1. A Paramedics Perspective of a Maturing Trauma System Lee Thompson.

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

3. A Maturing Trauma System

4. LIST of THINGS TO DO?

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7. Data:

8. A Maturing Trauma System Statistics:

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12. Haemorrhage Management:

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

14. 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

15. A Maturing Trauma System Do nothing: Injection of diesel.

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

18. A Maturing Trauma System Difficult Areas:

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

20. A Maturing Trauma System

21. Pre-Hospital Trauma Innovation

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

23. 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.

24. A Maturing Trauma System RESEARCH!

25. Pre-Hospital Trauma Innovation

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27. Traumatic Cardiac Arrest:

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

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

32. Thank you