{"id":"https://openalex.org/W4405154961","doi":"https://doi.org/10.1136/emermed-2024-999.23","title":"PP23 The packman trial: what has been learnt delivering a CTIMP with an NHS ambulance service","display_name":"PP23 The packman trial: what has been learnt delivering a CTIMP with an NHS ambulance service","publication_year":2024,"publication_date":"2024-12-01","ids":{"openalex":"https://openalex.org/W4405154961","doi":"https://doi.org/10.1136/emermed-2024-999.23"},"language":"en","primary_location":{"id":"doi:10.1136/emermed-2024-999.23","doi":"https://doi.org/10.1136/emermed-2024-999.23","is_oa":true,"landing_page_url":"https://doi.org/10.1136/emermed-2024-999.23","pdf_url":"https://emj.bmj.com/content/emermed/41/Suppl_3/A10.3.full.pdf","source":{"id":"https://openalex.org/S4363604354","display_name":"Poster presentations","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core"],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Poster presentations","raw_type":"proceedings-article"},"volume":null,"type":"conference-paper","indexed_in":["crossref"],"open_access":{"is_oa":true,"oa_status":"bronze","oa_url":"https://emj.bmj.com/content/emermed/41/Suppl_3/A10.3.full.pdf","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5093076507","display_name":"Alexander Diffley","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210112554","display_name":"Yorkshire Ambulance Service NHS Trust","ror":"https://ror.org/01sawky49","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I4210112554"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"Alexander Diffley","raw_affiliation_strings":["Yorkshire Ambulance Service Research Institute, UK"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Yorkshire Ambulance Service Research Institute, UK","institution_ids":["https://openalex.org/I4210112554"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5022552265","display_name":"Hannah Noordali","orcid":"https://orcid.org/0009-0004-8926-3479","observed_orcids":["https://orcid.org/0009-0004-8926-3479"]},"institutions":[{"id":"https://openalex.org/I39555362","display_name":"University of Warwick","ror":"https://ror.org/01a77tt86","country_code":"GB","type":"education","lineage":["https://openalex.org/I39555362"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"Hannah Noordali","raw_affiliation_strings":["University of Warwick, UK"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"University of Warwick, UK","institution_ids":["https://openalex.org/I39555362"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5030767418","display_name":"Felix Michelet","orcid":"https://orcid.org/0009-0003-6903-7637","observed_orcids":["https://orcid.org/0009-0003-6903-7637"]},"institutions":[{"id":"https://openalex.org/I39555362","display_name":"University of Warwick","ror":"https://ror.org/01a77tt86","country_code":"GB","type":"education","lineage":["https://openalex.org/I39555362"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"Felix Michelet","raw_affiliation_strings":["University of Warwick, UK"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"University of Warwick, UK","institution_ids":["https://openalex.org/I39555362"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5053842759","display_name":"Josh Miller","orcid":"https://orcid.org/0000-0003-1990-4029","observed_orcids":["https://orcid.org/0000-0003-1990-4029"]},"institutions":[{"id":"https://openalex.org/I4405261474","display_name":"West Midlands Ambulance Service University NHS Foundation Trust","ror":"https://ror.org/05bsaay65","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I4405261474"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"Joshua Miller","raw_affiliation_strings":["West Midlands Ambulance Service, UK"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"West Midlands Ambulance Service, UK","institution_ids":["https://openalex.org/I4405261474"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5110268583","display_name":"Mike Smyth","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I39555362","display_name":"University of Warwick","ror":"https://ror.org/01a77tt86","country_code":"GB","type":"education","lineage":["https://openalex.org/I39555362"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"Mike Smyth","raw_affiliation_strings":["University of Warwick, UK"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"University of