{"id":"https://openalex.org/W4393854584","doi":"https://doi.org/10.12968/jpar.2024.16.4.140","title":"Support from advanced practitioners in critical care for ankle fracture dislocation","display_name":"Support from advanced practitioners in critical care for ankle fracture dislocation","publication_year":2024,"publication_date":"2024-04-02","ids":{"openalex":"https://openalex.org/W4393854584","doi":"https://doi.org/10.12968/jpar.2024.16.4.140"},"language":"en","primary_location":{"id":"doi:10.12968/jpar.2024.16.4.140","doi":"https://doi.org/10.12968/jpar.2024.16.4.140","is_oa":false,"landing_page_url":"http://dx.doi.org/10.12968/jpar.2024.16.4.140","pdf_url":null,"source":{"id":"https://openalex.org/S2764700125","display_name":"Journal of Paramedic Practice","issn_l":"1759-1376","issn":["1759-1376","2041-9457"],"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":["norway-1"],"host_organization":"https://openalex.org/P4322632787","host_organization_name":"Mark Allen Group","host_organization_lineage":["https://openalex.org/P4322632787"],"host_organization_lineage_names":["Mark Allen Group"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Paramedic Practice","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":null,"display_name":"Craig Morrison","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":true,"raw_author_name":"Craig Morrison","raw_affiliation_strings":["Advanced Practitioner, Critical Care, Scottish Ambulance Service, Glasgow","Email:"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Advanced Practitioner, Critical Care, Scottish Ambulance Service, Glasgow","institution_ids":[]},{"raw_affiliation_string":"Email:","institution_ids":[]}]},{"author_position":"middle","author":{"id":null,"display_name":"Linda Renfrew","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I195939026","display_name":"Glasgow Caledonian University","ror":"https://ror.org/03dvm1235","country_code":"GB","type":"education","lineage":["https://openalex.org/I195939026"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"Linda Renfrew","raw_affiliation_strings":["Senior Lecturer, Glasgow Caledonian University"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Senior Lecturer, Glasgow Caledonian University","institution_ids":["https://openalex.org/I195939026"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5026085715","display_name":"Ryan McHenry","orcid":"https://orcid.org/0000-0002-7627-8450","observed_orcids":["https://orcid.org/0000-0002-7627-8450"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Ryan McHenry","raw_affiliation_strings":["Clinical Research Fellow and Registrar in Emergency Medicine, ScotSTAR, Scottish Ambulance Service, Glasgow, UK"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Clinical Research Fellow and Registrar in Emergency Medicine, ScotSTAR, Scottish Ambulance Service, Glasgow, UK","institution_ids":[]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":{"value":0.0,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"16","issue":"4","first_page":"140","last_page":"147"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11467","display_name":"Trauma and Emergency Care Studies","score":0.6259999871253967,"subfield":{"id":"https://openalex.org/subfields/2711","display_name":"Emergency Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11467","display_name":"Trauma and Emergency Care Studies","score":0.6259999871253967,"subfield":{"id":"https://openalex.org/subfields/2711","display_name":"Emergency Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11816","display_name":"Nursing Roles and Practices","score":0.2883000075817108,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10455","display_name":"Foot and Ankle Surgery","score":0.01979999989271164,"subfield":{"id":"https://openalex.org/subfields/2732","display_name":"Orthopedics and Sports Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/ankle-fracture-dislocation","display_name":"ankle