
Laura CotteyRoyal Centre for Defence Medicine (Research & Academia) · Academic Department of Military Emergency Medicine
Laura Cottey
Doctor of Philosophy
About
38
Publications
1,766
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Introduction
Laura Cottey currently works as an Emergency Medicine doctor having completed a PhD investigating targeting the mitochondria in haemorrhagic shock. She previously led a national collaborative study looking at the need for recovery in ED physicians and has completed research projects in emergency supplemental oxygen use in military patients and patient consent in pain studies. She has a keen interest in medical leadership and management, with an Msc in Leadership for the Health Professionals.
Additional affiliations
October 2020 - present
August 2016 - August 2019
Education
September 2018 - December 2019
September 2015 - July 2018
September 2009 - July 2010
Publications
Publications (38)
Background
The Need for Recovery (NFR) Scale is an 11-item questionnaire that assesses how work affects intershift recovery. Items are summated to form a score with a maximum value of 100. Previously reported scores range from 38 in nurses to 55 in miners. This study aimed to determine the NFR Score among ED staff and to identify whether the NFR Sc...
Objectives: To determine the need for recovery (NFR) among emergency physicians and to identify demographic and occupational characteristics associated with higher NFR scores.
Design: Cross-sectional electronic survey.
Setting: Emergency departments (EDs) (n=112) in the UK and Ireland.
Participants: Emergency physicians, defined as any registere...
Background and importance:
Need for recovery (NFR) describes an individual's need to physically and psychologically recuperate following a period of work. Physicians working in emergency departments (EDs) have higher NFR scores than other occupational groups. Increased NFR may precede occupational burnout and identification provides opportunities...
Introduction
Supplemental oxygen is a key element of emergency treatment algorithms. However, in the operational environment, oxygen supply poses a challenge. The lack of high-quality evidence alongside emerging technologies provides the opportunity to challenge current guidelines. The aim of this review was to appraise the evidence for the adminis...
Background
The priorities for UK emergency medicine research were defined in 2017 by a priority setting partnership coordinated by the Royal College of Emergency Medicine in collaboration with the James Lind Alliance (JLA). Much has changed in the last 5 years, not least a global infectious disease pandemic and a significant worsening of the crisis...
Introduction
Trauma is a leading cause of death and despite trauma care improvements, survival rates remain unchanged for critically injured patients. Cellular energy stress occurs early following trauma, potentially representing a therapeutic target for prolonged care.
We aimed to determine the degree of cellular energy stress in two porcine traum...
This month’s update is by the Academic Department of Military Emergency Medicine and University Hospitals Plymouth NHS Trust. We used a multimodal search strategy, drawing on free open-access medical education resources and literature searches. We identified the five most interesting and relevant papers (decided by consensus) and highlight the main...
Introduction
Traumatic injury is one of the leading causes of death worldwide, and despite significant improvements in patient care, survival in the most severely injured patients remains unchanged. There is a crucial need for innovative approaches to improve trauma patient outcomes; this is particularly pertinent in remote or austere environments...
Background
Traumatic injury is a leading cause of death worldwide. There is a crucial need to develop therapies that improve critically injured patient outcomes. Current trauma research models are ethically and financially challenging, with poor translation. However, traumatic injury and haemorrhagic shock can be modelled using ex-vivo normothermic...
This month’s update is from the Academic Department of Military Emergency Medicine and University Hospitals Plymouth NHS Trust. We used a multimodal search strategy, drawing on free open-access medical education resources and literature searches. We identified the five most interesting and relevant papers (decided by consensus) and highlighted the...
We have undertaken a focused search of the PubMed literature using a standardised COVID-19 search string. Our search between 1 March and 31 March 2021 returned 2613 papers limited to human subjects and English language. We also searched high-impact journals for papers of interest. This article details the top five that we think are the most interes...
https://blogs.bmj.com/bmj/2020/11/02/need-for-recovery-an-early-indicator-of-impaired-healthcare-staff-wellbeing/
Objectives: To determine the need for recovery (NFR) among emergency physicians and to identify demographic and occupational characteristics associated with higher NFR scores.
Design: Cross-sectional electronic survey.
Setting: Emergency departments (EDs) (n=112) in the UK and Ireland.
Participants: Emergency physicians, defined as any registere...