Warwick, UK","institution_ids":["https://openalex.org/I39555362"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":3,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.4327304,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":null,"issue":null,"first_page":"A10.3","last_page":"A11"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10582","display_name":"Ethics in Clinical Research","score":0.9487000107765198,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"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/T10582","display_name":"Ethics in Clinical Research","score":0.9487000107765198,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"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/T11467","display_name":"Trauma and Emergency Care Studies","score":0.010900000110268593,"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/T12168","display_name":"Health and Medical Research Impacts","score":0.006500000134110451,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"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/ketamine","display_name":"ketamine","score":0.9309999942779541},{"id":"https://openalex.org/keywords/morphine","display_name":"morphine","score":1.0},{"id":"https://openalex.org/keywords/trauma-pain-management","display_name":"trauma pain management","score":0.8669999837875366},{"id":"https://openalex.org/keywords/ambulance-services","display_name":"ambulance services","score":0.6679999828338623},{"id":"https://openalex.org/keywords/paramedic-education","display_name":"paramedic education","score":0.8019999861717224},{"id":"https://openalex.org/keywords/research-recruitment","display_name":"research recruitment","score":0.550000011920929},{"id":"https://openalex.org/keywords/investigational-medicinal-products","display_name":"investigational medicinal products","score":0.4950000047683716},{"id":"https://openalex.org/keywords/index-of-multiple-deprivation","display_name":"Index of Multiple Deprivation","score":0.6859999895095825},{"id":"https://openalex.org/keywords/underrepresented-populations-in-research","display_name":"underrepresented populations in research","score":0.7160000205039978},{"id":"https://openalex.org/keywords/loss-to-follow-up","display_name":"loss to follow-up","score":0.6259999871253967}],"concepts":[{"id":"https://openalex.org/C3017724717","wikidata":"https://www.wikidata.org/wiki/Q860447","display_name":"Ambulance service","level":2,"score":0.8325576782226562},{"id":"https://openalex.org/C2780378061","wikidata":"https://www.wikidata.org/wiki/Q25351891","display_name":"Service (business)","level":2,"score":0.512780487537384},{"id":"https://openalex.org/C41008148","wikidata":"https://www.wikidata.org/wiki/Q21198","display_name":"Computer science","level":0,"score":0.4809390902519226},{"id":"https://openalex.org/C545542383","wikidata":"https://www.wikidata.org/wiki/Q2751242","display_name":"Medical emergency","level":1,"score":0.4373679459095001},{"id":"https://openalex.org/C38652104","wikidata":"https://www.wikidata.org/wiki/Q3510521","display_name":"Computer security","level":1,"score":0.3512426018714905},{"id":"https://openalex.org/C144133560","wikidata":"https://www.wikidata.org/wiki/Q4830453","display_name":"Business","level":0,"score":0.2598612308502197},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.24387294054031372},{"id":"https://openalex.org/C162853370","wikidata":"https://www.wikidata.org/wiki/Q39809","display_name":"Marketing","level":1,"score":0.0665835440158844}],"mesh":[],"locations_count":3,"locations":[{"id":"doi:10.1136/emermed-2024-999.23","doi":"https://doi.org/10.1136/emermed-2024-999.23","is_oa":true,"landing_page_url":"https://doi.org/10.1136/emermed-2024-999.23","pdf_url":"https://emj.bmj.com/content/emermed/41/Suppl_3/A10.3.full.pdf","source":{"id":"https://openalex.org/S4363604354","display_name":"Poster presentations","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core"],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Poster presentations","raw_type":"proceedings-article"},{"id":"pmh:oai:null:20.500.12417/1860","doi":null,"is_oa":false,"landing_page_url":"http://hdl.handle.net/20.500.12417/1860","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":null,"raw_type":null},{"id":"pmh:oai:null:20.500.12417/2123","doi":null,"is_oa":false,"landing_page_url":"https://hdl.handle.net/20.500.12417/2123","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":"Emergency Medicine Journal","raw_type":null}],"best_oa_location":{"id":"doi:10.1136/emermed-2024-999.23","doi":"https://doi.org/10.1136/emermed-2024-999.23","is_oa":true,"landing_page_url":"https://doi.org/10.1136/emermed-2024-999.23","pdf_url":"https://emj.bmj.com/content/emermed/41/Suppl_3/A10.3.full.pdf","source":{"id":"https://openalex.org/S4363604354","display_name":"Poster