Dr Tim Nutbeam
Profiles

Dr Tim Nutbeam

Honorary Professor - Prehospital Critical Care

School of Health Professions (Faculty of Health)

Biography

Biography

Tim is a consultant in Emergency Medicine and Prehospital Emergency Medicine working in the South West of the UK. Tim has a particular interest in the immediate phases of care following a motor vehicle collision and how outcomes for patients can be optimised.

Tim has recently completed a body of work know as the EXIT (EXtrication In Trauma) project which considers how to optimise care and extrication for patients who are trapped following a motor vehicle collision. This work has been adopted into national guidelines, has influenced care internationally and has been awarded first place in the prestigious International Road Safety Awards (2022).

Qualifications

I am a Fellow of the College of Emergency Medicine, I hold a Masters in Disaster Medicine and have completed a the Diploma in Immediate Care from the Royal College of Surgeons (Edinburgh). 

I trained in Emergency Medicine in the UK and have worked both here and in Southern Africa. 

My specially interests include Prehospital Emergency Medicine, resource/ information limited decision making and early interventions especially in those injured following a motor vehicle collision.  
Teaching

Teaching

Staff serving as external examiners

Examine for the Diploma in Immediate Care for the Royal College of Surgeons Edinburgh
Research

Research

Research interests

Post-collision care / Extrication 
Prehospital interventions
Publications

Publications

Key publications

Key publications are highlighted

Journals
Articles
Nutbeam T, Fenwick R, May B, Stassen W, Smith JE, Bowdler J, Wallis L & Shippen J (2022) 'A biomechanical study to compare spinal movement in a healthy volunteer during extrication between ‘chain cabling’ and ‘roof off’ methods of extrication' Injury 53, (11) 3605-3612 , DOI
Nutbeam T, Brandling J, Wallis LA & Stassen W (2022) 'Understanding people’s experiences of extrication while being trapped in motor vehicles: a qualitative interview study' BMJ Open 12, (9) e063798-e063798 , DOI
Nutbeam T, Fenwick R, Smith JE, Dayson M, Carlin B, Wilson M, Wallis L & Stassen W (2022) 'A Delphi study of rescue and clinical subject matter experts on the extrication of patients following a motor vehicle collision' Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine 30, (1) , DOI
Nutbeam T, Roberts I, Weekes L, Shakur-Still H, Brenner A & Ageron F-X (2022) 'Use of tranexamic acid in major trauma: a sex-disaggregated analysis of the Clinical Randomisation of an Antifibrinolytic in Significant Haemorrhage (CRASH-2 and CRASH-3) trials and UK trauma registry (Trauma and Audit Research Network) data' British Journal of Anaesthesia 129, (2) 191-199 , DOI
Nutbeam T, Weekes L, Heidari S, Fenwick R, Bouamra O, Smith J & Stassen W (2022) 'Sex-disaggregated analysis of the injury patterns, outcome data and trapped status of major trauma patients injured in motor vehicle collisions: a prespecified analysis of the UK trauma registry (TARN)' BMJ Open 12, (5) e061076-e061076 , DOI
Nutbeam T, Kehoe A, Fenwick R, Smith J, Bouamra O, Wallis L & Stassen W (2022) 'Do entrapment, injuries, outcomes and potential for self-extrication vary with age? A pre-specified analysis of the UK trauma registry (TARN)' Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine 30, (1) , DOI
Nutbeam T, Fenwick R, May B, Stassen W, Smith JE, Bowdler J, Wallis L & Shippen J (2022) 'Assessing spinal movement during four extrication methods: a biomechanical study using healthy volunteers' Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine 30, (1) , DOI
Nutbeam T, Fenwick R, May B, Stassen W, Smith J & Shippen J (2022) 'Maximum movement and cumulative movement (travel) to inform our understanding of secondary spinal cord injury and its application to collar use in self-extrication' Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine 30, (1) , DOI
Nutbeam T, Fenwick R, May B, Stassen W, Smith JE, Wallis L, Dayson M & Shippen J (2021) 'The role of cervical collars and verbal instructions in minimising spinal movement during self-extrication following a motor vehicle collision - a biomechanical study using healthy volunteers' Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine 29, (1) , DOI
Nutbeam T, Fenwick R, Smith J, Bouamra O, Wallis L & Stassen W (2021) 'A comparison of the demographics, injury patterns and outcome data for patients injured in motor vehicle collisions who are trapped compared to those patients who are not trapped' Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine 29, (1) , DOI
Nannan Panday RS, Schinkel M, Nutbeam T, Alam N & Nanayakkara PWB (2019) 'The effects of a single dose of paracetamol in a critical phase of sepsis: a sub-analysis of the PHANTASi trial' European Journal of Internal Medicine 70, e7-e9 , DOI
