Publications by authors named "Dhushy Surendra Kumar"
Objectives: To assess whether different cervical spine immobilisation strategies (full immobilisation, movement minimisation or no immobilisation), impact neurological and/or other outcomes for patients with suspected cervical spinal injury in the pre-hospital and emergency department setting.
Design: Systematic review following Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines.
Data Sources: MEDLINE, EMBASE, CINAHL, Cochrane Library and two research registers were searched until September 2023.
Background: Single-centre studies suggest that successive Coronavirus Disease 2019 (COVID-19)-related "lockdown" restrictions in England may have led to significant changes in the characteristics of major trauma patients. There is also evidence from other countries that diversion of intensive care capacity and other healthcare resources to treating patients with COVID-19 may have impacted on outcomes for major trauma patients. We aimed to assess the impact of the COVID-19 pandemic on the number, characteristics, care pathways, and outcomes of major trauma patients presenting to hospitals in England.
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- - The study compared trauma care systems in the English NHS and Quebec, Canada, focusing on patient admissions with major trauma from 2014 to 2017 to identify differences in care structures and outcomes.
- - Key findings showed that the NHS had a more advanced prehospital care system and longer hospital stays for certain injuries, while Quebec had quicker transport times for direct cases but longer emergency department stays.
- - Mortality rates varied with injury type, showing higher death rates in Quebec for head injuries but better outcomes for thoracoabdominal injuries, indicating the need for future research to explore quality improvements in trauma care.
Background: The utilization of helicopter emergency medical services (HEMS) in modern trauma systems has been a source of debate for many years. This study set to establish the true impact of HEMS in England on survival for patients with major trauma.
Methods: A comparative cohort design using prospectively recorded data from the UK Trauma Audit and Research Network registry.
Objective: In this article, we describe how we developed and validated key performance indicators (KPIs) for pre-hospital blood transfusion and offer suggestions for other organisations wishing to develop performance metrics.
Background: KPIs are metrics that compare actual care against an ideal structure, process or outcome standard. An increasing number of UK-based pre-hospital critical care services now carry blood components to enable pre-hospital blood transfusion.