Jeffery T. Gray

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OBJECTIVES To determine the true impact of emergency care practitioners (ECPs) on admissions relative to emergency department (ED) attendance. METHODS Two groups of patients ringing 999 were studied: those classified as having breathing difficulties and elderly patients (>65 years) with a fall. Routinely collected data by Yorkshire Ambulance Service were(More)
BACKGROUND Recent government policy has looked at improving the role of ambulance services in delivering alternative care models for patients. OBJECTIVE To review the outcomes of the introduction of some specific non-transport guidelines into an ambulance service. METHODS A retrospective review was undertaken of the documentation produced from the use(More)
OBJECTIVES To examine the correlation between the AMPDS prioritisation category at dispatch and the use of alternative clinical dispatch using data from an emergency care practitioner (ECP) service dispatching on likely clinical need. METHODS Data for a 12-month period were reviewed for all 999 calls seen by an ECP and comparison was made between AMPDS(More)
Correspondence to: Mr J Wardrope, Accident and Emergency Department, Northern General Hospital, Herries Road, Sheffield S5 7AU, UK; jimwardrope@ hotmail.com _________________________ L arge numbers of patients with abdominal pain present to their general practitioners and emergency departments every year. Most require no specific medical intervention but(More)
Concerns regarding an apparent association between the use of antimicrobial feed additives (AFAs) in food animal production and a concomitant increase in antimicrobial drug resistance among zoonotic enteropathogens have provided the impetus to propose cessation of their use. While AFAs have been used in food animal production for nearly 50 years, the future(More)
Robert W. Wills, DVM PhD, Veterinary Diagnostic Center, University of Nebraska Paula J. Fedorka-Cray, PhD, USDA-ARSNational Animal Disease Center, Ames, IA K.-J. Yoon, DVM PhD, Veterinary Diagnostic Laboratory, Iowa State University Jeffery T. Gray, PhD, Microbiology Department, University of Osteopathic Medicine and Health Sciences, Des Moines, IA Tom(More)
While use of antimicrobial drugs in livestock production has made a significant impact on animal health, welfare, and productivity, interest in suitable alternatives such as pre/probiotics, organic acids, and cultures of normal flora or "competitive exclusion" cultures from young animals has increased significantly in the wake of the antimicrobial(More)
OBJECTIVE To assess whether ambulance responses in South Yorkshire to stabbing, gunshot, penetrating trauma cases have increased over the past few years, supporting the observed increase in media reporting. METHODS A review was undertaken of the frequency with which the ambulance medical priority dispatch system card 27 (stab/gunshot/penetrating trauma)(More)