1 graham lloyd-brandrick burn care scene to surgery
TRANSCRIPT
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Graham Lloyd-Brandrick
Burn Care
Scene to Surgery
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The Isle of Mann• Crown
dependency
• Self governing
• Independent of DOH (UK)
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Co-operation
• First aid agencies• Ambulance • Fire service• Noble’s Hospital • Ramsey District Cottage Hospital• Air Ambulance service • Isle of Man Steam-packet Company• Regional burn unit, Whiston
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Island wide strategy
We have • Identified burn hazards in community • Developed Treatment policy • Developed Education for staff • Correctly Triage patients for referral• Developed Major incident plan
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Island wide standard of care
Education programmes to correctly identify:
• Type of burn• Depth of burn • Treatment• Prevent and treat Infection • When to refer/transfer to burn unit
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Hospital strategy
Two policies in place Patients sent home Patients admitted • Policy is also a treatment plan/pathway• Visiting burn consultant • After care on island• Continuous theory & practical education
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Nurse Led Burns TeamThree nurses trained in burns care• First aid personnel • Paramedic • Emergency Room team • Surgeon • Physiotherapy • Pain control nurse • Sterile Supply Department • Pharmacy • Visiting burns & plastics surgeon
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Major incident
• More than three patients • Burn unit, Intensive care - surgical
bay- day procedures • Pharmacy, Sterile Supply Dept, Stores• Weather may ground us • Air Ambulance will fly over Whiston
team
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Key Issues • Standardise treatment• Standardise trolleys, stock & supplies• Continuous education of staff at both
hospitals• Talk to experts, (fire, ambulance, burns unit) • Need a Major Accident Plan• Financial savings per annum £2000 in supplies £10,000 in air ambulance flights
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Trucks
Burns Trolleys
Noble’s Hospital
Ramsey Hospital
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Burns trolley
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Burns trolley
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Burns trolley
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Burns trolley
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Air Ambulance
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‘Learn from the past, live for the present,
plan for the future’