London Trauma Conference 2015: Air Ambulance & Pre-hospital Care Day

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oma

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Vandaag: London Trauma Conference 2015: Air Ambulance & Pre-hospital Care Day

Volgen via Twitter #LTC2015 https://twitter.com/hashtag/LTC2015?src=hash

(NL tijd)

10.30 - 10.35 Opening of the day - Gen. Sec. Prof. Hans Morten Lossius

11.35 - 12.00 Pre-hospital ECMO - Prof. Pierre Carli
Q1: How does it work in Paris?
Q2: What are the results?
Q3: What is the future?

11.00 - 11.20 CPR in HEMS: The new ERC guidelines - Dr Thomas Lindner

11.20 - 11.30 Rapid response cars; more dangerous than the aircraft? - Dr. Marius Rehn

11.30 - 12.00 The Golden Day: Making the best of long distance critical care - Associate Prof. Andrew Pearce
Q1: Managing remote trauma care
Q2: Managing remote cardiac care
Q3: How can outcomes be improved in this type of EMS system?

12.00 - 12.25 Coffee Break

12.25 - 12.50 The agitated trauma patient - Mr Andy Thurgood
Q1: What are the causes?
Q2: What are the rules?
Q3: What are the practicalities?

12.50 - 13.15 Setting up a national retrieval service: Denmark - Dr Leif Rognas
Q1: The demand
Q2: Operational delivery model
Q3: Can we deliver?

13.15 - 13.40 Setting up a national retrieval service: Wales - Dr. Rhys Thomas
Q1: The demand
Q2: Operational delivery model
Q3: Can we deliver?

13.40 - 14.05 Spinal Immobilisation reconsidered - Dr. Per Kristian Hyldmo
Q1: What’s new?
Q2: What’s the harm?
Q3: How can change be implemented across all services?

14.05 - 15.00 Lunch Break

14.20 - 14.55 Methoxyflurane in Practice - Experiences from the SEC Ambulance Trust - Paul Cloves

15.00 - 15.30 US Air ambulance services: Dollars and Sense- how necessity became luxury - Mr Tom Judge
Q1: Costs and benefits: What is the current state of play?
Q2: Influences: How did we get there?
Q3: The search for value: What is the way forward?

15.30 - 16.10 KEYNOTE: Picking up the pieces - Prof Sir Simon Wessely

16.10 - 16.40 Coffee Break

16.40 - 17.10 Pre-hospital Sepsis - Prof. Kai Zacharowski
Q1: How to make the diagnosis?
Q2: What early interventions count?
Q3: Are biomarkers the future?

17.10 - 17.20 Can pre-hospital CRM and SOPs be implemented in the hospital? - Dr. Julian Thompson

17.20 - 17.30 Prehospital REBOA a year on - does it work? - Dr. Samy Sadek

17.30 - 17.40 Point of care testing in pre-hospital haemorrhage - Prof. Zacharowski

17.40 - 17.50 PALM: Elegant rescue technique or dangerous compromise? - Dr Matt Thomas

17.50 - 18.00 Videolarangoscopy is the standard of pre-hospital airway care - Mr Tom Judge

18.00 CLOSE




oma

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Reactie #1 Gepost op: 10 december 2015, 10:26:16
Samuel Bulford @SamuelBulford
Prepping for the REBOA masterclass at #LTC2015 pic.twitter.com/9Uq7qP8fft



Samuel Bulford @SamuelBulford
Almost ready for REBOA #LTC2015 pic.twitter.com/CUNzmgO8sK



Tom Konig @Tomkonig
Just about to kick off this years Thoracotomy and REBOA masterclass at #LTC2015 pic.twitter.com/1LtXU9cM9L



oma

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Reactie #2 Gepost op: 10 december 2015, 10:55:06
Samuel Bulford @SamuelBulford
And we're off #LTC2015 pic.twitter.com/3q7thYOCBH



markV @Anghest
Never assume the best, always assume the worst. Opening wisdom courtesy of Thomas König #LTC2015

London Trauma Confer @LDNtrauma
We will try to @periscopeco today's REBOA & Thoracotomy demos #LTC2015


oma

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Reactie #3 Gepost op: 10 december 2015, 11:09:20
Citaat van: Oma link=msg=1390829 date=1449730374
Pre-hospital ECMO - Prof. Pierre Carli
Q1: How does it work in Paris?
Q2: What are the results?
Q3: What is the future?

Brad Gander @BG_999_
First talk of the day, ECMO for cardiac arrest. #LTC2015 pic.twitter.com/nql1YItyO8



James Tooley @jamestooley
Options when you do not get a ROSC after cardiac arrest #LTC2015 pic.twitter.com/BNnYkKDLfh



James Tooley @jamestooley
The French experience when transferring into hospital for ECMO with ongoing CPR had very poor results ( hence prehospital ECMO ) #LTC2015



Chris Gray @cgraydoc
OOHCA and IHCA are not so different, it's time to management that is different though. We need to do things more quickly. Carli #LTC2015

Alistair Quaile @aliquaile
Shorter time to ECLS improves survival but rapid transport has a limited effect #LTC2015

James Tooley @jamestooley
Prof Carli explaining how to cut down time to ECLS in Paris



London Trauma Confer @LDNtrauma
Link to feasibility study for prehospital ECLS being discussed by Prof. Carli #LTC2015

http://www.ncbi.nlm.nih.gov/pubmed/23827888



James Tooley @jamestooley
Time to ECMO cut significantly when commenced prehospital #LTC2015 pic.twitter.com/bsDIkwAxtp



