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Articles by Richard Dewar
Transient Ischaemic attack Emergency Referral (TIER): randomised feasibility trial results
Abstract Background Early assessment of patients with suspected transient ischaemic attack (TIA) is crucial to provision of effective care, including initiation of preventive therapies and identification of stroke mimics. Many patients with TIA present to emergency medical services (EMS) but may not require hospitalisation. Paramedics could identify and refer patients with low-risk TIA, without conveyance to the ED. Safety and effectiveness of this model is unknown.
Transient Ischaemic attack Emergency Referral (TIER): randomised feasibility trial results
Methods TIER was designed as a pragmatic cluster randomised feasibility trial in South Wales, UK, with paramedics randomly allocated to study arms, a 12-month recruitment window in 2016–2017 and patients’ allocation defined by the status of attending paramedics. Our objectives were to develop the intervention, test the feasibility of the intervention and test the feasibility of the trial design and methods. The TIER intervention was developed in three stages.
Supporting WA agriculture in National Farm Safety Week
Richard Dewar, Associate, HHG Legal Group. Picture supplied. As a leading law firm dedicated to farmers and the communities and businesses that support them, this National Farm Safety Week, HHG Legal Group would like to pay special tribute to the many contributors, leaders and participants in the WA agricultural industry as a whole.
The Firearms Bill 2024 (WA)
On 21 February 2024, the Firearms Bill 2024 (Bill) was released to the Legislative Assembly and on 21 March 2024, the Bill was introduced to the Legislative Council. As of the date of this article, it is likely it will pass through unopposed. So what does this mean for firearm licence holders? Current licence holders will continue to hold licences on an interim basis. Such licences will be considered a transitional authority: section 411 of the Bill.
Sustainability and Renewable Energy - Land Access Agreements
The agricultural industry has a long history of striving for sustainability. Generations have benefitted from learning and improving the historical practices of their predecessors to ensure the land remains productive and continues to support generations and communities. More recently, the renewable energy sector’s need for access to land, particularly for renewable energy projects, has increased significantly.
PP24 The transient ischaemic attack 999 emergency referral (tier) feasibility trial: development of a complex intervention
Background Transient Ischaemic Attack (TIA) is a neurologic event with symptom resolution within 24 hours. Early specialist assessment of TIA reduces risk of stroke and death. NICE (2008) recommends patients with TIA are seen in specialist clinics within 24 hours (if high risk) and seven days (if low risk). We aimed to develop a complex intervention for patients with low risk TIA presenting to the emergency ambulance service.
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