Abstract

London Trauma Conference 2015 : London, UK, 8-11 December 2015.

Highlights

  • London has seen a significant increase in cycle usage in light of Team GB successes post London Olympics 2012

  • Our objective was to re-assess the feasibility of endotracheal intubation (ETI) during continuous cardiopulmonary resuscitation (CPR) in the semiprone position compared to a standard supine position in a simulated drowned child

  • In a simulation-based model, we have shown that ETI in the semiprone position during continuous CPR can be a fast and reliable backup option when airway management is complicated by regurgitation in children with submersion injuries

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Summary

Introduction

London has seen a significant increase in cycle usage in light of Team GB successes post London Olympics 2012. Method A retrospective hand searched review of a physician-led prehospital care trauma database was conducted to identify all patients who were hit by trains in a 7-year period from January 2005 to December 2011. Best evidence guidelines for prehospital management of traumatic brain injuries (TBI) have been developed and established in several countries These guidelines are intended to standardize assessment and treatment of patients with head trauma and by doing so to improve outcomes for TBI patients. Surrey and Sussex air ambulance (KSS) standard operating procedures (SOPs) require systolic blood pressure (SBP) ≥ 100 mmHg, and the Association of Anaesthetists of Great Britain and Ireland and National Institute for Health and Care Excellence stipulate national guidelines of mean arterial pressure (MAP) > 80 mmHg [1,2] This audit aims to: (1) assess KSS adherence to SOPs and (2) compare these results against national guidelines. This aids the choice of incision site and surgical approach in an area less familiar to many surgeons, due to a long tradition of conservative management in blunt thoracic trauma and flail chest

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