Louisa Chan @louisa_chan
Improving outcomes from ECLS requires earlier intervention #LTC2015 pic.twitter.com/QZ9W6PC0dh



David McCreary @dmccreary85
Wouldn't be a talk on prehospital ecmo without a pic of the Louvre #LTC2015 pic.twitter.com/y51d3XgaGf



Chris Gray @cgraydoc
PHECMO gives an increased OOHCA survival rate and allows better possibility of organ donation in the non-survivors. Carli #LTC2015

James Tooley @jamestooley
Coherent organisation of ECMO services essential #LTC2015 pic.twitter.com/4v2yP1d4q0



Chris Gray @cgraydoc
Time to ECLS reduced by activating the PHECMO team at the same time as the medical response, rather than after 10min ALS. Carli #LTC2015

Mike Christian @DrMikeChristian
#LTC2015 Paris Pre-hosp ECLS: 31% survival in Tx group, 0% in cntrl, now avail 24/7 & dispatch team if no ROSC within 5min (select grp)

James Tooley @jamestooley
Criteria for dispatch of prehospital ECMO team #LTC2015 pic.twitter.com/yrpv9am3bY



Jim

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Reactie #4 Gepost op: 10 december 2015, 11:25:55
Voor de mensen die zich dan afvragen waar dan PALM voor staat: https://fphc.rcsed.ac.uk/media/1763/palm-consensus-outcome.pdf

Pharmacologically Assisted Laryngeal Mask. Ze hebben ook overal leuke afkortingen voor..
CHAOS: Chief Has Arrived On Scene Waar cyanose is, is leven; nog heel even!


oma

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Reactie #5 Gepost op: 10 december 2015, 11:28:29
Citaat van: Oma link=msg=1390829 date=1449730374
CPR in HEMS: The new ERC guidelines - Dr Thomas Lindner

London Trauma Confer @LDNtrauma
Dr Thomas Lindner discusses CPR in HEMS and new ERC Resus guidelines. Find the full guidelines at cprguidelines eu #LTC2015

http://www.cprguidelines.eu/

James Tooley @jamestooley
Special causes , special environment , special patients ! #LTC2015 #HEMS #foamems pic.twitter.com/7FMmsQ3oq0



Chris Gray @cgraydoc
Key message in cardiac arrest remains minimal interruption of high quality chest compressions. Lindner #LTC2015

Chris Gray @cgraydoc
Plenty of reasons that compressions stop. A starting point for things to work on. Lindner #LTC2015 pic.twitter.com/bD2m4DxETf



London Trauma Confer @LDNtrauma
Lindner: Time taken for AED to interpret and prepare shock if needed = 20s = delay in compressions. #LTC2015

Alistair Quaile @aliquaile
Transport with continuing CPR to immediate PCI additional topic in new @ERC_resus guidelines #LTC2015

Brad Gander @BG_999_
Lindner on Thoracotomy for TCA "You don't just have to be able to open the chest, you have to be able to deal with whats going on" #LTC2015

Chris Gray @cgraydoc
Mech compression devices haven't been shown to benefit survival but accepted as safe way to continue CPR in transport. Lindner #LTC2015

James Tooley @jamestooley
Use of Lucas device during HEMS flights - don't worry we do put patient in and shut the door first though #LTC2015 pic.twitter.com/G0jhhdCPvJ



James Tooley @jamestooley
E-CPR is now in ALS guidance - how long before UK prehospital teams start doing this prehospital ? #LTC2015 pic.twitter.com/DzJTjYa5dd



oma

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Reactie #6 Gepost op: 10 december 2015, 12:32:44
Tom Konig @Tomkonig
@LDNtrauma #LTC2015 @duncanbew talking about chest injuries. Beware pts with previous injury. pic.twitter.com/2wxG6zizm8



markV @Anghest
Ok. Healthy awe in the Thoracotomy & REBOA masterclass. A&P: greater vessels and landmarks, learning is taking place #LTC2015

Tom Konig @Tomkonig
More courses on REBOA than there are patients who've had the procedure!!! @LDNtrauma #LTC2015

Samuel Bulford @SamuelBulford
"....but never forget what we can't write in an SOP - your guttural instinct" #LTC2015 pic.twitter.com/pkPSP8fl3t



London Trauma Confer @LDNtrauma
Reception permitting we will try and live stream thoracotomy demo circa 11.30 #LTC2015




oma

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Reactie #8 Gepost op: 10 december 2015, 15:03:34


Nachtbroeder

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Reactie #9 Gepost op: 10 december 2015, 15:05:25
Citaat van: Oma link=msg=1390868 date=1449747259
https://www.periscope.tv/w/aTladzFWR1F2Wm9XUmVRT2t8MWRSS1p3RWxtT3JHQhoij29dchOI5odReiv_x3kxMHfR0SjoJzTx2IEXTgWZ

Ik snap dat de tijd tot ROSC bij een TCA van het grootste belang is, maar is het gebruikelijk om te wachten met intubatie/RSI tot na de thoracotomie op straat? Nou zal er in een echte situatie hopelijk al een tube geplaatst zijn door de verpleegkundige of paramedic, maar het riep wel deze vraag bij me op.

Citaat van: Jim link=msg=1390853 date=1449743155
Voor de mensen die zich dan afvragen waar dan PALM voor staat: https://fphc.rcsed.ac.uk/media/1763/palm-consensus-outcome.pdf

Pharmacologically Assisted Laryngeal Mask. Ze hebben ook overal leuke afkortingen voor..

Zou PALM een plek kunnen krijgen in de ambulancezorg zoals wij die kennen of doen we er beter aan om het in de koelkast te houden? ;)

Bedankt voor het delen!