1 graham lloyd-brandrick burn care scene to surgery

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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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Noble’s Hospital

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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’