Annual Conference 2020-peer-reviewed oral presentations
See the summaries of the six peer-reviewed oral presentations for our 2020 conference
Dr Chen Ji, Warwick Clinical Trials Unit, University of Warwick
Long term outcomes of participants in the PARAMEDIC-2 randomised trial of adrenaline in out of hospital cardiac arrest
Prehospital Assessment of the Role of Adrenaline: Measuring the Effectiveness of Drug Administration in Cardiac Arrest (PARAMEDIC2) trial was a pragmatic, individually randomised, double blind, controlled trial and economic evaluation. Patients were randomised to either adrenaline or placebo. We recently reported early outcomes in the trial. This presentation will report the survival rate at 6 and 12 months as well as neurocognitive and health related quality of life outcomes at 3 and 6 months.
Imogen Gunson, West Midlands Ambulance Service University NHS Foundation Trust
Did West Midlands Ambulance Service Paramedics’ usage of adrenaline change after the publication of the PARAMEDIC2 results, but prior to any guideline change? A service evaluation
This service evaluation considers the anecdotal concern that paramedics may change their practice on publication of highly anticipated and well-known studies, when no guideline changes have occurred. PARAMEDIC2 was one of the largest pre-hospital cardiac arrest drug trials and was undertaken in 5 UK ambulance services. Due to the coverage and interpretation potential of the results, a retrospective evaluation of one ambulance service’s OHCAO data was reviewed for if the use of adrenaline changed before and after publication.
Christopher Holt, ScHARR, University of Sheffield
Major Trauma Triage Tools Study (MATTS) triage tools summary
I am a 4th year intercalating Medical student currently studying for a BMedSci at the University of Sheffield. I will be presenting my research findings relating to the identification of UK and International major trauma triage tools. These were documented as a summary following the completion of Phase 1 of the MATTS study. I will categorise / identify the most prevalent triage tools and most frequently utilised predictors of major trauma worldwide. To conclude, I will summarise the similarities and differences between the tools thus identifying the key components of an effective triage tool. These findings are currently being utilised in Phase 2 of the MATTS project, the validation study.
Mark Kingston, Swansea University
PERCH – Preliminary Exploration of the Role of paramedics in Care Homes
Care homes are familiar locations for paramedics responding to emergency calls and for general practice staff supporting their patients. New models of care delivery are emerging where paramedics provide planned care (e.g. through ward rounds) to residents – potentially helping to improve care and reduce ambulance and GP call outs. In this presentation I will summarise a project looking at the paramedic care home role, drawing on data from a survey of care home managers, routine 999 data and a stakeholder workshop.
Graham McClelland, North East Ambulance Service NHS Foundation Trust
A two armed, randomised, controlled exploratory study of adding a dry misting decontamination system to deep cleaning procedures in North East Ambulance Service
Healthcare associated infections (HAIs) and increasing antibiotic resistance are now a major global threat. The literature suggests that pathogens are present on ambulances, cleaning is inconsistent and patient/staff impact is difficult to quantify. This presentation will describe an exploratory, two armed, randomised controlled trial with blinded outcome assessment of adding a novel dry misting decontamination system to regular deep cleaning on NEAS ambulances. I will report microbes selected for their connection with HAIs found on five locations within fourteen NEAS ambulances, the effectiveness of regular deep cleaning and the impact of adding the dry misting system.
Dr Mary Halter, Kingston University & St George’s, University of London
What factors do EMS clinicians report as influencing their decision to perform a prehospital 12 lead ECG in Acute Coronary Syndromes?: a qualitative study
I will present the findings of a qualitative study, carried out within the Prehospital ECG 2 study, investigating the use and impact of the prehospital ECG in the primary PCI era in patients diagnosed with acute coronary syndromes. Earlier research suggested that prehospital ECG is not always performed for those receiving a hospital diagnosis of ACS, with the patient’s gender and ethnicity speculated as influential. In focus groups we explored with ambulance clinicians the factors they report as influencing their decision to perform a prehospital ECG, or not.