fracture-dislocation","score":0.9890000224113464},{"id":"https://openalex.org/keywords/prehospital-care","display_name":"prehospital care","score":0.7929999828338623},{"id":"https://openalex.org/keywords/ambulance-clinicians","display_name":"ambulance clinicians","score":0.871999979019165},{"id":"https://openalex.org/keywords/pain-relief","display_name":"analgesia","score":0.75},{"id":"https://openalex.org/keywords/clinician-confidence","display_name":"clinician confidence","score":0.6890000104904175},{"id":"https://openalex.org/keywords/non-technical-skills","display_name":"non-technical skills","score":0.8769999742507935},{"id":"https://openalex.org/keywords/leadership-and-decision-making","display_name":"leadership and decision-making","score":0.746999979019165},{"id":"https://openalex.org/keywords/paramedic-practice","display_name":"paramedic practice","score":0.34700000286102295}],"concepts":[{"id":"https://openalex.org/C2777693410","wikidata":"https://www.wikidata.org/wiki/Q5370575","display_name":"Emergency Care Practitioner","level":4,"score":0.9632808566093445},{"id":"https://openalex.org/C2779970763","wikidata":"https://www.wikidata.org/wiki/Q5150652","display_name":"Combat Medical Technician","level":4,"score":0.9515120387077332},{"id":"https://openalex.org/C2777914111","wikidata":"https://www.wikidata.org/wiki/Q1064904","display_name":"Major trauma","level":2,"score":0.7606128454208374},{"id":"https://openalex.org/C3017724717","wikidata":"https://www.wikidata.org/wiki/Q860447","display_name":"Ambulance service","level":2,"score":0.7380385994911194},{"id":"https://openalex.org/C2778640784","wikidata":"https://www.wikidata.org/wiki/Q168002","display_name":"Ankle","level":2,"score":0.6181070804595947},{"id":"https://openalex.org/C159122135","wikidata":"https://www.wikidata.org/wiki/Q737571","display_name":"Dislocation","level":2,"score":0.570203959941864},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.5376288890838623},{"id":"https://openalex.org/C43369102","wikidata":"https://www.wikidata.org/wiki/Q2307625","display_name":"Fracture (geology)","level":2,"score":0.48715493083000183},{"id":"https://openalex.org/C131634798","wikidata":"https://www.wikidata.org/wiki/Q828812","display_name":"Continuing professional development","level":3,"score":0.45180171728134155},{"id":"https://openalex.org/C545542383","wikidata":"https://www.wikidata.org/wiki/Q2751242","display_name":"Medical emergency","level":1,"score":0.36913472414016724},{"id":"https://openalex.org/C127413603","wikidata":"https://www.wikidata.org/wiki/Q11023","display_name":"Engineering","level":0,"score":0.14762750267982483},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.14564749598503113},{"id":"https://openalex.org/C192562407","wikidata":"https://www.wikidata.org/wiki/Q228736","display_name":"Materials science","level":0,"score":0.12487378716468811},{"id":"https://openalex.org/C509550671","wikidata":"https://www.wikidata.org/wiki/Q126945","display_name":"Medical education","level":1,"score":0.10322684049606323},{"id":"https://openalex.org/C51067260","wikidata":"https://www.wikidata.org/wiki/Q828812","display_name":"Professional development","level":2,"score":0.08543425798416138},{"id":"https://openalex.org/C159985019","wikidata":"https://www.wikidata.org/wiki/Q181790","display_name":"Composite material","level":1,"score":0.0},{"id":"https://openalex.org/C187320778","wikidata":"https://www.wikidata.org/wiki/Q1349130","display_name":"Geotechnical engineering","level":1,"score":0.0}],"mesh":[],"locations_count":2,"locations":[{"id":"doi:10.12968/jpar.2024.16.4.140","doi":"https://doi.org/10.12968/jpar.2024.16.4.140","is_oa":false,"landing_page_url":"http://dx.doi.org/10.12968/jpar.2024.16.4.140","pdf_url":null,"source":{"id":"https://openalex.org/S2764700125","display_name":"Journal of Paramedic Practice","issn_l":"1759-1376","issn":["1759-1376","2041-9457"],"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":["norway-1"],"host_organization":"https://openalex.org/P4322632787","host_organization_name":"Mark