Abstract

Table of contentsI1: Trauma, Pre-hospital and Cardiac Arrest Care 2015Pascale Avery, Leopold Salm, Flora BirdA1: Retrospective evaluation of HEMS ‘Direct to CT’ protocolAnja Hutchinson, Ashley Matthies, Anthony Hudson, Heather JarmanA2 Rush hour – Crush hour: temporal relationship of cyclist vs. HGV trauma admissions. A single site observational studyMaria Bergman Nilsson, Tom Konig, Nigel TaiA3 Semiprone position endotracheal intubation during continuous cardiopulmonary resuscitation in drowned children with regurgitation: a case report and experimental manikin studyEspen Fevang, Børge Hognestad, Håkon B. AbrahamsenA4 An audit of CO2 A-a gradient in non-trauma patients receiving pre-hospital anaesthesiaOlivia V Cheetham, Matthew JC Thomas, Kieron D RooneyA5 Can the use of c-spine immobilisation collars be avoided in non-trauma patients presenting to the Emergency Department?Josephine Murray, Malcolm TunnicliffA6 Curriculum mapping in ED point of care simulationJoseph W Collinson, Thomas Brown, Christopher PritchettA7 Point of care multidisciplinary trauma team simulation & participant satisfaction in a geographically remote trauma unit in CornwallChristopher SA Pritchett, Mark Jadav, Gareth Meredith, Jamie Plumb, Steve Harris, Roger LangfordA8 Conservative management of head injury inpatients - the challenge of simplifying injury management in a non-neurosurgical hospitalJG Hunter, A Sage, R Madden, O Flamank, B Broadbent, S Marsh, H Lewis, E Daniels, N RobertsA9 Improving the care of traumatic brain injury at non-neurosurgical hospitals: Introducing a head injury pathway and single place of care is associated with significant improvements in neurological observationJG Hunter, A Sage, R Madden, O Flamank, B Broadbent, S Marsh, H Lewis, E Daniels, N Lin, N RobertsA10 The experience of inter-disciplinary students undertaking cardiac arrest moulage trainingSamuel Bulford, Silas Houghton-Budd, Sam Pearson, Megan Clear-HillA11 Impact brain apnoea – nine casesDavid J Menzies, James P Leonard, Conor Keogh, Ray Quinn, John D HindsA12 Time well spent? Improving the performance improvement programme in a busy Trauma UnitN Roberts, D Ashton-Cleary, M JadavA14 Clinical significant and outcome of pulmonary contusions in patients with blunt chest traumaIsmail Mahmood, Ayman El-Menyar, Basil Younis, Ahmed Khalid, Syed Nabir, Mohamed Nadeem Ahmed, Omer Al-Yahri, Hassan Al-ThaniA15 Plastics operative workload in major trauma centres: a national prospective surveyKatie Young, Susan A. Hendrickson, Georgina Phillips, Matthew D. Gardiner, Shehan HettiaratchyA16 A survey to assess the accuracy of estimating height by pre-hospital clinicians: can we reliably predict those most at risk of serious injury?Alexandra Alice Crossland, Anthony HudsonA17 An audit of the cause, outcome and adherence to treatment Standard Operating Procedure (SOP) for all traumatic cardiac arrests at a Helicopter Emergency Medical Service over a 12-month periodNicholas C Brassington, Anthony Hudson, Emily McWhirterA18 Should we “stay-and-play? A study of patient physiology in Norwegian Helicopter Emergency ServicesBjørn O Reid, Marius Rehn, Oddvar Uleberg, Andreas J KrügerA19 Training in resuscitative thoracotomy: have we cracked it? A survey of higher Emergency Medicine trainees in LondonCara Jennings, Yasmin Kapadia, Duncan BewA20 London’s Air Ambulance (LAA): 25-years of drownings in an urban environmentJenny Townsend, Tom P Hurst, Elizabeth A FosterA21 Live patients in trauma simulation – more than just simulation on a shoestring?Thomas B Brown, Joseph