Publications by authors named "Chris Kingswell"
Concepts, antecedents and consequences of ambulance ramping in the emergency department: A scoping review.
Australas Emerg Nurs J
November 2017
Article Synopsis
- Ambulance Ramping refers to delays patients face when being transferred from ambulances to Emergency Departments (ED), causing a bottleneck in receiving timely care.
- This scoping review synthesized literature from 1983 to March 2015, analyzing various causes and effects of Ambulance Ramping, including factors like limited staff, patient urgency, and hospital crowding.
- The findings highlight that while the problem is well-recognized, there is a lack of research on how these delays impact patients' experiences, suggesting a need for further study to fully understand the implications.
Background: Internationally, the workload of emergency departments (ED) has increased, resulting in overcrowding and frequent delays in the offloading of patients arriving via ambulance--referred to in Australia as 'ambulance ramping'.
Methods: Using interpretive phenomenology, this study sought to understand the experience of ambulance ramping from the perspective of patients. Semi-structured interviews were undertaken with seven patients who presented to a regional Queensland ED via ambulance, and experienced an ambulance offload delay of >30 min.
This study compared the effect of load distribution using two different webbing designs on oxygen consumption and running kinematics of soldiers. It was hypothesised that running with webbing that distributes the load closer to the body (M83 Assault Vest) would expend less energy compared to running with conventional webbing (CON). Seven soldiers randomly completed three treadmill trials; an unloaded VO(2)max test, and two loaded (8 kg) efficiency tests using either the M83 or CON webbing.
View Article and Find Full Text PDF