1.1 NTS conference 2014 BS 250314

January 6, 2018 | Author: Anonymous | Category: Science, Health Science, Pediatrics
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Northern Trauma System Regional Conference 2014 High quality trauma care from ‘Roadside to Recovery’

Map of region 



North of region Trauma Network – MTC – RVI – TU  WGH - Wansbeck  NTGH - North Tyneside  STGH - South Tyneside  QEH – Gateshead  SRI – Sunderland  UHND – Durham  Cumberland infirmary South of region Trauma Network – –

RVI

MTC – JCUH TU  

JCUH

NTUH - North Tees DMH - Darlington

NTS-CAG Trauma Triage Tool Go – Live date April 1st 2012

Change in Receiving Hospital Trauma Workload Pre and Post Trauma Triage April to September 1200 1011

1000

934

800 MTC TU

600 473 400 200

175 100

83

0 Pre April 12

Apr-Sept 12

Apr-Sept 13

Network Ws Score

2014-15 



Network: hosting the Operational Delivery Network Pre hospital/ hospital Care: – STOP the bleeding campaign; Management of Traumatic haemorrhagic Shock – Continue to develop protocols and checklists





Rehabilitation: Excellent review done April 2013 with recommendations. Its time for action!! Education, education, education…………….

The multidisciplinary Task Force for Advanced Bleeding Care in Trauma was formed in 2005

Search  Treat  Observe  Prevent The bleeding!! 

Recommendation 1 We recommend that the time elapsed between injury and operation be minimised for patients in need of urgent surgical bleeding control. (Grade 1A)

Spahn et el: Management of bleeding and coagulopathy followingmajor trauma: an updated European guideline Critical Care 2013, 17:R76

Questions

Summary

‘train hard fight easy’

Clinical Director – Mr Andy Port Trauma Lead – Dr Phil Godfrey

NEAS

NWAS

YAS

TARN admissions 2013

Major Trauma Centre services    

ISS>8 – approx. 550 admissions per year ISS>15 – approx. 250 admissions per year Adult and paediatric Single site for acute surgical services – – – – – –

  

Neuro Cardio Plastics Ortho P&A / LL recon Max fax Spinal

24/7 ground level helipad at ED entrance Daily MDT major trauma ward round On-site regional spinal cord injury centre

MTC03 - Proportion of patients meeting NICE head injury guidelines that receive CT scan within 60 minutes of arrival at MTC

MTC04 - MTCs deliver definitive cover of open fractures within BOAST 4 guidelines

120

100 90 80 70 60 50 40 30 20 10 0

100 80 60 40 20 0 11/12 Q3

11/12 Q4

12/13 Q1

12/13 Q2

12/13 Q3

12/13 13/14 13/14 Q4 Q1 Q2

MTC 06 - MTCs deliver consultant led trauma teams ON ARRIVAL for patients with an ISS greater than 15 100 90 80 70 60 50 40 30 20 10 0

1

2

3

4

5

6

7

MTC 10 - Proportion of patients with GCS 15

Monthly admissions ISS>8

Network strengths      



MDT case reviews/M&M Network meetings Honorary contracts for ED cons at MTC TU peer reviews - NTS executive team Regional governance system PHEM training Senior clinical engagement at MTC – Daily MDT ward rounds – Multidisciplinary case review – Simulation, education and research

  

Strong military links Spinal cord injury centre TARN data

Northern Trauma Karen Portas system

Northern Clinical Networks and Senate / March 2014

Northern Trauma System NTS Exec Group

NTS CAG MTC

MTC

RVI

James Cook

Wansbeck

Sunderland

Carlisle

Durham

Gateshead

N. Tyneside

S. Tyneside

Darlington North tees

North Tees

Recent achievements 

Peer Review of Trauma Units – Identified good practice – Areas needing support or further input – Focus work programme for next year



Rehabilitation – Working group – Recommendations from regional report – Working with other clinical networks NHS | Presentation to Northern Trauma Network Conference] | 28 March 2014

22

Plans for 2014 Standardising…

–Pathways, protocols, documentation e.g. ATMIST, MHP, Trauma document Improving

support for TARN

–Co-ordinators meeting joint with CAG Risk

register Rehabilitation Website

NHS | Presentation to Northern Trauma Network Conference] | 28 March 2014

23

How to get involved Clinical

Advisory Group

–Education and awareness –Clinical consensus on regional issues –Case reviews – incidents –Data review/discussion

NHS | Presentation to Northern Trauma Network Conference] | 28 March 2014

24

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