Pre-Hospital Care

Pre-Hospital Care

An ambulance moving at speed to a patient

Our pre-hospital care research focuses on all aspects of the out-of-hospital environment, particularly the care provided by ambulance service clinicians. Areas of research are varied and range from airway management in cardiac arrest to health promotion and safely reducing hospital admissions to support the delivery of emergency care closer to home. This research area also encompasses the complex health needs of an ageing population. Below is a list of REACH member’s recent work.

Title, dates, funder, and amount of funding

PrePOCTed: Point of care testing in the ambulance service.
March 2023 – February 2024
NIHR HTA Application Acceleration Award
£197,060
ParAid: Paramedic delivery of end-of-life care: a mixed methods evaluation of service provision and professional practice
March 2023 – February 2024
Marie Curie
£150,000
PRESSURE 2022: PRimary and community carE Staff as SURvivors of domestic violence and abusE
May 2022 – April 2023
NIHR School for Primary Care Research
£145,256
PARSE 999: Policy Frameworks for 999 Response.
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Policy Support Fund, Warwick University
£45,000
Birth before arrival (BBA) at hospital in the South West: an exploration of inequalities and call-taker advice.
March 2022 – March 2023
South West Academic Health Science Network
£27,969
Evaluating the role of GPs working in Emergency Ambulance Services.
April 2021 – July 2022
NHS Bristol, North Somerset and South Gloucestershire Integrated Care Board
£25,563
REMAPP: REMote Advice to Prehospital Practitioners – A Conversation Analytic Study of Clinical Telephone Advice Call
October 2020 – October 2021
Academy Medical Sciences
£25,000
Natural Language Processing to triage chest pain patients more accurately with a particular focus on identifying chest pain patients who are at imminent risk of OHCA.
Sep 2022 – July 2023
NHS HEE/NIHR
£24,961
PARASOL: What are stakeholders’ views on a paramedic screening and referral intervention aimed at improving advanced care planning in patients in the last year of life? This study explores relevant stakeholder views on utilising a paramedic screening and referral intervention aimed at improving advanced care planning in patients in the last year of life.
April 2019 – Feb 2020
NHS Bristol, North Somerset and South Gloucestershire Integrated Care Board
£22,000
OCSAS (pilot study): Examining the Occupational Stress Experienced by Ambulance Staff
March 2023 – February 2024
NHS Bristol, North Somerset and South Gloucestershire Integrated Care Board
£20,761
Artistry and Emergencies: Artistry and Emergencies: The relationship between creative arts and emergency skills education.
May – December 2023
Brigstow Institute
£10,700
Temperature management of babies born before arrival at hospital in the South West: Driving the implementation of recommended changes to call handler advice.
March 2023 – June 2023
South West Academic Health Science Network
£5,000
Natural language processing and machine learning to enhance the assessment of patients who contact the ambulance service with chest pain; building networks and collaboration.
July 2022 – Dec 2022
Alan Turing
£2,000
Designing in Defibs: Designing in defibrillators: combining art and urban planning to increase the visibility of public access defibrillators in civic spaces.
February – July 2022
Brigstow Institute
£1,400

PhD projects

  • Paramedic assessment and management of children with minor head injury: INSPIRE. Funded by NIHR Clinical Doctoral Research Fellowship (2022 – 2026)
  • Paramedic assessment of pain in people living with dementia who are attended by an emergency ambulance: PiPPiN. Funded by UWE Bristol (2024 – 2027)
  • Optimising prehospital critical care dispatch:  An investigation of the opportunities and challenges in critical care resource allocation. Co-funded by Dorset and Somerset Air Ambulance and UWE Bristol (2024 – 2027)