The Academic Department of Emergency Medicine Exeter has a proven track record of leading pragmatic, practice changing emergency medicine research whilst supporting a wide range of NIHR trauma and emergency care research. As a department we have over 25 peer reviewed publications, gaining a national reputation for conducting pragmatic, deliverable ED studies. Working closely with the University of Exeter, we have secured grants from a range of funders including the Royal College of Emergency Medicine, EPSRC, and the NIHR.
Example Areas of ACADEME Research Interest:
Bedside Clinical Screening Tests:
Elbow Extension Test [SWEET Trials]
Screening for Trauma in the elderly
Improving non drug treatment of supraventricular tachycardia:
Modified Valsalva manoeuvre [REVERT Trial]
Valsalva Assist Device [VAD Study]
Evaluation of VAD by an ambulance service –a feasibility study [EVADE Feasibility Trial]
The emergency treatment of nose bleeds: [NOPAC Trial]
The management of wrist fractures:
Automated detection and analysis of wrist fractures.
Multicentre observational study of ED wrist fracture manipulation.
Ultrasound Directed Reduction of Colles’ Type wrist fractures [UDiReCT Feasibility Trial]
Emergency Department Procedural Sedation:
Safety of propofol sedation in adults
Propofol sedation for hip relocation
Propofol sedation in the elderly
Pain Management:
Paediatric Pain Passport
Pain relief for sternal fractures
Elbow Extension Test [SWEET Trials]
Screening for Trauma in the elderly
Improving non drug treatment of supraventricular tachycardia:
Modified Valsalva manoeuvre [REVERT Trial]
Valsalva Assist Device [VAD Study]
Evaluation of VAD by an ambulance service –a feasibility study [EVADE Feasibility Trial]
The emergency treatment of nose bleeds: [NOPAC Trial]
The management of wrist fractures:
Automated detection and analysis of wrist fractures.
Multicentre observational study of ED wrist fracture manipulation.
Ultrasound Directed Reduction of Colles’ Type wrist fractures [UDiReCT Feasibility Trial]
Emergency Department Procedural Sedation:
Safety of propofol sedation in adults
Propofol sedation for hip relocation
Propofol sedation in the elderly
Pain Management:
Paediatric Pain Passport
Pain relief for sternal fractures
Supporting Student and Trainee Led Research
We are developing further capability and inspiring future ED researchers through NIHR Academic Clinical Fellow (ACF) posts and by supporting Intercalated BSc student and Masters projects. We have developed a new network paramedic research fellow post and were instrumental in setting up a regional emergency academic network (SWEAT) to support and drive regional research and collaboration with all emergency care groups.
NIHR Portfolio Research
In the past five years alone we have recruited more than 1500 ED patients to over 20 studies. Our activity was recognised through a network and trust R&D research team of the year award, 2014 and we were highly commended at the national HSJ research awards.
By involving staff at every level and developing their research skills and enthusiasm, our multi-disciplinary team has fostered a culture of research throughout the department: ED consultants, middle grades and emergency nurse practitioners are GCP (Good Clinical Practice) trained and recruit to trials. One of our health care assistants became our research practitioner and has now been supported though a degree and formal nursing training. Other experienced ED staff have been retained by joining the research team and our research nurses were recognised with an Extraordinary People award in 2015.
We continue to have a highly active and collaborative NIHR research portfolio, helping to recruit to other researcher’s studies as well as our own
By involving staff at every level and developing their research skills and enthusiasm, our multi-disciplinary team has fostered a culture of research throughout the department: ED consultants, middle grades and emergency nurse practitioners are GCP (Good Clinical Practice) trained and recruit to trials. One of our health care assistants became our research practitioner and has now been supported though a degree and formal nursing training. Other experienced ED staff have been retained by joining the research team and our research nurses were recognised with an Extraordinary People award in 2015.
We continue to have a highly active and collaborative NIHR research portfolio, helping to recruit to other researcher’s studies as well as our own