Located here https://t.co/X1AoaRxgjf?amp=1.
Discussion about Emergency Medicine wellbeing, recruitment and retention and the initial single centre study on need for recovery https://emj.bmj.com/content/37/9/555
ABSTRACT
Objectives To determine the need for recovery (NFR) among emergency physicians and to identify demographic and occupational characteristics associated with higher NFR scores.
Design: Cross- sectional electronic survey.
Settings: Emergency departments (EDs) (n=112) in the UK and Ireland.
Participants: Emergency physicians, defined as any re...
The development of medical leadership and management skills is an essential requirement for the progression of Defence Medi- cal Services personnel in both military and medical training. This review will summarise how military experience can contribute to achieving medical leadership and management competencies and will signpost further opportuniti...
Background
There are many physical, mental and social complications of fatigue associated with working shifts. Emergency Medicine is experiencing a crisis within the UK with a low recruitment rate and a high attrition rate. 24-hour Emergency Department (ED) provision requires doctors to work long, often unsociable shift patterns, at risk of becomin...
Servant leadership theory is little reported on in NHS leadership development strategies despite clear alignment with the core values underpinning health care for all. This article reviews the key concepts of servant leadership and suggests that it should be viewed as a core leadership style for those working in health-care organizations.
Background: Emergency Nurses (ENs) are at risk of work-related fatigue which impairs patient safety and staff well-being. ENs should be able to physically and mentally recover between shifts to reduce fatigue.
Aim: To identify work-related fatigue and recovery amongst ENs and provide comparison with other staff groups.
Methods: Staff working in a l...
A 47-year-old male driver was pre-alerted to a Major Trauma Centre following a single car road traffic collision. The car had left the road at approximately 70 mph and then rolled a distance of 150 metres. The patient extrication took in excess of two hours. Two paediatric passengers present in the car were uninjured. On arrival he was triple-immob...
Background
The presentation of multiple simultaneous trauma patients to an Emergency Department is likely to place significant stress and strain on trauma care resources. Currently there is limited literature and no UK or multicentre data available to understand this impact. The aim of this study was to identify patient outcomes when there are simu...
Title
Consent for pre-hospital trials of analgesia in trauma: patient perspective interviews
Background
There are many challenges to obtaining informed consent in pre-hospital research. Consent waivers have been granted where a patient is seriously compromised, for example in the RePHILL study. The situation is less clear when a patient is fully c...
Background
There is a paucity of high quality evidence regarding the use of pre-hospital oxygen in trauma and medical patients despite it being one of the commonest pre-hospital drugs administered. Its use is based on consensus statements and expert opinion, and is often administered when there is no clear evidence that it is required. During life...
Background
Supplemental oxygen is a fundamental treatment for the prevention of life-threatening hypoxia in the pre-hospital environment. However, the use of pressurized oxygen cylinders entails a significant logistical burden, especially within a military setting, due to their size, weight and requirements for safe transport and storage. With te...
Background
Triage is a complex decision-making process designed to manage clinical risk. Data collected during this brief intervention is used to predict avoidable short-term mortality and morbidity. The ability to predict length of stay of emergency admissions at this time point would be of significant organisational value in informing hospital c...
Background
The presentation of multiple simultaneous trauma patients in an Emergency Department, is likely to place significant stress and strain on trauma care resources. Currently there is limited data available to understand the impact simultaneous trauma demands on patient outcomes. For the purposes of this project we define simultaneous trauma...
Lower back pain (LBP) is one of the most common musculoskeletal conditions, with an estimated 60-70% of the adult population experiencing a back problem at some point in their lives. It can have a significant social and occupational impact on a patient, and therefore is a major concern to both civilian and military populations. The impact of low ba...
Background and objective:
Resistin-like molecule-β (RELM-β) is a necessary and sufficient stimulus for airway remodelling in animal models of asthma, but until recently, its role in human disease had not been investigated. The hypothesis that RELM-β expression would increase with increasing asthma severity and further increase following acute bron...
Introduction Asthma is classically considered a Th2 mediated disease. However, severe and treatment-resistant disease is more heterogeneous and often associated with airway neutrophil recruitment. This may be related to an altered airway bacterial colonisation. Bacteria express pathogen associated molecular patterns (PAMP's) that are recognised as...