Such a document is long overdue. I shall take this north of the wall and share with @ScotTraumaNwk colleagues. One for tea, biscuits and an open discussion.
This week @London_Trauma System is publishing our Palliative and End of Life Care in Older Trauma Patients best practice guidance. Please share widely!
https://t.co/RARYXMhq2c
Key Principles:
All healthcare professionals involved in the care of older trauma patients have a responsibility towards the identification and management of an individual’s palliative and end of life care needs.
Palliative support for older trauma patients should be provided in conjunction with, and not separate to, best available curative/life-prolonging interventions
All older trauma patients should be looked up on local health records to see if they have an advance care pathway
Prognostication at the outset can be difficult. Where the appropriateness of clinical interventions is uncertain, ‘time limited trial of treatments’ should be considered, alongside patients wishes and preferences.
Effective communication between TUs and MTCs is essential and palliative care referral pathways should be in place within trauma networks to facilitate individualised decision-making.
Where specialist services at MTCs are requested to guide treatment options, senior TU clinicians managing the patient should factor in and convey relevant information about a patient’s medical background and personal values, to enable shared decision-making on prognosis, treatment intentions and the best location of ongoing care.
Thank you to @TraumaEMC and everyone involved in producing this guidance.
Merry Christmas to all those working in the NHS today
Many staff in the NHS are grossly underpaid (even on Christmas day👇) but none more so than Junior Doctors who frequently graduate with >£100k debt
RT to support them & ask government to pay them ALL fairly #PayRestoration
@rooju76@MrAkanEmin@chrisrodger11 A ridiculous statement to make. Requirement for surgery overnight is dependent upon physiology.
Majority of patients can wait safely, but with physiological compromise a trip to the operating theatre is essential.
Throughout March we will be running our UGI emergencies webinar series in the run up to the Roux Weekend. The first webinar is next week (1.3.23) on Benign and Bariatric Emergencies and are lucky to have @bowling_kirk@WilsonMSJ and Ms Kalpana Devalia presenting. Register today!
Exciting times! I invite you to our next TUGS EGS event in collaboration with TUGS Hernia. This will focus on emergency hernia management, featuring well-experienced international speakers. To be held on 15/05 at 1.30PM GMT.
To register go to https://t.co/8kDv5V93QY
First game changer at #ASGBI2022? @PPAC2Trial demonstrates packing of #perianalabscess is NOT necessary. Costly, no difference in packing vs no packing.
Marvellous!