Vassallo J, Nutbeam T, Rickard AC, Lyttle MD, Scholefield B, Maconochie IK & Smith JE (2018) 'Paediatric traumatic cardiac arrest: the development of an algorithm to guide recognition, management and decisions to terminate resuscitation' Emergency Medicine Journal , DOI
Rickard AC, Vassallo J, Nutbeam T, Lyttle MD, Maconochie IK, Enki DG & Smith JE (2018) 'Paediatric Traumatic Cardiac Arrest: A Delphi study to establish consensus on definition and management' Emergency Medicine Journal 35, (7) , DOI Open access
Morrow L & Nutbeam T (2017) '41 Simultaneous trauma patients in emergency department’s: a difference in mortality?' Emergency Medicine Journal 34, (12) A888-A889 , DOI
Vassallo J, Nutbeam T, Rickard A, Lyttle M & Smith J (2017) '49 Paediatric traumatic cardiac arrest – the development of a treatment algorithm' Emergency Medicine Journal 34, (12) A892.2-A894 , DOI
Nutbeam T, Clarke R, Luff T, Enki DG & Gay D (2017) 'The height of the cricothyroid membrane on computed tomography scans in trauma patients' Anaesthesia , DOI Open access
Leaman A & Nutbeam T (2017) 'Response times by the police and ambulance services at motor vehicle crashes in the West Mercia region' Trauma 20, (4) 255-257 , DOI
Phillips R & Nutbeam T (2017) 'Should cervical spinal immobilisation be applied to alert adult patients following blunt traumatic injury?' Trauma 19, (3) 226-227 , DOI
Youkee D, Hulme W, Roberts T, Daniels R, Nutbeam T & Keep J (2016) 'Time Matters: Antibiotic Timing in Sepsis and Septic Shock' Critical Care Medicine 44, (10) e1016-e1017 , DOI
Horne S & Nutbeam T (2016) 'You Can’t Make a Silk Purse Out of a Sow’s Ear: Time to Start Again with MCI Triage' Prehospital and Disaster Medicine 31, (4) 459-460 , DOI
Graham B, Nutbeam T & Smith JE (2015) 'Abdominal trauma sustained during cardiopulmonary resuscitation may be detected by ultrasound' Trauma 18, (4) 283-286 , DOI
Nutbeam T (2015) 'In adult patients presenting as emergencies with upper gastrointestinal bleeding, does tranexamic acid decrease mortality?' African Journal of Emergency Medicine 5, (2) 85-92 , DOI
Yealy DM, Huang DT, Delaney A, Knight M, Randolph AG, Daniels R & Nutbeam T (2015) 'Recognizing and managing sepsis: what needs to be done?' BMC Medicine 13, (1) , DOI
McQueen C, Nutbeam T, Crombie N, Lecky F, Lawrence T, Hathaway K & Wheaton S (2015) 'Enhanced care team response to incidents involving major trauma at night: Are helicopters the answer?' Injury 46, (7) 1262-1269 , DOI
Nutbeam T, Fenwick R, Hobson C, Holland V & Palmer M (2014) 'Extrication time prediction tool' Emergency Medicine Journal 32, (5) 401-403 , DOI
Nutbeam T, Fenwick R, Hobson C, Holland V & Palmer M (2013) 'The stages of extrication: a prospective study' Emergency Medicine Journal 31, (12) 1006-1008 , DOI
Nutbeam T, Leaman A & Oakley P (2011) 'Transporting major trauma patients from the margins of a UK trauma system' Emergency Medicine Journal 29, (3) 182-183 , DOI
Leaman AM & Nutbeam T (2011) 'Trauma systems and medical helicopters in the UK' Injury 42, (1) 12-14 , DOI
Daniels R, Nutbeam T, McNamara G & Galvin C (2010) 'The sepsis six and the severe sepsis resuscitation bundle: a prospective observational cohort study' Emergency Medicine Journal 28, (6) 507-512 , DOI
Nutbeam T (2010) 'Clinical governance and prehospital care in the UK' Emergency Medicine Journal 28, (2) 91-92 , DOI
Nutbeam T & Daniels R (2010) 'Early goal-directed therapy: can the emergency department deliver' Emergency Medicine Journal 28, (3) 250-250 , DOI
Ebrahim GJ (2010) 'ABC of Sepsis. * Daniels R. and Nutbeam T. (eds)' Journal of Tropical Pediatrics 56, (4) 287-287 , DOI
Nutbeam T & Fergusson A (2009) 'Intraosseous access in osteogenesis imperfecta (IO in OI)' Resuscitation 80, (12) 1442-1443 , DOI
Robson W, Nutbeam T & Daniels R (2009) 'Sepsis: a need for prehospital intervention?' Emergency Medicine Journal 26, (7) 535-538 , DOI
Nutbeam T, O'Meara M & Henning J (2009) 'Scoring Systems and Their Possible Use in a Military ICU Setting' Journal of the Royal Army Medical Corps 155, (2) 124-129 , DOI
(2009) 'BET 2 IS ENDOTRACHEAL ADRENALINE USEFUL IN ACUTE ASTHMA?' Emergency Medicine Journal 26, (6) 435-435 , DOI
(2009) 'BET 3. ENDOTRACHEAL ADRENALINE IN INTUBATED PATIENTS WITH ASTHMA' Emergency Medicine Journal 26, (5) 359-359 , DOI
Presentations and posters
Nutbeam T, Enki DG, Clarke R, Luff T & Gay D Nutbeam T, Enki DG, Clarke R, Luff T & Gay D 'Emergency Cricothyrotomy: Revised anatomy and its implications for clinical practice' , DOI Open access
Personal

Personal

Links

Please have a listen to my podcast "PHEMCAST" , available through iTunes or via the website: www.phemcast.co.uk