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View article: Collective intelligence informs mechanisms, protocol and toolkit to merge National Ambulance Service data and the Major Trauma Audit to inform the national trauma system
Collective intelligence informs mechanisms, protocol and toolkit to merge National Ambulance Service data and the Major Trauma Audit to inform the national trauma system Open
Background Care following major trauma requires multi-specialty, multi-agency responses and many early-phase critical decisions, requiring synergy to ensure best patient outcomes. The National Ambulance Service (NAS) collects pre-hospital …
View article: Comparative Statistical Performance of Prehospital Scoring Systems With and Without Age Adjustments for Predicting Multiple Trauma Outcomes: An Observational Study
Comparative Statistical Performance of Prehospital Scoring Systems With and Without Age Adjustments for Predicting Multiple Trauma Outcomes: An Observational Study Open
Purpose: Prehospital trauma scoring systems have traditionally used mortality as the primary outcome, but trauma is complex condition with diverse presentations and outcomes, each of which are moderated by age. We assess the predictive per…
View article: Patient and mission characteristics of helicopter emergency medical services in the Republic of Ireland: a retrospective analysis
Patient and mission characteristics of helicopter emergency medical services in the Republic of Ireland: a retrospective analysis Open
Over the past decade, HEMS in Ireland has provided a valuable contribution to the care of seriously ill and injured patients, particularly in the west and southwest. Service use reflects HEMS base proximity, indicating potential benefits f…
View article: Out of hospital cardiac arrest in STEMI patients: A six-year review of an Irish tertiary referral centre
Out of hospital cardiac arrest in STEMI patients: A six-year review of an Irish tertiary referral centre Open
Mortality rates amongst studied STEMI patients presenting with OHCA were high. Although transfer to ED was associated with increased mortality, this finding may be explained by confounding factors, including more profound haemodynamic inst…
View article: Barriers to paramedic professionalisation: a qualitative enquiry across the UK, Canada, Australia, USA and the republic of Ireland
Barriers to paramedic professionalisation: a qualitative enquiry across the UK, Canada, Australia, USA and the republic of Ireland Open
The study highlights persistent barriers to paramedic professionalisation, including fragmented regulation, uneven educational standards, and systemic underinvestment. Although COVID-19 demonstrated the adaptability and potential of the pr…
View article: Exploring alternative paramedic roles: a multinational mixed-methods survey
Exploring alternative paramedic roles: a multinational mixed-methods survey Open
The findings from this study highlight that paramedicine is rapidly evolving in response to varying local healthcare needs and sector-specific challenges. Rather than striving for a uniform standard of practice, the results suggest that pa…
View article: Alternative Paramedic Roles: An International Perspective
Alternative Paramedic Roles: An International Perspective Open
Background While paramedicine is an evolving profession globally, there remain many disparities around titles and roles within the various jurisdictions that may not be fully captured in the literature. The aim of this study is to gain an …
View article: IFEM model curriculum: emergency medicine learning outcomes for undergraduate medical education
IFEM model curriculum: emergency medicine learning outcomes for undergraduate medical education Open
Background The International Federation for Emergency Medicine (IFEM) published its model curriculum for medical student education in emergency medicine in 2009. Because of the evolving principles of emergency medicine and medical educatio…
View article: Health systems developments and predictors of bystander CPR in Ireland
Health systems developments and predictors of bystander CPR in Ireland Open
Bystander CPR increased over the study period, and it is likely that health system developments contributed to the yearly increases observed. However, COVID-19 appeared to disrupt this positive trend. Urban OHCA location was associated wit…
View article: Temporal trends of ambulance time intervals for suspected stroke/transient ischaemic attack (TIA) before and during the COVID-19 pandemic in Ireland: a quasi-experimental study
Temporal trends of ambulance time intervals for suspected stroke/transient ischaemic attack (TIA) before and during the COVID-19 pandemic in Ireland: a quasi-experimental study Open
Objectives Time is a fundamental component of acute stroke and transient ischaemic attack (TIA) care, thus minimising prehospital delays is a crucial part of the stroke chain of survival. COVID-19 restrictions were introduced in Ireland in…
View article: Core requirements of frailty screening in the emergency department: an international Delphi consensus study
Core requirements of frailty screening in the emergency department: an international Delphi consensus study Open
Introduction Frailty is associated with adverse outcomes among patients attending emergency departments (EDs). While multiple frailty screens are available, little is known about which variables are important to incorporate and how best to…
View article: 2163 Enablers and barriers to the provision of end-of-life care in Irish emergency departments. A national survey
2163 Enablers and barriers to the provision of end-of-life care in Irish emergency departments. A national survey Open
Aims and Objectives Patients with End-of-Life (EOL) care needs present to the emergency department (ED) frequently, and at times it can be difficult to provide a high standard of care. Internationally, there is a dearth of literature on th…
View article: 1 A descriptive cross-sectional study of ‘alternative pre-hospital pathway team’ activity on patients aged 75 and over
1 A descriptive cross-sectional study of ‘alternative pre-hospital pathway team’ activity on patients aged 75 and over Open
Introduction Alternative pre-hospital pathways (APPs) are a relatively new model of healthcare delivery. The Cork APP Team was founded in November 2019 and consists of a Registrar and Emergency Medical Technician. The Team responds to low …
View article: Behavioural intention of mobile health adoption: A study of older adults presenting to the emergency department
Behavioural intention of mobile health adoption: A study of older adults presenting to the emergency department Open
The COVID-19 pandemic highlighted the challenges of providing quality healthcare to vulnerable populations, especially older adults who are disproportionately affected by health service disruptions. Increasingly, mobile health (mHealth) is…
View article: Prehospital characteristics that identify major trauma patients: A hybrid systematic review protocol
Prehospital characteristics that identify major trauma patients: A hybrid systematic review protocol Open
Background International evidence has demonstrated significant improvements both in the trauma care process and outcomes for patients through re-configuring care services from that which is fragmented to integrated trauma networks. A backb…
View article: Outcomes of out-of-hospital cardiac arrest in Ireland 2012-2020: Protocol for an observational study
Outcomes of out-of-hospital cardiac arrest in Ireland 2012-2020: Protocol for an observational study Open
Background Out-of-hospital cardiac arrest (OHCA) is a leading cause of preventable mortality that now affects almost 3,000 people each year in Ireland. Survival is low at 6–7%, compared to a European average of 8%. The Irish Out-of-Hospita…
View article: 19 Out of hospital cardiac arrest in STEMI patients: a five year review of an Irish tertiary referral centre
19 Out of hospital cardiac arrest in STEMI patients: a five year review of an Irish tertiary referral centre Open
Introduction Out of hospital cardiac arrest (OHCA) is a major cause of mortality, with reported rates of survival as low as 10%. Acute coronary syndrome is responsible for up to 60% of OHCA with immediate revascularisation recommended for …
View article: Prehospital characteristics that identify major trauma patients: A hybrid systematic review protocol
Prehospital characteristics that identify major trauma patients: A hybrid systematic review protocol Open
Background: International evidence has consistently demonstrated significant improvements both in the trauma care process and outcomes for patients through re-configuring care services from that which is fragmented to integrated trauma ne…
View article: The Implementation and Evolution of Helicopter Emergency Medical Services in the Republic of Ireland
The Implementation and Evolution of Helicopter Emergency Medical Services in the Republic of Ireland Open
Introduction: Helicopter Emergency Medical Services (HEMS) have formed an integral component of the Irish healthcare system for the past decade, yet the factors leading its commencement, its evolutions over this time, the current model of …