{
  "abstract": "Background Over 10% of UK emergency ambulance calls are to older adults who have fallen. Previous interview studies found confidence to be a theme within decision-making when ambulance personnel attend to this population, without providing further details on impacting factors of this process.We set out to describe the confidence in decision-making of patient facing emergency ambulance staff when attending older adults who have fallen.Methods E-survey shared by all UK NHS/HSC ambulance services and social media for 8 weeks. Likert scales of confidence and multi-choice questions were asked, then analysed descriptively and inferentially using regression and chi-squared for relationships to participant demographics.Results 1632 participants completed the survey from across 13 UK ambulance services. 31% of participants were aged 25-34, and 70% were paramedics. 52% had 2-10 years frontline emergency ambulance experience and had not received specific training in falls in older adults. 88% of participants have confidence in assessment, with more variability around conveyance or referral decisions. Provisional results show when assessing different older adult age groups only ambulance personnel age (χ 2(8)=31.27, p<0.001) and experience (χ2(12)=35.90, p<0.001) were significant, whereas conveyance decisions appear impacted by more participant demographics. 92% of participants selected patient wishes as important to conveyance decisions, whilst 69% considered communication with pathway colleagues.Abstract EP07 Table 1Summary of confidence scores in assessing and decision-makingConclusion Emergency ambulance staff are more confident in assessing and deciding to convey older adults, than non-conveyance or alternative pathway referral decisions. Staff experience and their demographics had less significance in their confidence assessing, than accessing pathways and avoiding hospital.",
  "authors": [
    {
      "affiliations": [
        "School of Medicine, Faculty of Medicine and Health Sciences, Keele University, Newcastle, Staffordshire, UK",
        "West Midlands Ambulance Service University NHS Foundation Trust, UK"
      ],
      "name": "Imogen Gunson"
    },
    {
      "affiliations": [
        "School of Medicine, Faculty of Medicine and Health Sciences, Keele University, Newcastle, Staffordshire, UK"
      ],
      "name": "Milica Bucknall"
    },
    {
      "affiliations": [
        "Wolfson Institute of Population Health, Queen Mary University of London, London, UK",
        "Academic Centre for Healthy Ageing, Barts Health NHS Trust, London, UK"
      ],
      "name": "Adam L Gordon"
    },
    {
      "affiliations": [
        "School of Medicine, Faculty of Medicine and Health Sciences, Keele University, Newcastle, Staffordshire, UK",
        "Research and Innovation Department, Midlands Partnership University NHS Foundation Trust, St Georges Hospital, Stafford, UK"
      ],
      "name": "Tom Kingstone"
    },
    {
      "affiliations": [
        "School of Medicine, Faculty of Medicine and Health Sciences, Keele University, Newcastle, Staffordshire, UK"
      ],
      "name": "Laurna Bullock"
    }
  ],
  "title": "EP07 Ambulance staff confidence in decision-making when attending older adults who have fallen: results of the AMBOFALL UK e-survey",
  "uid": "ebdc9853-ce91-52b8-9b68-1e4a2b8340fa"
}