Training to achieve coordination of rescue and ambulance and medical teams

T Yamashita,Y Sakamoto,K Yamazumi,H Takayama

doi:10.1186/cc13259

Abstract

Japanese emergency medical technicians are not allowed to perform some advanced medical practices such as a tracheal intubation, establishment of an intravenous line, administration of a drug to a patient who retains their own circulation. So medical staff have to be dispatched to the accident scene to give a patient such medical practices. In Japan, we have developed and dispersed the educational course of the Disaster Medical Assistance Team since 2005. But the role of medical teams at the scene is not widely known among rescue workers. It is also distant for medical staff to coordinate rescue teams, because most of them do not work with rescue workers in their daily work. We have felt a need for practical training to achieve the coordination of rescue and medical teams.

Highlights

We aimed to audit the prescribing practice on a busy 14-bedd general ICU, and develop standardised practices and tools to improve safety
There are numerous reports of critical care staff stealing controlled drugs (CDs) for personal use or financial gain and notably there have been some cases where CDs have been substituted for other medications in order to delay detection of the theft
Pediatric pharmacists have been an integral part of the PICU rounds since 2002, their role has evolved over the course of years

Summary

Introduction

We aimed to audit the prescribing practice on a busy 14-bedd general ICU, and develop standardised practices and tools to improve safety. The objective of our study was to implement a Post Arrest Consult Team (PACT) and improve the quality of care for admitted OHCA patients This retrospective audit evaluated adult patients who suffered in-hospital cardiac arrest (IHCA) against the recent National Confidential Enquiry into Patient Outcome and Death (NCEPOD) report [1]. It looked at the recognition of the acutely unwell, the interventions made, the decisions taken from admission through to the post-arrest period and the outcomes following cardiopulmonary resuscitation (CPR). Methods We conducted a chart review of all patients admitted to the Department of Critical Care (DCC) at our hospital following cardiac arrest over 2 years in 2010 to 2012 (Group 1). Methods A retrospective review was conducted looking at SICU patients managed with a normothermia protocol, with particular

Objectives

Methods

Results

Conclusion