John Bache

Bio: John Bache is an academic researcher from Leighton Hospital. The author has contributed to research in topics: Surgical nursing & Harm. The author has an hindex of 4, co-authored 7 publications receiving 2370 citations.

Emergency medicine: past, present, and future.

Abstract: Emergency medicine in the UK is at a crossroads. Here I review the story so far and discuss the directions it could take in the future, for better or worse.

Establishing an emergency nurse practitioner service

Abstract: The role of the nurse in the emergency department has evolved over recent years.1 Emergency nurse practitioners (ENPs) were introduced into the accident and emergency (AE18:186–189 Virtually all A&E departments in the United Kingdom perceive themselves to be understaffed, particularly as far as medical staffing is concerned. An intrinsic difficulty in establishing adequate staffing levels is the variable and largely unpredictable nature of the workload. There are more A&E nurses than doctors, so that sharing some of the workload between the two professions will result in greater flexibility. A&E is an intensely practical specialty and it seems illogical to suggest that a senior house officer (SHO), new to A&E, will be more knowledgeable than a nurse with years of experience, particularly when considering conditions which, in hospital practice, are virtually exclusive to A&E, such as sprains, minor cuts and bruises, and minor head injuries. A&E is very much a team effort and lends itself to the team approach.3 Perceived benefits of providing an ENP service identified by Tye et al included improved waiting times, increased job satisfaction for ENPs, improved quality of care, increased patient satisfaction, better use of resources, more holistic care, and improved continuity of care.4 Consequently, it seems reasonable to suggest that experienced nurses, after adequate training, will be able to share the workload of the doctors and treat suitable patients independently without reference to the doctors. Suitable nurses will be able to expand their role and increase the …

In-training assessment for specialist registrars: views of trainees and trainers in the Mersey Deanery.

Abstract: Annual review of specialist registrars and production of a record of in-training assessment (RITA) is a mandatory component of training that has attracted criticism. Mersey Deanery has established a system of review that includes wider evaluation of the trainee's needs and of training requirements. We conducted a survey to ascertain whether this broadened review process was thought beneficial. In one year 1093 questionnaires were distributed to trainees and trainers. 605 (81%) of 744 trainees and 309 (89%) of 349 trainers responded. At least 89% of both groups said that the procedure had been effective in reviewing the previous year and the most recent post and in identifying training requirements. More than 90% rated the overall process positively. Trainees particularly appreciated the advice on future training, on careers and on research. This form of review is expensive in consultant time but was valued by both trainees and trainers.

ESC Guidelines for the Management of Acute Myocardial Infarction in Patients Presenting With ST-Segment Elevation

Abstract: ACE : angiotensin-converting enzyme ACS : acute coronary syndrome ADP : adenosine diphosphate AF : atrial fibrillation AMI : acute myocardial infarction AV : atrioventricular AIDA-4 : Abciximab Intracoronary vs. intravenously Drug Application APACHE II : Acute Physiology Aand Chronic

2015 ESC Guidelines for the Management of Patients With Ventricular Arrhythmias and the Prevention of Sudden Cardiac Death.

Abstract: 2015 ESC Guidelines for the Management of Patients With Ventricular Arrhythmias and the Prevention of Sudden Cardiac Death

2019 ESC Guidelines for the diagnosis and management of acute pulmonary embolism developed in collaboration with the European respiratory society (ERS)

Abstract: Guidelines summarize and evaluate available evidence with the aim of assisting health professionals in proposing the best management strategies for an individual patient with a given condition. Guidelines and their recommendations should facilitate decision making of health professionals in their daily practice. However, the final decisions concerning an individual patient must be made by the responsible health professional(s) in consultation with the patient and caregiver as appropriate.

2019 ESC Guidelines for the diagnosis and management of acute pulmonary embolism developed in collaboration with the European Respiratory Society (ERS) : The Task Force for the diagnosis and management of acute pulmonary embolism of the European Society of Cardiology (ESC)

Abstract: New @ESCardio Guidelines for the Diagnosis and Management of Acute #PulmonaryEmbolism developed in collaboration with @EuroRespSoc now available: #cardiotwitter @erspublicationshttp://bit.ly/2HnrJaj