TRAUMA CALL AUDIT  

Thanks to Steve Lee. Review his talk here.

Audit showed that there is a delay to review by the Surgical Registrar – in 68% of cases > 10 minutes, in 32% >30 minutes. ED team should maintain their role as team leader and coordinate the Trauma assessment – retain your skills and be confident in your role.

Please remember the trauma call criteria – and SPEED is no longer one of them! If you think the presentation warrants a Trauma Call, please initiate it.

In the future we would be keen to audit the outcomes of Trauma Calls – a project in cooperation with the Surgical Units so watch this space!

See below for the trauma call criteria:

 

Trauma 2

 

BRUGADA SYNDROME    

Thankyou Michael Gibbons for reminding us of this rare entity.

Important messages included:

• look for the R-on-T in ectopics
• consider cardioversion for arrhythmias
• treat pyrexia aggressively as this may precipitate an arrhythmia

Review his talk

Hospital-In-The-Home  

Available 24/7 – including public holidays

Contact registrar on x56309 (BH) and via switchboard (AH)

Procedure:

1. referral to registrar
2. complete drug chart and prescription
3. discharge patient if safe – leave IV in-situ
4. if not reviewed in ED – patient should return to 2South (Footscray) following morning for clinic review
5. If admitting to HITH for DVT/PE – fax “HAEMATOLOGY CLINIC” referral

Things to tell patient:

• May need long-term antibioitics
• HITH team may insert long-term IV cannula in clinic
• Anticoagulation – discuss medication (Clexane/warfarin), risks, duration (1st below knee DVT – 3 months, PE or above knee DVT – 6 months, recurrent – life-long)