Ns and image top quality. Hence, our results cannot be ascribed to

doi:ten.1136/bmjopen-2016-Open Access resource-limited well being solutions can generate savings.8 In England alone, there are actually around one hundred 000 visits to EDs for epilepsy each and every year.five The cost of delivering this care in 2012/2013 was >?six million.9 The ambulance service includes a critical role in helping reach any reduction, as almost all seizure patients (90 ) attending ED Al. BMJ Open 2016;six:e014022. doi:10.1136/bmjopen-2016-Open AccessFigure 1 Paramedic Pathfinder tool arrive by emergency ambulance.10 Although the UK ambulance service--like these inside the USA, Canada and Australia-- has traditionally been viewed as a `call-handling and transportation service',11 this really is no longer the case. In conclusion the results on the present experiments give proof for preferential processing of stimuli which can be socially salient and don't signal threat. Our outcomes indicate that mechanisms for detection of socially-relevant stimuli with decreased attentional sources and in some cases without having conscious awareness could be resulting from understanding of complicated stimulus configurations.AcknowledgmentsWe would like to thank Jim Haxby for insightful discussions and Ronnie E Bryan for assistance with data collection for the attentional blink experiment.Ambulances frequently attend to people that have skilled a suspected seizure.1 Seizures is usually provoked by a variety of causes; some are life-threatening. Even so, in most situations, the patient are going to be a person having a recognized epilepsy diagnosis, experiencing an uncomplicated seizure. Although some postictal drowsiness and confusion is popular, the full facilities of a hospital emergency department (ED) are usually not needed.two? It's for that reason regarding that current UK-wide National Audits of Seizure Management in Hospitals identified most visits to ED for seizures are by those with identified as an alternative to new epilepsy and for uncomplicated seizures.5 Related patterns of use are seen in other countries.6 7 Decreasing unnecessary visits to EDs for seizures has been identified as a single way thatNoble AJ, et al. BMJ Open 2016;six:e014022. doi:10.1136/bmjopen-2016-Open Access resource-limited health services can create savings.8 In England alone, there are actually around one hundred 000 visits to EDs for epilepsy each year.5 The price of supplying this care in 2012/2013 was >?six million.9 The ambulance service includes a important part in assisting realize any reduction, as almost all seizure sufferers (90 ) attending ED arrive by emergency ambulance.10 When the UK ambulance service--like those inside the USA, Canada and Australia-- has traditionally been viewed as a `call-handling and transportation service',11 that is no longer the case. Paramedics are usually not obliged to convey all sufferers they see to ED; rather, they are anticipated, where appropriate, to treat more sufferers `at scene' and refer to alternative, non-emergency care pathways.12?four In spite of this, paramedics still transport most seizure patients to ED.1 15 One particular regional English ambulance service reported that in only 19 of seizure situations could be the patient not conveyed.15 Understanding why this really is the case is complicated as virtually no data is out there on how paramedics expertise managing seizure sufferers and make choices regarding the care they offer. Only one particular study to date has thought of the situation;16 for it, one of us (AJN) recruited and interviewed 15 ambulance clinicians.