Developing National Ambulance Guidelines The UK experience - PowerPoint PPT Presentation

1 / 18
About This Presentation
Title:

Developing National Ambulance Guidelines The UK experience

Description:

Warwick Emergency Care and Rehabilitation. www.warwick.ac.uk/go/ambulance ... Heat Exhaustion / Heat stroke. Hyperventilation. Hypothermia. Meningococcal Septicaemia ... – PowerPoint PPT presentation

Number of Views:61
Avg rating:3.0/5.0
Slides: 19
Provided by: MWCO9
Category:

less

Transcript and Presenter's Notes

Title: Developing National Ambulance Guidelines The UK experience


1
Developing National Ambulance GuidelinesThe UK
experience

Prof. Matthew Cooke Warwick Medical
School m.w.cooke_at_warwick.ac.uk
2
BBC Panorama
  • Post code lottery of care
  • 2000

Warwick Emergency Care and Rehabilitation www.warw
ick.ac.uk/go/ambulance
3
  • selective reporting and sensationalism
  • ASA
  • many services do not deliver best practice
  • some services don't use certain skills, use
    certain drugs ASA vice-president

4
v1. Medical directors
  • 3 Ambulance Service Medical Directors produced a
    set of guidelines that were nationally applicable

5
v2. QinetiQ
  • Funded by Qinetiq
  • Co-ordinated by Warwick University
  • JRCALC / ASA project

6
v2. Guidelines
  • Finding existing guidelines
  • Literature searching key areas
  • Consensus of Medical Directors

7
Contents
  • Breathlessness
  • Chest Pain
  • Headache
  • Mental Illness
  • Unconsciousness
  • Anaphylaxis / Allergic Reactions
  • Asthma
  • Cardiac Chest Pain
  • Chronic Pulmonary Disease
  • Fitting
  • Gastro Intestinal Bleeds
  • Glycaemic Emergencies
  • Heat Exhaustion / Heat stroke
  • Hyperventilation
  • Hypothermia
  • Meningococcal Septicaemia
  • Overdose and poisoning
  • Pulmonary Embolism
  • Pulmonary Oedema
  • Consent
  • Patient Confidentially
  • Professional standards
  • Street safety
  • Drugs
  • Adult cardiac arrest arrhythmias
  • Basic Life Support
  • Advanced Life Support
  • Bradycardia
  • Supraventricular tachycardia
  • Ventricular tachycardia
  • Traumatic cardiac Arrest
  • Out of Hospital Death
  • Choking
  • Abdominal pain
  • Thoracic Trauma
  • Abdominal Trauma
  • Limb Trauma
  • Trauma in Pregnancy
  • Burns
  • Drowning / Near Drowning
  • Electrocution
  • Recognition of the Seriously Ill Child
  • Paediatric Trauma Emergencies
  • Paediatric Resuscitation
  • Paediatric Basic Life Support
  • Paediatric Advanced life Support
  • Paediatric Choking
  • Child Protection
  • Dealing with the Death of a Child
  • Normal Pregnancy
  • Birth Imminent
  • Pregnancy Induced Hypertension
  • Haemorrhage During Pregnancy

8
v3.
  • DH funded
  • More evidence based
  • More use of literature
  • Some referencing

9
Publication
  • On national library for health
  • www.library.nhs.uk/emergency

10
Local adoption
  • Ambulance Services can modify
  • Healthcare Commission

11
2006 version 4
  • Each topic assigned to a lead person
  • Drafted evidence based guideline
  • Consensus meeting
  • Electronic discussion forum
  • Guideline produced
  • JRCALC approval

12
2006 version 4
  • Presume more background knowledge
  • Exclude procedures

13
NLH project
  • Complete set of emergency care guidelines
  • All emergency care Cochrane reviews
  • www.library.nhs.uk/emergency
  • -gt Clinical library section

14
(No Transcript)
15
2006 supporting infrastructure
  • Full time researcher
  • Searching and appraisal training
  • Double checking
  • electronic forum
  • Full audit trail
  • Publication April 2006

16
Version 5
  • Selective reviewing
  • In depth reviews
  • Levels of evidence

17
The future ?
  • More discharge guidelines
  • Cover less severe conditions
  • Drug formulary
  • Integrate with whole system care pathways
  • Integrate with ePR

18
Developing National Ambulance GuidelinesThe UK
experience

Prof. Matthew Cooke Warwick Medical
School m.w.cooke_at_warwick.ac.uk
Write a Comment
User Comments (0)
About PowerShow.com