Mr Craig Mortimer

Research project: How do changes in blood glucose levels during the nebulisation of Salbutamol impact on objectively measured health outcomes in patients presenting with an exacerbation of asthma: a pragmatic quantitative study

Abstract

Asthma and diabetes are two of the most prevalent long-term conditions worldwide and although seemingly unrelated the commonality of shared comorbidities and potential predisposition for those patients suffering from one of these conditions to develop the other, brings with it intricacies that are often difficult to manage clinically.

One such complexity is around how medications designed to benefit asthmatics could potentially cause changes in patients' blood glucose levels, resulting in a transient diabetic state that adversely affects the patient by worsening/prolonging their exacerbation.

This study seeks to ascertain how beta-2 agonists (Salbutamol) used to manage asthma exacerbations in the ambulance setting affect blood glucose levels, and how any changes impact their ventilation (V) and cardiac output (Q)

  • Research degree: PhD
  • Title of project: How do changes in blood glucose levels during the nebulisation of Salbutamol impact on objectively measured health outcomes in patients presenting with an exacerbation of asthma: a pragmatic quantitative study
  • Research supervisor: Dr Dimitra Nikoletou
  • Other research supervisor: Professor Ann Ooms

Biography

I joined the ambulance service in 1994 and developed my clinical role through to that of a Paramedic in 1999.  Whilst I continue to work operationally allowing regular exposure to the clinical environment and on-going development opportunities, my clinical role has become secondary to other roles within the ambulance Trust.

From 2007 I spent ten years within the Clinical Education Department taking responsibility for the development and facilitation of education programmes in a variety of settings, including both in-house and Higher Education facilities. During this time I also worked as a Senior Lecturer in universities as part of their Paramedic programmes (pre and post reg.) where I led and delivered modules, developed teaching materials and supervised students and staff.  

Since 2017 I have been working as the Research Manager for South East Coast Ambulance Service NHS Foundation Trust (SECAmb).

Areas of research interest

  • All aspects of asthma management
  • Allergy and intolerance

Qualifications

  • Master of Science: Healthcare Practice, St George's University
  • Postgraduate Certificate in Patient Assessment and Management: Critical Care Practice (CCP) Pathway, University of Hertfordshire
  • Postgraduate Certificate in Healthcare & Biomedical Education, St George's University
  • Master of Business Administration, University of Leicester

Funding or awards received

  • Co-Investigator for College of Paramedics research grant (£5000). The study looks at the views of ambulance staff relevant to the COVID-19 pandemic (2020).
  • Co-Investigator for College of Paramedics research grant (£1250). The study looked at the attitudes and experiences of Paramedics when managing EoLC (2019).
  • Co-Investigator for College of Paramedic research grant (£1250). The study focused on the use of pre-hospital electronic patient clinical records (2018).

Publications

Mortimer, C. (2019). A preliminary study to determine the effects of nebulised salbutamol on blood glucose levels during an acute asthma exacerbation. European Respiratory Journal, 54:  Suppl. 63, PA4243.

Mortimer, C. (2017). The management of allergic reactions in the pre-hospital setting: Does parenteral adrenaline get used unnecessarily? European Respiratory Journal, 50:61. p. 3902.

Mortimer, C. E. D. (2017) Comparison of manikin-based simulators and patient monitor simulators within paramedic education: the student perspective. BMJ Stel, 0:1–6. doi:10.1136/bmjstel-2017-000252.

Mortimer, C. (2015). Training versus education: the terminology. Journal of Paramedic Practice, Vol. 7, Iss. 11, pp. 540 - 541.

Mortimer, C. (2014). Is parenteral adrenaline used unnecessarily in the treatment of asthma patients in the pre-hospital setting? European Respiratory Journal, 44: Suppl. 58, p. 3023.

Conference papers

Mortimer, C. (2018 April) Pre-hospital stroke care and the effectiveness of e-learning. Poster presented at EMS2018, Copenhagen, Denmark.

Mortimer, C and Ooms, A. (2017, November). Perceptions of a Clinical Simulation Centre: The Paramedic Students' perspective. Poster presented at the Association for Simulated Practice in Healthcare Conference, Telford, United Kingdom.

Mortimer, C. (2017, September). The management of allergic reactions in the pre-hospital setting: Does parenteral adrenaline get used unnecessarily? Poster presented at the European Respiratory Society Congress, Milan, Italy.

Lavelle, M., Law-Chapman, C., Cox, L., Mortimer, C. and Lindridge, J. (2016, June). Improving Interprofessional Learning Through Multi-Agency Simulation-Based Education. Oral presentation at the SESAM, Lisbon, Portugal.

Mortimer, C. (2014, September). Is parenteral adrenaline used unnecessarily in the treatment of asthma patients in the pre-hospital setting? Poster presented at the European Respiratory Society Congress, Munich, Germany.