Dr Graham McClelland
Post-doctoral Fellowship
Post-doctoral Fellowship Project Title: Developing and evaluating pre-hospital interventions to improve emergency stroke care.
Post-doctoral Fellowship Project Description:
Background
Paramedics are usually the first healthcare contact for stroke patients. Reducing the time to definitive treatment improves patient outcomes but UK paramedics spend longer with stroke patients than international
peers. Telephone pre-notification reduces treatment delays in hospital. Remote specialist evaluation by telemedicine has the potential to further enhance acute care.
Aims
Aim one: To understand pre-hospital stroke timelines and develop an intervention to minimise pre-hospital times.
Aim two: To demonstrate feasibility of a telemedicine pathway with understanding of barriers and facilitators.
Methods
Work package one will report pre-hospital times, identify interventions to reduce on scene times (OST) for stroke patients from the literature and survey and interview paramedics to explore pre-hospital timelines and to
collect views on telemedicine. A target OST will be established using the Delphi method. An intervention to reduce OST will be developed.
Work package two will collect views during focus groups with service providers and clinicians to define an emergency stroke telemedicine pathway, implementation toolkit and user training. This will be evaluated for
feasibility and acceptability.
Outcomes
The outcomes of this study will be greater understanding of influences upon pre-hospital stroke care, an intervention to reduce OST and a telemedicine intervention for further evaluation.
Details:
Funding Organisation: The Stroke Association
Amount of Funding: £213,000
Start Date: 2020
End Date: 2023
Status: Ongoing
Research Interests
Stroke, prehospital care
Publications
Paramedic PhD is endorsed by:
