{"id":"https://openalex.org/W4405154920","doi":"https://doi.org/10.1136/emermed-2024-999.2","title":"02 The evaluation of the pre-hospital use of a valsalva assist device in the emergency treatment of supraventricular tachycardia [EVADE SVT] study \u2013 surviving a cyber-attack","display_name":"02 The evaluation of the pre-hospital use of a valsalva assist device in the emergency treatment of supraventricular tachycardia [EVADE SVT] study \u2013 surviving a cyber-attack","publication_year":2024,"publication_date":"2024-12-01","ids":{"openalex":"https://openalex.org/W4405154920","doi":"https://doi.org/10.1136/emermed-2024-999.2"},"language":"en","primary_location":{"id":"doi:10.1136/emermed-2024-999.2","doi":"https://doi.org/10.1136/emermed-2024-999.2","is_oa":false,"landing_page_url":"https://doi.org/10.1136/emermed-2024-999.2","pdf_url":null,"source":null,"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Prize winners","raw_type":"proceedings-article"},"volume":null,"type":"conference-paper","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":"https://openalex.org/A5051484991","display_name":"Ria Osborne","orcid":"https://orcid.org/0009-0005-3413-9224","observed_orcids":["https://orcid.org/0009-0005-3413-9224"]},"institutions":[{"id":"https://openalex.org/I4210090002","display_name":"South Western Ambulance Service NHS Foundation Trust","ror":"https://ror.org/009dhvf97","country_code":"GB","type":"other","lineage":["https://openalex.org/I4210090002"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"Ria Osborne","raw_affiliation_strings":["South Western Ambulance Service NHS Foundation Trust, Exeter, UK"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"South Western Ambulance Service NHS Foundation Trust, Exeter, UK","institution_ids":["https://openalex.org/I4210090002"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5048830191","display_name":"Sarah Black","orcid":"https://orcid.org/0000-0001-6678-7502","observed_orcids":["https://orcid.org/0000-0001-6678-7502"]},"institutions":[{"id":"https://openalex.org/I4210090002","display_name":"South Western Ambulance Service NHS Foundation Trust","ror":"https://ror.org/009dhvf97","country_code":"GB","type":"other","lineage":["https://openalex.org/I4210090002"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"Sarah Black","raw_affiliation_strings":["South Western Ambulance Service NHS Foundation Trust, Exeter, UK"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"South Western Ambulance Service NHS Foundation Trust, Exeter, UK","institution_ids":["https://openalex.org/I4210090002"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5042967973","display_name":"Andrew Appelboam","orcid":"https://orcid.org/0000-0002-2982-9707","observed_orcids":["https://orcid.org/0000-0002-2982-9707"]},"institutions":[{"id":"https://openalex.org/I2799452589","display_name":"Royal Devon & Exeter NHS Foundation Trust","ror":"https://ror.org/03085z545","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I2799452589","https://openalex.org/I4405257583"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"Andrew Appelboam","raw_affiliation_strings":["Royal Devon and Exeter NHS Foundation Trust, Exeter, UK"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Royal Devon and Exeter NHS Foundation Trust, Exeter, UK","institution_ids":["https://openalex.org/I2799452589"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5081039708","display_name":"Phoebe Dawe","orcid":"https://orcid.org/0009-0001-0307-1571","observed_orcids":["https://orcid.org/0009-0001-0307-1571"]},"institutions":[{"id":"https://openalex.org/I23923803","display_name":"University of Exeter","ror":"https://ror.org/03yghzc09","country_code":"GB","type":"education","lineage":["https://openalex.org/I23923803"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"Phoebe Dawe","raw_affiliation_strings":["University of Exeter Clinical Trials Unit, Exeter, UK"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"University of Exeter Clinical Trials Unit, Exeter, UK","institution_ids":["https://openalex.org/I23923803"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5049660574","display_name":"Siobhan Creanor","orcid":"https://orcid.org/0000-0002-7373-8263","observed_orcids":["https://orcid.org/0000-0002-7373-8263"]},"institutions":[{"id":"https://openalex.org/I23923803","display_name":"University of Exeter","ror":"https://ror.org/03yghzc09","country_code":"GB","type":"education","lineage":["https://openalex.org/I23923803"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"Siobhan Creanor","raw_affiliation_strings":["University of Exeter Clinical Trials Unit, Exeter, UK"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"University of Exeter Clinical Trials Unit, Exeter, UK","institution_ids":["https://openalex.org/I23923803"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5071371634","display_name":"Obioha Chukwunyere Ukoumunne","orcid":"https://orcid.org/0000-0002-0551-9157","observed_orcids":["https://orcid.org/0000-0002-0551-9157"]},"institutions":[{"id":"https://openalex.org/I34931013","display_name":"National Institute for Health and Care Research","ror":"https://ror.org/0187kwz08","country_code":"GB","type":"government","lineage":["https://openalex.org/I34931013"]},{"id":"https://openalex.org/I4392738309","display_name":"NIHR Applied Research Collaboration South West Peninsula","ror":"https://ror.org/01qgn1839","country_code":"GB","type":"facility","lineage":["https://openalex.org/I34931013","https://openalex.org/I4392738309"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"Obioha C Ukoumunne","raw_affiliation_strings":["National Institute for Health Research (NIHR) Applied Research Collaboration South West (PenARC), Exeter, UK"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"National Institute for Health Research (NIHR) Applied Research Collaboration South West (PenARC), Exeter, UK","institution_ids":["https://openalex.org/I34931013","https://openalex.org/I4392738309"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":5,"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":0.39793124,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":null,"issue":null,"first_page":"A1.2","last_page":"A2"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11217","display_name":"Cardiac Arrhythmias and Treatments","score":0.9434000253677368,"subfield":{"id":"https://openalex.org/subfields/2705","display_name":"Cardiology and Cardiovascular 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/T11217","display_name":"Cardiac Arrhythmias and Treatments","score":0.9434000253677368,"subfield":{"id":"https://openalex.org/subfields/2705","display_name":"Cardiology and Cardiovascular 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/T10645","display_name":"Cardiac Arrest and Resuscitation","score":0.00559999980032444,"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/T11095","display_name":"Emergency and Acute Care Studies","score":0.005400000140070915,"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"}}],"keywords":[{"id":"https://openalex.org/keywords/supraventricular-tachycardia","display_name":"supraventricular tachycardia","score":0.9800000190734863},{"id":"https://openalex.org/keywords/emergency-medical-services","display_name":"emergency medical services","score":0.8230000138282776},{"id":"https://openalex.org/keywords/cyberattacks","display_name":"cyberattacks","score":0.8140000104904175},{"id":"https://openalex.org/keywords/electronic-health-records","display_name":"electronic health records","score":0.5770000219345093},{"id":"https://openalex.org/keywords/trial-recruitment","display_name":"trial recruitment","score":0.5360000133514404},{"id":"https://openalex.org/keywords/contingency-planning","display_name":"contingency planning","score":0.593999981880188}],"concepts":[{"id":"https://openalex.org/C2776934708","wikidata":"https://www.wikidata.org/wiki/Q1598909","display_name":"Supraventricular tachycardia","level":3,"score":0.8396451473236084},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.5258667469024658},{"id":"https://openalex.org/C545542383","wikidata":"https://www.wikidata.org/wiki/Q2751242","display_name":"Medical emergency","level":1,"score":0.514823853969574},{"id":"https://openalex.org/C2780283014","wikidata":"https://www.wikidata.org/wiki/Q209583","display_name":"Tachycardia","level":2,"score":0.4540889263153076},{"id":"https://openalex.org/C164705383","wikidata":"https://www.wikidata.org/wiki/Q10379","display_name":"Cardiology","level":1,"score":0.21800273656845093}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.1136/emermed-2024-999.2","doi":"https://doi.org/10.1136/emermed-2024-999.2","is_oa":false,"landing_page_url":"https://doi.org/10.1136/emermed-2024-999.2","pdf_url":null,"source":null,"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Prize winners","raw_type":"proceedings-article"}],"best_oa_location":null,"sustainable_development_goals":[{"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3","score":1.0}],"sustainable_development_goals_aurora":[{"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3","score":0.6499999761581421}],"study_designs":[{"display_name":"Clinical Trial","id":"https://openalex.org/study-designs/clinical-trial"}],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W2410176164","https://openalex.org/W1529723778","https://openalex.org/W4241687698","https://openalex.org/W2418810275","https://openalex.org/W1970118313","https://openalex.org/W2007193616","https://openalex.org/W1984863175","https://openalex.org/W3144087676","https://openalex.org/W83720017","https://openalex.org/W2034723924"],"abstract_inverted_index":{"Background":[0],"The":[1,250,277],"modified":[2],"Valsalva":[3,40],"Manoeuvre":[4],"(VM)":[5],"is":[6,266],"a":[7,60,119,146,163,200,210,218],"recommended":[8],"first":[9],"line":[10],"treatment":[11,53],"of":[12,66,137,153,159,174,180,213,282,289,295],"supraventricular":[13],"tachycardia":[14],"(SVT)":[15],"used":[16,85,227],"by":[17,145,268],"emergency":[18],"medical":[19],"services":[20,206],"globally.":[21],"In":[22,130],"practice,":[23],"effective":[24],"manoeuvres":[25],"may":[26],"be":[27,226,245,259],"difficult":[28],"to":[29,36,46,72,117,165,185,228],"perform,":[30],"and":[31,54,91,124,162,208,232,254,285,297],"most":[32],"patients":[33,216],"require":[34],"conveyance":[35,55,127],"hospital.":[37],"A":[38],"simple":[39],"Assist":[41],"Device":[42],"(VAD)":[43],"was":[44,98,143,194],"evaluated":[45],"establish":[47],"whether":[48],"it":[49],"could":[50],"improve":[51],"pre-hospital":[52],"rates.":[56,128],"Methods":[57],"We":[58,84],"conducted":[59],"stepped":[61],"wedge":[62],"cluster":[63],"randomised":[64],"trial":[65,176,234],"the":[67,134,151,175,192,269,283,290,293],"VAD":[68,123],"versus":[69],"standard":[70,125],"VM":[71,126],"treat":[73,209],"SVT":[74,215],"within":[75],"South":[76],"Western":[77],"Ambulance":[78,205],"Service":[79],"NHS":[80],"Foundation":[81],"Trust":[82],"(SWASFT).":[83],"routinely":[86],"collected":[87],"electronic":[88,140,221],"clinical":[89,156,167,183,222],"data":[90,223,235],"opt":[92],"out":[93],"consent.":[94],"Sample":[95],"size":[96],"target":[97],"800":[99],"patients,":[100],"across":[101],"80":[102],"ambulance":[103],"station":[104],"clusters,":[105],"over":[106],"5":[107],"activation":[108],"phases":[109],"(4":[110],"months":[111,115],"each).":[112],"Totalling":[113],"20":[114],"recruitment,":[116,138,190],"detect":[118],"10%-point":[120],"difference":[121],"between":[122],"Results":[129],"July":[131],"2023,":[132],"during":[133],"fourth":[135],"period":[136],"SWASFTs":[139],"record":[141],"system":[142],"affected":[144],"cyber-attack.":[147,241],"This":[148,264],"resulted":[149],"in":[150,247,261],"encryption":[152],"19":[154],"million":[155],"records,":[157,161],"quarantine":[158],"active":[160],"return":[164],"hand-written":[166],"notes,":[168],"lasting":[169],"3":[170],"months.":[171],"Successful":[172],"completion":[173],"required":[177],"labour-intensive":[178],"hand-searching":[179],"240,000":[181],"paper":[182],"records":[184],"identify":[186,230],"potential":[187],"recruits.":[188],"Final":[189],"despite":[191],"challenges,":[193],"865":[195],"participants":[196,231],"who":[197],"had":[198],"undergone":[199],"SWASFT":[201],"delivered":[202],"VM.":[203,219],"Conclusion":[204],"see":[207],"large":[211],"number":[212],"suspected":[214],"with":[217],"Routine":[220],"systems":[224],"can":[225],"efficiently":[229],"collect":[233],"but":[236],"are":[237,280],"at":[238],"risk":[239],"from":[240],"Contingency":[242],"plans":[243],"should":[244],"considered":[246],"such":[248],"trials.":[249],"main":[251],"study":[252,265],"results":[253],"implications":[255],"for":[256,272],"practice":[257],"will":[258],"published":[260],"due":[262],"course.":[263],"funded":[267],"NIHR":[270,291],"Research":[271],"Patient":[273],"Benefit":[274],"Programme":[275],"(NIHR202185).":[276],"views":[278],"expressed":[279],"those":[281,288],"author(s)":[284],"not":[286],"necessarily":[287],"or":[292],"Department":[294],"Health":[296],"Social":[298],"Care.":[299]},"counts_by_year":[],"updated_date":"2026-09-27T08:07:27.782135","created_date":"2025-10-10T00:00:00"}