University of Lincoln Research Showcase: Prehospital Emergency Care

By Adem Lewis / in , , , , , , , , , , , , /

University of Lincoln Research Showcase:
Prehospital Emergency Care Our case study is about prehospital care for
urgent and emergency problems, particularly involving ambulance services. Niro Siriwardena, Professor of Primary
and Pre-hospital Health Care. We’ve looked at gaps in care,
benchmarking of services, and specifically trying to improve the quality
of care for a range of conditions, including heart attack and stroke,
diabetes, asthma, and cardiac arrest. When paramedics attend somebody
with a heart attack, they should do a certain
number of critical things. But we found a big variation in even things
like aspirin being given to people with heart attacks, So, the worst service provided aspirin
in 50 per cent of people with heart attacks, and the best was closer to 100 per cent. As a result of our research, we’ve
had significant changes in front line care, particularly for heart
attack and stroke but also other conditions. We’ve had changes in policy in terms of how
ambulance services are being measured, and we’ve also had changes in
terms of the regulation of ambulance services, and the measures that
are used by regulators to measure and benchmark ambulance services. Our work on pre-hospital care is continuing. We’re currently in the third year of a five-year
programme called PhOEBE, which is a programme which is developing new
outcome measures for ambulance services. What we’re very interested in doing is to
understand whether the types of treatment that are provided
by ambulance clinicians in the pre-hospital environment actually lead
to improved outcomes, and to then develop measures
to try and understand that.

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