Collinson, Christopher Pritchett, Toby SladeA22 Collecting core data in pre-hospital critical care using a consensus based templateKristin Tønsager, Marius Rehn, Kjetil G.Ringdal, Andreas J.KrügerA23 Prehospital interventions before and after implementation of a physician staffed helicopterRasmus Hesselfeldt, Sandra Wulffeld, Asger Sonne, Lars S. Rasmussen, Jacob SteinmetzA24 Duration of ventilation following prehospital drug assisted intubation; a retrospective reviewThomas J Renninson, Nadine Thomson, Harvey Pynn, Timothy J HooperA25 Non-haemorrhagic shock in trauma: a novel guideline for management in EDAnthony Hudson, Jacinta Dawson, Ashley MatthiesA26 Patient-tailored triage decisions by anaesthetist-staffed pre-hospital critical care teamsMorten Langfeldt Friberg, Leif RognåsA27 Anatomical accuracy and appropriate sizing of pre-hospital thoracostomiesJessica FG Wills, Anthony HudsonA28 Pre-hospital management of mass casualty civilian shootingsConor DA Turner, Marius RehnA30 The prevalence of alcohol-related trauma recidivism: a systematic reviewJames Nunn, Mete Erdogan, Robert S. GreenA31 Development of a hospital-wide program for simulation-based training in trauma care and managementSamuel Minor, Mete Erdogan, Kathy Hartlen, Robert S. GreenA32 Out of Hospital Cardiac Arrests (OOHCA); lessons from HollywoodRuth Bird, Rachael L. GruppingA33 Mechanism of injury as a predictor of severity of injury in road traffic collisions: a literature reviewAmelia M. Stacey, Marius Rehn, David J. LockeyA34 Lessons to be learned from prehospital airway intervention documentation? Are airway intervention documentation templates as successful in-hospital as prehospitally?S. Abiks, L. Cutler, K. Monaghan, A. Al-Rais, C. Hymers, R. Bloomer, Y. KapadiaA35 Novel biomarkers in prehospital management of traumatic brain injury (the PreTBI study protocol)Sophie-Charlott Seidenfaden, Ingunn S. Riddervold, Hans Kirkegaard, Niels Juul, Morten T. BøtkerA36 Hospital outcomes of traumatic railway incidents: a seven-year observational retrospective study of a major trauma centreAlice Gao, Zane Perkins; Gareth Grier, Alex TzannesA37 Does taking a third crew member affect the on-scene time of HEMS jobs?Nathan Hudson-Peacock, Quentin Otto, Laurie Phillipson, Rik Thomas, Ainsley HeyworthA38 Does pre-hospital rapid sequence induction affect on-scene time of HEMS jobs?Quentin Otto, Nathan Hudson-Peacock, Laurie Phillipson, Ainsley Heyworth, Erica LeyA39 Code red: shock index as a prehospital indicator of massive haemorrhageDaniel Banner, Ainsley Heyworth, Erica LeyA40 Air ambulance tasking: how accurate are our current methods?Madeleine Benson, Nathan Hudson-Peacock, Tony Stone, Erica Ley, Louise Rousson, Ainsley HeyworthA41 Modern trauma burden in a district general hospitalBeth A Lineham, Matthew J Lee, Martin GoughA42 Establishing a legal service for major trauma patients in two UK major trauma centresWilliam H Seligman, Hannah E Thould, Andrew Dinsmore, Charlotte Tan, Julian Thompson, C Andy Eynon, David J LockeyA43 Prehospital assessment and care of patients – a study of the use of guidelines when assessing head traumaRebecka M Rubenson Wahlin, Veronica Lindström, Sari Ponzer, Veronica VicenteA44 An audit of pre-hospital blood pressure management resulting from head injuryPamela Eligio, Anthony HudsonA45 The surgical contribution of surface shading volumetric rendering techniques in rib fracture managementRobert Young, Dimitri Amiras, Ian Sinha

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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