Publications by authors named "Colin Crookston"

This consensus statement provides profession-specific guidance in relation to tracheal intubation by paramedics - a procedure that the College of Paramedics supports. Tracheal intubation by paramedics has been the subject of professional and legal debate as well as crown investigation. It is therefore timely that the College of Paramedics, through this consensus group, reviews the available evidence and expert opinion in order to prevent patient harm and promote patient safety, clinical effectiveness and professional standards.

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Background: Quality of manual cardiopulmonary resuscitation (CPR) during extrication and transport of out-of-hospital cardiac arrest victims is known to be poor. Performing manual CPR during ambulance transport poses significant risk to the attending emergency medical services crew. We sought to use pre-hospital video recording to objectively analyse the impact of introducing mechanical CPR with an extrication sheet (Autopulse, Zoll) to an advanced, second-tier cardiac arrest response team.

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Article Synopsis
  • Out-of-hospital cardiac arrest (OHCA) is a critical emergency, and the success of survival largely depends on effective prehospital resuscitation, which includes non-technical skills like leadership and communication.
  • A pilot study called TOPCAT2 was conducted in Edinburgh to evaluate the implementation of a specialist second-tier paramedic response for OHCA, involving advanced training and simulation techniques.
  • The study found that activating the second-tier paramedic did not delay overall ambulance response times and showed a promising increase in successful outcomes, with a return of spontaneous circulation rate of 22.5% for cases attended by the trained paramedics.
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