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The Resus Room

Trauma Care 2018

The Resus Room

Simon Laing

Science, Emergencymedicine, Medicine, Health & Fitness, Em, Ae

4.8678 Ratings

🗓️ 18 April 2018

⏱️ 31 minutes

🧾️ Download transcript

Summary

For this episode we’ve been lucky enough to catch a number of the speakers from the traumacare conference.

First up, conference organiser Caroline Leech (EM + PHEM consultant) gave us a few minutes of her time to talk about the latest major trauma key performance indicators from NICE.

Nicola Curry (Consultant Haematologist) spoke about transfusion in trauma and the use of massive haemorrhage protocols. Importantly, she covers the evidence behind the current strategies and where future research opportunities exist.

Stuart Reid (EM + PHEM consultant) covered the ways of optimising timely transfer of major trauma patients. This had an inter-hospital focus, but there were certainly some elements which can be applied to a primary patient transfer.

David Raven (EM consultant) provided an update to the ongoing work with the HECTOR project. We’ve previously heard about their amazing course but this time he was able to let us know about the “silver trauma safety net” which is being used by the ambulance service in the West Midlands. This aims to provide appropriate recognition and triage of trauma in the elderly population.

Finally, Elspeth Hulse (anaesthetic SpR) gave us a timely reminder about the identification and management of organophosphate poisoning - really useful from both and EM and PHEM perspective.

Thanks again to Caroline for the invite to the conference and keep and eye out for a special podcast in the next few weeks where Simon Carley will be running through his top 10 trauma papers of 2017/18 (we were going to try and condense it, but there was way too much good stuff!)

Enjoy!

SimonRob & James

References & Further Reading

Trauma Care

St Emlyns

HECTOR

Transcript

Click on a timestamp to play from that location

0:00.0

Welcome to the recess room podcast.

0:03.9

Five, four, three, two, one, fire.

0:13.3

So hi, and welcome to the resource room podcast. I am not Simon Lang. I'm James Yates. And I'm

0:19.5

Rob Penwick. And Simon is here with us, but he's sitting

0:22.5

across the room with his headphones on editing another podcast, which we shall delight you with in the

0:28.6

future. So, Rob, what's he up to and what are we up to? We are at Trauma Care and we have been invited

0:35.6

back by the always Amazing Caroline Leach

0:38.3

and she asked us to come and put together some of the highlights of the conference,

0:42.6

particularly on the trauma in the ED day.

0:45.6

And we of course 100% said we would love to.

0:49.7

But in exchange, we need a few minutes of your time to tell us your thoughts on the new

0:54.0

key performance

0:54.8

indicators that are put forward by nice with regard to major trauma.

0:58.8

So, what we did was we set Simon Lang, the task of getting that interview, while we set

1:05.1

about catching all the other speakers.

1:09.2

Caroline Leach, trauma extraordinaire. You love your trauma. So the Nice Guidelines have just come out for major trauma with six key indicators. Do you want to tell us how they're going to affect our practice?

1:21.9

Okay, so there were six quality statements published by Nice in March 2018. Now, the point of these is to drive up the quality of

1:30.3

care for our trauma patients and they haven't defined locally what percentage level of achievement we

1:35.9

should get for these. That's the first thing that we need to remember. So it's not saying you have

1:39.9

to get 100% of these figures, but it is, what are you doing in your organisation to achieve this?

1:46.8

And also, can it help you improve the care of those trauma patients? So what are those standards?

1:52.3

Okay, so statement one is people with major trauma who cannot maintain their airway and or ventilation

...

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