A Paramedics Perspective of a Maturing Trauma System Lee Thompson.

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Presentation transcript:

A Paramedics Perspective of a Maturing Trauma System Lee Thompson.

A Maturing Trauma System Aim: To give a personal perspective of prehospital trauma within the (Maturing) Northern Trauma Network.

A Maturing Trauma System

LIST of THINGS TO DO?

A Maturing Trauma System

Data:

A Maturing Trauma System Statistics:

A Maturing Trauma System

Haemorrhage Management:

A Maturing Trauma System Lessons learned: Haemorrhage is like CPR? GOOD QUALITY BYSTANDER COMPRESSIONS......!

A Maturing Trauma System BYSTANDER HAEMORRHAGE COMPRESSION: REALLY? Fire and Rescue Services Police St John Ambulance and Voluntary sector First responders Joe Public???? Mountain Rescue

A Maturing Trauma System Do nothing: Injection of diesel.

A Maturing Trauma System

Alternative Kit: ITClamp. Quick, labour saving. Wound visible. Neck/Scalp/Junctional. Additional tool in the box.

A Maturing Trauma System Difficult Areas:

A Maturing Trauma System Reduce the use of Collars and increase Pelvic Splinting:

A Maturing Trauma System

Pre-Hospital Trauma Innovation

A Maturing Trauma System What are we measuring? ISS >15 Not Triage +‘ve Elderly with low MoI

A Maturing Trauma System Critical Care Paramedics: Combined role co-located at MTC’s/TU’s. Thorocostomies. Pacing and cardio-version. Analgesia and sedation. Regular exposure. Point of care U/S, Bloods etc.

A Maturing Trauma System RESEARCH!

Pre-Hospital Trauma Innovation

A Maturing Trauma System

Traumatic Cardiac Arrest:

A Maturing Trauma System Looking forward: ITClamp service wide evaluation. Blood products. REBOA. Haemostatic agents. Long term audit, evaluation & research.

A Maturing Trauma System Looking forward: Public awareness. Commissioning. Dead Drunk. Biker Down. Work based medical teams, Private companies, social/sports groups (triathlon clubs).

Thank you