Top Tweets for #MidlandsMT
Selective Non-Operative Management of trauma patients does not mean ‘no injury or no review’. A second CT within the first 24 hours may direct the care. #MidlandsMT @MidlandsCCTNB
Seatbelt bruising immediately after injury indicates significant force to abdomen. Have low suspicion of intra-abdominal injury, even if CT is reported as normal! Surgeon Commander Catherine Powell #MidlandsMT @MidlandsCCTNB
Debbie is having follow up from Neurosurgery, General Surgery, Orthopaedics and Physiotherapy. That’s a lot of appointments. Can we ever combine for major trauma patients? #MidlandsMT
Debbie found that it was 8-10 weeks after her accident that the psychological trauma became apparent. However post discharge there is very little access to psychological support in the community & the waiting lists are v long #MidlandsMT
Important aspects to Debbie as a Major Trauma patient were her pain, vulnerability on flat bed rest for spinal injury, & the loss of independence. Being kept fully informed by staff really helped. #MidlandsMT @MidlandsCCTNB
So proud of Debbie (major trauma patient) supported by Harry (Major Trauma Coordinator @nhsuhcw) sharing her story with us. #MidlandsMT @MidlandsCCTNB
40 degrees of semi-recumbent laying is a non-weight bearing position for the spine. Useful when prolonged bed rest is required for elderly patient with spinal fracture @NicolaDixon69 #MidlandsMT
There is now a direct reversal agent for Dabigatran, which has an even trickier name to pronounce.......Idarucizumad! #MidlandsMT
INR/PT/aPTT = no correlation with DOAC anticoagulant effect. No simple screening test for detecting therapeutic DOAC. #MidlandsMT
The good news is that whilst DOAC use is increasing, the risk of having a major bleed is much less than Warfarin. And you are more likely to survive a major bleed whilst on a DOAC. #MidlandsMT @MidlandsCCTNB
46.5% of our MT patients are over 65 and indications for anticoagulation are increasing. So we’ve got Ben Bailiff, Consultant Haematologist @nhsuhcw teaching us about anticoagulants and bleeding risk in trauma. @MidlandsCCTNB #MidlandsMT
Next up : Anticoagulation in trauma. Slide demonstrates why this is such a big issue #MidlandsMT
Excellent first session - Review of the networks data over the last 7 years, update on the Silver trauma pathway and then a great talk on the added complexities of paediatric trauma #MidlandsMT
Challenges for triage: Two of our TU’s are >1 hour from MTC. Our children’s MTC does not have a primary helipad. Not all our MTC’s are call and send. #MidlandsMT @MidlandsCCTNB
Ian Lock @OFFICIALWMAS @MAA_Charity describing the role of the trauma desk within the #MidlandsMT network. Burns, Maxfax, Hands,Vascular, Orthoplastics for open # & silver trauma are frequent queries from crews. @MidlandsCCTNB
The devil is in the detail of the mechanism. Bike or scooter handlebars are very dangerous! Severe abdominal trauma is likely. Take seriously and image. Tina Newton #MidlandsMT @MidlandsCCTNB
Don’t forget NAI. SAFEGUARDING is high on the agenda for children’s MTC & likely to become BPT. 90% of the major trauma patients attending our Children’s MTC have safeguarding issues. @MidlandsCCTNB #MidlandsMT
What’s challenging for the stand-alone Children’s MTC (5 in England)....small number of patients, rarely needed services eg IR, vascular, pelvic surgery needing SLA’s with adult trusts, skill retention. Tina Newton @MidlandsCCTNB #MidlandsMT
Silver trauma pathway = time to first doctor and time to CT have reduced. But not to the degree expected....data shows only 1 in 5 patients are being alerted so needs relaunch of the campaign! #MidlandsMT @MidlandsCCTNB
This is the silver trauma safety net tool we are using in @OFFICIALWMAS This triggers a “silver trauma alert” as a heads up to the receiving hospital so they can have a senior doctor/cubicle on arrival (not necc a standard trauma team activation). #MidlandsMT @MidlandsCCTNB
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