The experiences of EMS providers taking part in a large randomised trial of airway management during out of hospital cardiac arrest, and the impact on their views and practice. Results of a survey and telephone interviews

Kirby, Kim; Brandling, Janet; Robinson, Maria; Thomas, Matthew; Voss, Sarah; Benger, Jonathan

doi:10.1016/j.resuscitation.2020.01.034

Cited by 6 publications

(22 citation statements)

References 13 publications

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“…16 However, during interviews with paramedics who took part in a trial of advanced airway management for OHCA, some indicated that they would always use this stepwise approach, while others described using their professional judgement and clinical skills to decide which technique to use depending on the clinical situation. 17,18 Both survey and interview participants suggested it would be feasible and acceptable to conduct a randomised trial of airway management during IHCA, and a number of suggestions were made about the design of a potential trial. As TI and SGA devices are both readily available and used with similar frequency, participants felt there was equipoise in relation to this research question.…”

Section: Discussionmentioning

confidence: 99%

“…19 Respondents' willingness to take part in emergency care research is supported by findings from prehospital literature, where practitioners have expressed positive attitudes towards taking part in trials, both in general, 19 and specifically of airway management during cardiac arrest. 17 In a follow-up study of paramedics who took part in the AIRWAYS-2 trial, both survey respondents and interview participants were comfortable with enrolling critically unwell patients into a randomised controlled trial using either deferred or a waiver of consent. 17 There are some limitations to our study.…”

Section: Discussionmentioning

confidence: 99%

“…17 In a follow-up study of paramedics who took part in the AIRWAYS-2 trial, both survey respondents and interview participants were comfortable with enrolling critically unwell patients into a randomised controlled trial using either deferred or a waiver of consent. 17 There are some limitations to our study. Only one response was sought per hospital site and these responses were based on participants' reports and not externally validated.…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Airway management during in-hospital cardiac arrest in adults: UK national survey and interview study with anaesthetic and intensive care trainees

Goodwin

Samuel

Schofield

et al. 2020

Journal of the Intensive Care Society

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Background The optimal airway management strategy for in-hospital cardiac arrest is unknown. Methods An online survey and telephone interviews with anaesthetic and intensive care trainee doctors identified by the United Kingdom Research and Audit Federation of Trainees. Questions explored in-hospital cardiac arrest frequency, grade and specialty of those attending, proportion of patients receiving advanced airway management, airway strategies immediately available, and views on a randomised trial of airway management strategies during in-hospital cardiac arrest. Results Completed surveys were received from 128 hospital sites (76% response rate). Adult in-hospital cardiac arrests were attended by anaesthesia staff at 40 sites (31%), intensive care staff at 37 sites (29%) and a combination of specialties at 51 sites (40%). The majority (123/128, 96%) of respondents reported immediate access to both tracheal intubation and supraglottic airways. A bag-mask technique was used ‘very frequently’ or ‘frequently’ during in-hospital cardiac arrest by 111/128 (87%) of respondents, followed by supraglottic airways (101/128, 79%) and tracheal intubation (69/128, 54%). The majority (60/100, 60%) of respondents estimated that ≤30% of in-hospital cardiac arrest patients undergo tracheal intubation, while 34 (34%) estimated this to be between 31% and 70%. Most respondents (102/128, 80%) would be ‘likely’ or ‘very likely’ to recruit future patients to a trial of alternative airway management strategies during in-hospital cardiac arrest. Interview data identified several barriers and facilitators to conducting research on airway management in in-hospital cardiac arrest. Conclusions There is variation in airway management strategies for adult in-hospital cardiac arrest across the UK. Most respondents would be willing to take part in a randomised trial of airway management during in-hospital cardiac arrest.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Airway management during in-hospital cardiac arrest in adults: UK national survey and interview study with anaesthetic and intensive care trainees

Goodwin

Samuel

Schofield

et al. 2020

Journal of the Intensive Care Society

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The reality of advanced airway management during out of hospital cardiac arrest; why did paramedics deviate from their allocated airway management strategy during the AIRWAYS-2 randomised trial?

et al. 2023

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The value of allied health professional research engagement on healthcare performance: a systematic review

Chalmers

Hill

Connell

et al. 2023

BMC Health Serv Res

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Background Existing evidence suggests that clinician and organisation engagement in research can improve healthcare performance. With the increase in allied health professional (AHP) research activity, it is imperative for healthcare organisations, clinicians, managers, and leaders to understand research engagement specifically within allied health fields. This systematic review aims to examine the value of research engagement by allied health professionals and organisations on healthcare performance. Methods This systematic review had a two-stage search strategy. Firstly, the papers from a previous systematic review examining the effect of research engagement in healthcare were screened to identify papers published pre-2012. Secondly, a multi-database search was used to conduct a re-focused update of the previous review, focusing specifically on allied health to identify publications from 2012–2021. Studies which examined the value of allied health research engagement on healthcare performance were included. All stages of the review were conducted by two reviewers independently. Each study was assessed using the appropriate Joanna Briggs Institute critical appraisal tool. A narrative synthesis was completed to analyse the similarities and differences between and within the different study types. Results Twenty-two studies were included, comprising of mixed research designs, of which six were ranked as high importance. The findings indicated that AHP research engagement appears related to positive findings in improvements to processes of care. The review also identified the most common mechanisms which may link research engagement with these improvements. Discussion This landmark systematic review and narrative synthesis suggests value in AHP research engagement in terms of both processes of care and more tentatively, of healthcare outcomes. While caution is required because of the lack of robust research studies, overall the findings support the agenda for growing AHP research. Recommendations are made to improve transparent reporting of AHP research engagement and to contribute essential evidence of the value of AHP research engagement. Trial registration This systematic review protocol was registered with the international prospective register of systematic reviews, PROSPERO (registration number CRD42021253461).

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The experiences of EMS providers taking part in a large randomised trial of airway management during out of hospital cardiac arrest, and the impact on their views and practice. Results of a survey and telephone interviews

Cited by 6 publications

References 13 publications

Airway management during in-hospital cardiac arrest in adults: UK national survey and interview study with anaesthetic and intensive care trainees

Airway management during in-hospital cardiac arrest in adults: UK national survey and interview study with anaesthetic and intensive care trainees

The reality of advanced airway management during out of hospital cardiac arrest; why did paramedics deviate from their allocated airway management strategy during the AIRWAYS-2 randomised trial?

The value of allied health professional research engagement on healthcare performance: a systematic review

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