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Dr M Bloch Consultant Anaesthetist RACH. Plan:. Why How. Persons Injured or Killed as a Result:. Different equipment. Different education and training. Different perspective, pressures and pitfalls. 10% of 999 calls are for children, 5% of these require resuscitation (1997) .

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Presentation Transcript
slide1

Dr M Bloch

Consultant Anaesthetist

RACH

slide2
Plan:
  • Why
  • How
slide4
Different equipment.
  • Different education and training.
  • Different perspective, pressures and pitfalls.
slide6
10% of 999 calls are for children, 5% of these require resuscitation (1997).
  • Commonest cause of death >1 yr = TRAUMA.

“When required, response needs to prompt and effective.” Prevent 20injury and gather appropriate information (MOI / NAI). (Fiona Jewkes)

  • Risk : Benefit : Cost Effective  emotions
early recognition and initial management
Early recognition and initial management:

‘BIG SICK & little sick’

phpls apls phecc pepp phtls
PHPLS / APLS / PHECC / PEPP / PHTLS
  • Immediate / Primary survey / Resuscitation phase:
    • ‘Simultaneous assessment, identification and management of any immediate life-threatening problems, with ongoing assessment of the potential for developing other life-threatening complications.’
secondary survey focussed review emergency treatment
Secondary survey / Focussed review / Emergency treatment

Continuing assessment, care and stabilisation.

c spine
C-Spine:
  • Risks and benefits.
  • Equipment and skills.
  • Canadian and Nexus.
conclusion systematic approach
Conclusion: Systematic approach
  • A combination of knowledge, skill and understanding is required to make the appropriate clinical judgement decisions.
  • However non-technical skills are also required to optimise patient outcome including:
    • Anticipating and planning.
    • Appropriate team leadership.
    • Effective communication & sharing mental models.
    • Maintaining situation awareness and utilising appropriate personnel and resources.
    • Calling for help early enough.