Emergency Department Clinical Research Unit
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The Emergency Department (ED) at St George’s leads and participates in a number of research projects through the work of the Clinical Research Unit.The unit is part of St George’s Translational and Clinical Research Institute, a joint initiative between the Trust and St George’s, University of London.
We have been awarded around £1.6 million in grants as investigators and run over 30 clinical trials. In 2019/2020 we enabled over 2500 patients to participate in research, more than any other Emergency Department in England.
The unit is led by Professor Heather Jarman and brings together clinical staff and academics to find better care and treatments for patients and families in the ED. The research team has research fellows, nurses, and clinical staff who support the research programme.
Our research group projects
SKILL-MIX ED: implementation of the non-medical practitioner workforce into the urgent and emergency care system skill-mix in England: a mixed methods study of configurations and impact. Mary Halter (Chief Investigator), Vari Drennan (Joint lead applicant), Heather Jarman (co-investigator), and other consortium members. Funded by the NIHR Health Services and Delivery Programme [link].
FRAIL-T: the frailty in major trauma study. Heather Jarman (Chief Investigator), and other consortium members. Funded by the Burdett Trust. ISRCTN registration: 10671514 [link]
Evaluating Mental Health Decision Units in acute care pathways (DECISION): A quasi-experimental and health economic evaluation. Heather Jarman (co-investigator), Steve Gillard (Chief Investigator) St George’s University of London, and other consortium members. Funded by the NIHR Health Services and Delivery Programme (17/49/70). PROSPERO registration: CRD42019151043 [link]
The ED-CO study: a prospective enhanced surveillance study of carboxyhaemoglobin (CO) levels in patients attending the Emergency Department with symptoms suggestive of CO exposure. Heather Jarman (Chief Investigator), and other consortium members. Funded by the CO Research Trust (formerly the Gas Safety Trust). ISRCTN registration: 16329899 [link]
Testing a lay responder pathway to head injuries. Heather Jarman (co-investigator), Mary Halter (Chief Investigator), and other consortium members. Funded by the British Red Cross.
Research unit roles
Clinical Academic Lead: Professor Heather Jarman
The Clinical Academic Lead is responsible for the work of the Clinical Research Unit. This includes supervision of the academic staff working on research projects, and for the day to day operation of the unit in managing and coordinating clinical trials.
Researcher in Residence: Dr Mary Halter, PhD
The researcher in residence is an experienced post-doctoral researcher who supports the Clinical Research Unit’s own research program. They work with clinical staff to develop projects, support applications for research funding and provide mentorship to novice researchers.
EM Consultant – research link consultant: Dr Phil Moss
The EM Consultant research link is responsible for the development of new medical Principal Investigators and the planning of training for Clinical Fellows (Research).
Clinical Fellow (Research)
Our Clinical Fellows work in for 20% of their time in a research role alongside their work as doctors in the Emergency Department. In their research time they take an active part in a range of research related activities including developing their own projects.
Clinical study roles
The Principal Investigator (PI) is the senior nurse or doctor responsible for each research study. They work with the Clinical Research Nurses to make sure that each study is run safely and effectively.
Senior Clinical Research Nurse: Claire Seel
The senior clinical research nurse is responsible for oversight of the studies taking place in the department. They provide leadership and management to the clinical research nursing team.
Clinical Research Nurses
Clinical Research Nurses play a vital role in the care patients taking part in research studies. Our nurses identify patients suitable to take part in studies and work with the patient’s doctor to provide information to help them decide if they want to take part. The research nurses carry out particular treatments, blood tests or collect information on what happens to a patient who is taking part in the study. We will often continue to see patients once they have been admitted to hospital to answer any questions and to ensure their safety and well-being.