The Sandpiper Trust funded project to implement a regional strategy for improving outcomes after OHCA is on it’s way.
Steven Short and Gareth Clegg met with a group of staff from the Scottish Ambulance Service, Chest Heart and Stroke Scotland and Red Cross met at the Beardmore Conference Centre today for an initial scoping meeting at the ‘soft launch’ of the 3RU Glasgow project.
Proceedings were opened by the Chairman of the SAS board, David Garbutt followed by an introduction from Medical Director Jim Ward. Gareth Clegg laid out the journey that RRG has travelled in reaching current levels of performance in the South East of the country, and outlined the shape of the challenge ahead. Daniel Rankin – SAS General Manager for West Central – then gave some local perspective. Small groups discussed approaches to moving the project forward.
This meeting marks the beginning of a long anticipated conversation between stakeholders aimed at producing a local solution to the problem of OHCA in Glasgow.
The Glasgow 3RU may have a different skin and bones to the Edinburgh model (it will certainly have a different accent) – but there will be a strong family resemblance – the DNA will be the same.
Dr Kirsty Mitchell has been auditing the defibrillator downloads from OHCA in Edinburgh to look at compliance with ALS guidelines for time between defibrillation attempts. Out of the 70 cases she analysed, the mean time between shocks was over 3 min with only 26% of intervals between shocks compliant with ALS guidelines, the rest were shorter or longer than recommended. Getting everything done right at the right time during prehospital resuscitation requires high level team performance, skilled leadership and keen situational awareness. If this finding is a symptom that these elements need optimisation, what is the solution..?
Kirsty’s abstract was one of the top scoring submissions to the College of Emergency Medicine Annual Scientific Conference 2104 and she presented her findings in Exeter today.
Dr Elise Hindle, ICU registrar at the Royal Infirmary of Edinburgh has completed an 18 month in depth audit of outcomes after admission to the Unit following OHCA. The work has examined many different aspects of patient management (e.g. treatment of seizures and infection), methods and timing of neuro-prognostication employed and timing and mode of death.
The findings are fascinating and are currently being prepared for submission. In the meantime, som e of the material is being presented in poster form at the College of Emergency Medicine Conference in Exeter University 9th-11th September 2014.
View a pdf of the poster here: https://www.dropbox.com/s/bgors1ucahtpoku/Elise%20CEM%20poster.pdf?dl=0
During his recent clinical attachment with the Emergency Medicine Research Group in Edinburgh (EMeRGE), Adam developed an interest in how team performance can affect the outcome of resuscitative care. The skill-set needed for successful performance has been thoroughly studied in specialities such as surgery and critical care (anaesthetists), however there is a real lack of research into the nursing skills and attributes that are needed for optimal patient outcomes. In particular the role of the senior nurse in resuscitation team leadership, and how this changes dynamically.
A testimony to his enthusiasm and ability, Adam has been awarded the Gardner Scholarship at the University of Edinburgh. This award will afford him the opportunity to undertake a full‐time PhD over 3 years to look into this area in detail while based in the Resuscitation Research Group and the Emergency Department at RIE.
Welcome to the team Adam!
Photo: Ola Gruszczynska