Evidence map›Paper›PMID 36782273›Full record

ArticleScandinavian journal of trauma, resuscitation and emergency medicine2023

"It's like a swan, all nice and serene on top, and paddling like hell underneath": community first responders' practices in attending patients and contributions to rapid emergency response in rural England, United Kingdom-a qualitative interview study.

Gupteswar Patel, Viet-Hai Phung, Ian Trueman, Julie Pattinson, Vanessa Botan, Seyed Mehrshad Parvin Hosseini, Roderick Ørner, Zahid Asghar, Murray D Smith, Elise Rowan and 5 more

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Scandinavian journal of trauma, resuscitation and emergency medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
3.5field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 10 citations in OpenAlex.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors at 3 institutions in 1 country.

Gupteswar PatelCommunity and Health Research Unit, School of Health and Social Care, University of Lincoln, Lincolnshire, UK.
Viet-Hai PhungCommunity and Health Research Unit, School of Health and Social Care, University of Lincoln, Lincolnshire, UK.
Ian TruemanCommunity and Health Research Unit, School of Health and Social Care, University of Lincoln, Lincolnshire, UK.
Julie PattinsonCommunity and Health Research Unit, School of Health and Social Care, University of Lincoln, Lincolnshire, UK.
Vanessa BotanCommunity and Health Research Unit, School of Health and Social Care, University of Lincoln, Lincolnshire, UK.
Seyed Mehrshad Parvin HosseiniCommunity and Health Research Unit, School of Health and Social Care, University of Lincoln, Lincolnshire, UK.
Roderick ØrnerCommunity and Health Research Unit, School of Health and Social Care, University of Lincoln, Lincolnshire, UK.
Zahid AsgharCommunity and Health Research Unit, School of Health and Social Care, University of Lincoln, Lincolnshire, UK.
Murray D SmithCommunity and Health Research Unit, School of Health and Social Care, University of Lincoln, Lincolnshire, UK.
Elise RowanCommunity and Health Research Unit, School of Health and Social Care, University of Lincoln, Lincolnshire, UK.
Robert SpaightEast Midlands Ambulance Service NHS Trust, Nottingham, UK.
Jason EvansNational Ambulance Commissioners Network, London, UK.
Amanda BrewsterCommunity and Health Research Unit, School of Health and Social Care, University of Lincoln, Lincolnshire, UK.
Pauline MountainCommunity and Health Research Unit, School of Health and Social Care, University of Lincoln, Lincolnshire, UK.
Aloysius Niroshan SiriwardenaCommunity and Health Research Unit, School of Health and Social Care, University of Lincoln, Lincolnshire, UK. nsiriwardena@lincoln.ac.uk.ORCID http://orcid.org/0000-0003-2484-8201
University of Lincoln · GBEast Midlands Ambulance Service NHS Trust · GBLondon Ambulance Service NHS Trust · GB

Funding

Health Services and Delivery Research Programme NIHR127920
6 · The paper itself

Abstract

backgroundCommunity First Responder (CFR) schemes are a long-established service supplementing ambulance trusts in their local community in the United Kingdom. CFRs are community members who volunteer to respond to people with life-threatening conditions. Previous studies highlighted the motivations for becoming CFRs, their training, community (un)awareness and implications of their work on themselves and others. The practices of CFRs in prehospital care remain underexplored. Therefore, we aimed to explore real-world practice of Community First Responders and their contribution to prehospital emergency care.

methodsWe conducted 47 interviews with CFRs (21), CFR leads (15), ambulance clinicians (4), commissioners (2) and patients and relatives (5) from six ambulance services and regions of England, United Kingdom. Thematic analysis enabled identification of themes and subthemes, with subsequent interpretation built on the theory of practice wisdom.

resultsOur analysis revealed the embeddedness of the concept of doing the right thing at the right time in CFR practice. CFRs' work consisted of a series of sequential and interconnected activities which included: identifying patients' signs, symptoms and problems; information sharing with the ambulance control room on the patient's condition; providing a rapid emergency response including assessment and care; and engaging with ambulance clinicians for patient transfer. The patient care sequence began with recognising patients' signs and symptoms, and validation of patient information provided by the ambulance control room. The CFRs shared patient information with ambulance control who in turn notified the ambulance crew en-route. The practices of CFRs also included delivery of emergency care before ambulance clinicians arrived. Following the delivery of a rapid emergency response, CFRs engaged with the ambulance crew to facilitate patient transfer to the nearest medical facility.

conclusionThe sequential CFR practices supported ambulance services in delivering prehospital and emergency care in rural areas. CFR practices were founded on the principle of practice wisdom where CFRs constructed their practice decisions based on the patient's condition, their training, availability of equipment and medications and their scope of practice.

Indexed as

AnseriformesEmergency Medical ServicesEmergency RespondersAnimalsEnglandHumansQualitative ResearchUnited KingdomCommunity first respondersEmergency carePractice wisdomUnited Kingdom

Identifiers

PMID36782273
PMCPMC9924885
OpenAlexW4320483717

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.