for a presumed diagnosis of ST elevation myocardial infarction between November 2003 and February 2007...
June 2009: Emergency Medicine Journal: EMJ
https://www.readbyqxmd.com/read/19386879/views-regarding-the-provision-of-prehospital-critical-care-in-the-uk
#18
MULTICENTER STUDY
R Mackenzie, A Steel, J French, R Wharton, S Lewis, A Bates, T Daniels, M Rosenfeld
AIMS: There is a lack of consensus regarding the role for critical care in the prehospital environment in the UK. It was hypothesised that this related to differences in views and understanding among opinion leaders within influential prehospital care organisations. METHODS: A 38-item survey was developed by an established paramedic-physician prehospital critical care service. The survey was distributed to individuals in senior positions within seven organisations that have a major influence on UK prehospital services...
May 2009: Emergency Medicine Journal: EMJ
https://www.readbyqxmd.com/read/17652678/accuracy-of-emergency-medical-dispatchers-subjective-ability-to-identify-when-higher-dispatch-levels-are-warranted-over-a-medical-priority-dispatch-system-automated-protocol-s-recommended-coding-based-on-paramedic-outcome-data
#19
Jeff Clawson, Christopher H O Olola, Andy Heward, Greg Scott, Brett Patterson
OBJECTIVES: To establish the accuracy of the emergency medical dispatcher's (EMD's) decisions to override the automated Medical Priority Dispatch System (MPDS) logic-based response code recommendations based on at-scene paramedic-applied transport acuity determinations (blue-in) and cardiac arrest (CA) findings. METHODS: A retrospective study of a 1 year dataset from the London Ambulance Service (LAS) National Health Service (NHS) Trust was undertaken. We compared all LAS "bluing in" frequency (BIQ) and cardiac arrest quotient (CAQ) outcomes of the incidents automatically recommended and accepted as CHARLIE-level codes, to those receiving EMD DELTA-overrides from the auto-recommended CHARLIE-level...
August 2007: Emergency Medicine Journal: EMJ
https://www.readbyqxmd.com/read/16046763/a-review-of-emergency-equipment-carried-and-procedures-performed-by-uk-front-line-paramedics-on-paediatric-patients
#20
MULTICENTER STUDY
K Roberts, F Jewkes, H Whalley, D Hopkins, K Porter
OBJECTIVES: In 1997 a review of paramedic practice upon adult patients in the UK found many inconsistencies and deficiencies in basic care. A follow up review in 2002 identified widespread improvement in provision of equipment and skills to provide basic and advanced life support.Paediatric care was not assessed in either review. The authors conducted this study to identify current standards of care in paediatric paramedic practice and areas of potential improvement. METHOD: A questionnaire designed to determine what equipment and skills were available to paramedics for the management of common or serious paediatric emergencies was sent to chief executives of the 32 NHS Ambulance Trusts in England and Wales...
August 2005: Emergency Medicine Journal: EMJ
keyword
keyword
43205
1
2
Fetch more papers »
Fetching more papers... Fetching...
Read by QxMD. Sign in or create an account to discover new knowledge that matter to you.
Remove bar
Read by QxMD icon Read
×

Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"