The event season is well and truely underway. We are deploying medics across the country most weekend dates and some mid-week dates to cover extreme or remote area sport events. This weekend we are working with Rat Race Events for their Dirty Weekend OCR in Stamford. 14 medics will be providing care to around 10,000 competitors. We are also sending two paramedics to Lakeland Trails in Staveley. Good luck to all those taking part.
We are still taking bookings for 2015. If your event needs medical and rescue cover please get in touch for a quote – email@example.com
We are currently seeking a part-time Medical Director to join our team and to work on a flexible/casual basis. This position would suit a doctor who wishes to develop their skills and experiences within the event medicine and medical education industry, whilst maintaining their full-time position within the NHS. The contracted hours would be worked from our offices or when suitable, remotely from home.
Contracted Hours – 12 hours/month (extra hours available by working at events & education courses). Potential to increase contracted hours following a six-month review.
Pay – £255/month.
Venue – Ambleside, Cumbria.
To Start – ASAP (March 2015).
Consultant/Senior Registrar ST3/4+ (preferably EM or Anaesthetics)
Pre-hospital Care experience
Experience working with clinical governance
Full, clean driving license
Private Prescriber number
Experience of writing PGD’s
Experience of remote clinical supervision
Event Medicine experience
The successful candidate will be responsible for:
Offering clinical advice to the management team who in turn will pass on to paramedics, rescue technicians and junior doctor grades
Supporting staff development and advising on staff training
Advising and overseeing clinical audits / clinical governance
Advising on evidence best practice in both medical education and event medicine
Working with and advising the management team on medicine management
If you are interested in joining our professional and growing organisation please send your CV as well as a covering email to firstname.lastname@example.org.
The introduction of regional trauma networks in 2012 shows that there has been a shift in thinking about how we deal with trauma in a pre-hospital setting. Of the trauma that we encounter such a small percentage involves paediatrics so our likely exposure to significant paediatric trauma is very small.
This does mean that responders may be inexperienced and this inevitably creates more anxiety. More anxiety means an impairment of clinical judgement and performance which creates more anxiety…..etc. etc. ad infinitum!
How many of us feel that added pressure when we attend to paediatrics? We might be theoretically well versed in what to do but the reality of getting that IV access, providing pain relief and doing emergency interventions, that are second nature when dealing with adult patients, may become extended efforts or worse still, unsuccessful.
Half the battle is recognising the sick child – as lack of recognition leads to decompenstation and then potentially an irretrievably sick child. Going back to the limited paediatric training that we get, I’m sure we all remember that “children are not small adults” and physiological changes can occur rapidly with occult warning. Therefore, close and careful monitoring of the patient is essential and any changes should be interpreted in the context of the differing physiology of children.
So a good theoretical understanding and good assessment skills are required and then of course there is the need for repetition of practice…….which is where it comes unstuck, we just don’t get enough! The less we practice something the more the need for theoretical and practical training to try to overcome the huge lack of clinical exposure.
With such little exposure to paediatric trauma the experience that we acquire dealing with adults has to be translated to dealing with paeds. They both experience the same life-threatening injuries and although the injury pattern may well be different, the life-saving interventions are the same or sufficiently similar that it should instill a degree of confidence in the clinician.
In an ideal world we would be equipped with all the paediatric trauma equipment that we have for adults (the pelvic splints, the femur traction splints etc) . But this is not currently the reality and combined with the wrong, ill-fitting monitoring equipment makes identifying an ill child that much harder.
The 2011 recommendations from the NHS Clinical Advisory Group are that ambulances be equipped with paediatric monitoring and resuscitation equipment. They also advised that improvements need to be made in the skills and knowledge of the clinicians to treat the seriously injured child with triage criteria that are clear and simple. They go further and suggest that there is a need for a review of the delivery of analgesia to include the intranasal route and vascular access to include the use of up-to-date intraosseus devices, rather than the hand needle.
There seems to be quite a few hurdles in the pre-hospital management of trauma in paeds but given that we have little control over policy, equipment and geography what can we do to better prepare ourselves for these incidents? Most ambulance services currently rely on the individual to complete their own professional development which is a huge failing to their staff as regular update training and clinical placements would go a long way in reducing skill-fade and would certainly help with clinician confidence.
Hopefully the recommendations in the NHS Clinical Advisory Group’s report will be implemented soon as there is definitely scope for improvement in how we currently deal with children involved in trauma. What do you feel would help improve your practice?
Dr Rachel Hawes of the Great North Air Ambulance Service is one of our speakers at the Prehospital Trauma Symposium. She will be discussing the benefits and challenges of carrying blood on board the aircraft. GNNAS is one of a few air ambulance services able to bring blood products to the roadside.
The dates for the 2015 Pre Hospital Trauma Symposium have been announced – the 15th and 16th April. We will be running the Symposium at our head-office up at Brathay Hall, Ambleside.
We have a great line-up of speakers throughout the 2 days. There will also be workshops so you can get hands on with your trauma care and have a play with some new trauma equipment. A full programme can be found here.
It is being run by healthcare providers for healthcare providers with a view to making it as up-to-date and relevant as we possibly can to improve your knowledge and practice.
Evidence of attendance will be provided which can be used in CPD portfolios.
Bookings can be made here with discounts available for Early Birds, Students and College of Paramedic members.