Allen Group","host_organization_lineage":["https://openalex.org/P4322632787"],"host_organization_lineage_names":["Mark Allen Group"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Paramedic Practice","raw_type":"journal-article"},{"id":"pmh:oai:null:20.500.12417/1724","doi":null,"is_oa":false,"landing_page_url":"http://hdl.handle.net/20.500.12417/1724","pdf_url":null,"source":{"id":"https://openalex.org/S7407055443","display_name":"amber - ambulance research repository","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Journal of Paramedic Practice","raw_type":null}],"best_oa_location":null,"sustainable_development_goals":[{"display_name":"Good health and well-being","score":0.98580002784729,"id":"https://metadata.un.org/sdg/3"}],"study_designs":[],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":19,"referenced_works":["https://openalex.org/W1562622558","https://openalex.org/W2020615007","https://openalex.org/W2061599133","https://openalex.org/W2098071458","https://openalex.org/W2484794433","https://openalex.org/W2568740090","https://openalex.org/W2739279335","https://openalex.org/W2749264930","https://openalex.org/W2765643527","https://openalex.org/W2790741965","https://openalex.org/W2890380402","https://openalex.org/W2901267359","https://openalex.org/W2966583453","https://openalex.org/W2993369309","https://openalex.org/W3013578273","https://openalex.org/W3016684366","https://openalex.org/W3174773404","https://openalex.org/W3207853024","https://openalex.org/W3208645186"],"related_works":["https://openalex.org/W2005127527","https://openalex.org/W6884311738","https://openalex.org/W2023575364","https://openalex.org/W6945873386","https://openalex.org/W2023867969","https://openalex.org/W2903952174","https://openalex.org/W4236308608","https://openalex.org/W190672967","https://openalex.org/W4404751241","https://openalex.org/W2061599133"],"abstract_inverted_index":{"Background:":[0],"Analgesic":[1],"imitations,":[2],"under-recognition":[3],"of":[4,10,36,95,106,135,140],"injury":[5],"severity":[6],"and":[7,58,99,118,120,127,133,137],"delayed":[8],"restoration":[9],"neutral":[11],"alignment":[12],"are":[13,144],"common":[14],"problems":[15],"around":[16],"ankle":[17,116],"fracture":[18],"dislocation":[19],"(AFD).":[20],"Optimal":[21],"prehospital":[22,97,151],"management":[23,134],"improves":[24],"long-term":[25],"outcomes.":[26],"Aims:":[27],"This":[28],"study":[29],"aimed":[30],"to":[31,60,71],"explore":[32],"ambulance":[33],"clinicians'":[34,88],"experiences":[35],"AFD":[37,136,152],"incidents":[38],"when":[39],"supported":[40],"by":[41],"advanced":[42],"practitioners":[43],"in":[44,90,115,121,130],"critical":[45],"care":[46],"(APCCs).":[47],"Methods:":[48],"Semi-structured":[49],"online":[50],"interviews":[51],"were":[52,56,78,86],"conducted.":[53],"Data":[54],"sets":[55],"coded":[57],"grouped":[59],"identify":[61],"themes":[62,85],"via":[63],"thematic":[64],"content":[65],"analysis.":[66],"Findings:":[67],"Six":[68],"clinicians":[69],"agreed":[70],"take":[72],"part":[73],"(response":[74],"rate":[75],"42%).":[76],"AFDs":[77],"encountered":[79],"infrequently":[80],"(once":[81],"per":[82],"year).":[83],"Four":[84],"identified:":[87],"confidence":[89],"managing":[91],"AFD;":[92],"value-added":[93],"role":[94,109,143],"APCCs;":[96],"challenges;":[98],"reflections":[100],"on":[101,149],"the":[102,107,141],"incident.":[103],"Conclusions:":[104],"Benefits":[105],"APCC":[108,142],"include":[110],"enhanced":[111],"technical":[112],"skills,":[113,123],"including":[114],"reduction":[117],"analgesia,":[119],"non-technical":[122],"such":[124],"as":[125,146],"leadership":[126],"decision-making.":[128],"Improvements":[129],"clinician":[131],"recognition":[132],"better":[138],"awareness":[139],"recommended,":[145],"is":[147],"research":[148],"optimal":[150],"management.":[153]},"counts_by_year":[],"updated_date":"2026-10-14T16:39:01.820549","created_date":"2024-04-04T00:00:00"}