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Dr M Bloch Consultant Anaesthetist RACH

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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Dr M Bloch Consultant Anaesthetist RACH

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  1. Dr M Bloch Consultant Anaesthetist RACH

  2. Plan: • Why • How

  3. Persons Injured orKilled as a Result:

  4. Different equipment. • Different education and training. • Different perspective, pressures and pitfalls.

  5. 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

  6. Early recognition and initial management: ‘BIG SICK & little sick’

  7. How?Systematic approach & attention to detail!

  8. 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.’

  9. Secondary survey / Focussed review / Emergency treatment Continuing assessment, care and stabilisation.

  10. C-Spine: • Risks and benefits. • Equipment and skills. • Canadian and Nexus.

  11. 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.

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