presentations","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core"],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Poster presentations","raw_type":"proceedings-article"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being","score":0.9476000070571899}],"sustainable_development_goals_aurora":[],"study_designs":[],"awards":[],"funders":[],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W4405154961.pdf","grobid_xml":"https://content.openalex.org/works/W4405154961.grobid-xml"},"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W1987702458","https://openalex.org/W1622302352","https://openalex.org/W2959841228","https://openalex.org/W2014288059","https://openalex.org/W2799533776","https://openalex.org/W2011438834","https://openalex.org/W2105137383","https://openalex.org/W2475823615","https://openalex.org/W2438327342","https://openalex.org/W31005955"],"abstract_inverted_index":{"Background":[0],"Yorkshire":[1,236],"Ambulance":[2,9],"Service":[3,10],"NHS":[4,12],"Trust":[5,14],"(YAS),":[6],"West":[7],"Midlands":[8],"University":[11,18],"Foundation":[13],"(WMAS)":[15],"and":[16,46,53,73,81,87,92,97,170,199,263],"The":[17],"of":[19,29,35,94,134,235,239],"Warwick":[20],"(UoW)":[21],"collaborated":[22],"to":[23,69,113,128,180,184,204,232,248,282],"deliver":[24],"the":[25,39,57,207,233,244,261,271,278],"first":[26,272],"clinical":[27,115,209],"trial":[28],"an":[30,154],"investigative":[31],"medicinal":[32],"product":[33],"(CTIMP)":[34],"controlled":[36,275],"drugs":[37,276],"in":[38,48,144,150,176,206,255,277],"UK:":[40],"PACKMaN":[41],"(paramedic":[42],"analgesia":[43],"comparing":[44],"ketamine":[45],"morphine":[47],"trauma).":[49],"YAS":[50,114,124,139,198],"Research":[51],"Institute":[52],"collaborators":[54],"reflected":[55],"on":[56],"lessons":[58],"learnt":[59],"delivering":[60,270],"this":[61],"CTIMP":[62,273],"across":[63,193],"two":[64,265],"ambulance":[65,245,266],"services":[66,267],"with":[67,251,274],"reference":[68],"training,":[70],"logistics,":[71],"recruitment,":[72,99],"follow-up":[74,101],"processes.":[75],"Methods":[76],"489":[77],"paramedics":[78,95,146],"were":[79,126],"trained":[80,147],"recruited":[82,122],"458":[83],"participants":[84],"between":[85],"Oct-2021":[86],"May-2023.":[88],"UoW":[89],"monitored":[90],"location":[91],"timing":[93],"training":[96,142,287],"patient":[98],"alongside":[100],"rates.":[102],"Paramedics\u2019":[103],"pain":[104,119,213],"score":[105,188],"collection":[106,189],"data":[107,131,190,221],"(PACKMaN\u2019s":[108],"primary":[109],"outcome)":[110],"was":[111,191,230],"compared":[112,127,183,203],"audit":[116,210],"compliance":[117],"adult":[118,212],"management.":[120],"Participants":[121],"by":[123],"(n=243)":[125],"2015":[129],"census":[130],"regarding":[132,237],"index":[133,238],"multiple":[135,240],"deprivation":[136,241],"status.":[137],"Results":[138],"conducted":[140],"facilitated":[141,286],"resulting":[143,149],"more":[145,161],"faster,":[148],"higher":[151],"recruitment.":[152,289],"However,":[153],"IMP":[155],"stock":[156],"shortage":[157],"impacted":[158],"YAS\u2019":[159,185,227],"recruitment":[160,228],"so":[162],"than":[163],"WMAS.":[164],"Both":[165],"sites":[166],"used":[167],"different":[168],"consenting":[169],"follow":[171,181],"up":[172,182],"models,":[173],"WMAS":[174],"resulted":[175],"only":[177],"22":[178],"lost":[179],"63.":[186],"Pain":[187],"high":[192],"both":[194],"sites:":[195],"100%":[196],"for":[197,201,211,296],"96.9%":[200],"WMAS,":[202],"71%":[205],"YAS-wide":[208],"management,":[214],"evidencing":[215],"research":[216,250,298],"involvement":[217],"can":[218],"improve":[219],"routine":[220],"collection.":[222],"Descriptive":[223],"statistics":[224],"indicated":[225],"that":[226],"sample":[229],"similar":[231],"population":[234],"scores":[242],"demonstrating":[243],"services\u2019":[246],"ability":[247],"conduct":[249],"populations":[252],"commonly":[253],"underrepresented":[254],"research.":[256],"Conclusions":[257],"This":[258],"study":[259],"highlighted":[260],"challenges":[262],"opportunities":[264],"encountered":[268],"when":[269],"UK.":[279],"Devoting":[280],"time":[281],"specific":[283],"tasks":[284],"like":[285],"aided":[288],"These":[290],"reflections":[291],"will":[292],"inform":[293],"best":[294],"practice":[295],"future":[297],"delivery.":[299]},"counts_by_year":[],"updated_date":"2026-10-01T08:54:57.152042","created_date":"2025-10-10T00:00:00"}