Related Experiment Video
Updated: Dec 6, 2025
09:52
Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide
Published on: January 15, 2017
17.5K
Optimizing the Availability of Enhanced Prehospital Care Team Resources
Nikki Marie Hewitt1, Matthew Davenport2, Michael Smyth3
1North West Air Ambulance, City Airport & Heliport, Manchester, UK; Warwick Medical School, The University of Warwick, Coventry, UK.
Air Medical Journal
|October 5, 2020
Summary
Major trauma incidents in North West England occur more frequently at specific times and locations, indicating a need to potentially expand North West Air Ambulance (NWAA) services to better meet patient demand.
Area of Science:
- Emergency Medicine
- Trauma Care
- Public Health
Background:
- Recent developments within the North West Air Ambulance (NWAA) prompted a service evaluation.
- Assessing resource utilization is crucial for optimizing emergency medical services.
Purpose of the Study:
- To evaluate if NWAA resource use could be improved.
- To determine the temporal and geographical distribution of major trauma incidents in North West England.
- To assess the alignment of current NWAA operating hours and resource locations with patient needs.
Main Methods:
- Analysis of 2,318 incident records from the Trauma Audit and Research Network and North West Ambulance Service databases (2017).
- Geographical data analysis using MapInfo Pro.
- A survey of other UK helicopter emergency medical services is planned.
Main Results:
- Major trauma incidents exhibit distinct patterns in occurrence based on time of day and day of the week.
- Incident concentrations are higher in specific locations, correlating with population density.
- A discrepancy exists between current trauma care provision and incident demand.
Conclusions:
- The study findings suggest that current NWAA cover may not fully meet the demand for major trauma incidents.
- An expansion of NWAA services may be appropriate to address identified gaps in care provision.
Related Concept Videos
01:25Cardiopulmonary Resuscitation IV: Pharmacological Management
322
Pharmacologic intervention is crucial in treating cardiac arrest patients during ACLS or Advanced Cardiovascular Life Support. The ACLS algorithms guide the administration of specific drugs based on the patient's cardiac arrest rhythm, which includes pulseless ventricular tachycardia (VT), ventricular fibrillation (VF), asystole, and pulseless electrical activity (PEA).EpinephrineIndication: Epinephrine is the first-line drug for all cardiac arrest rhythms.Mechanism of Action: Epinephrine...
322
01:22Cardiopulmonary Resuscitation II: ACLS Airway Management
351
Airway management is a key skill in emergency and critical care settings, as maintaining a clear airway is essential for adequate oxygenation and ventilation.Head Tilt-Chin Lift TechniqueThe head tilt-chin lift maneuver is an essential technique primarily used in patients without suspected cervical spine injuries. To perform this maneuver, one hand is placed on the patient’s forehead, and gentle pressure is applied backward to tilt the head. The fingertips of the other hand are positioned...
351
01:28Acute Coronary Syndrome IV: Interprofessional Care
131
IntroductionThe management of Acute Coronary Syndrome (ACS) aims to minimize myocardial damage, preserve myocardial function, and prevent complications.Initial ManagementInpatient management involves continuous cardiac monitoring, preferably in an ICU, focusing on blood pressure, serum sodium, potassium, and creatinine levels, and urine output. Ongoing pharmacologic management is crucial for stabilizing the patient.Supplemental Oxygen: Administer supplemental oxygen if oxygen saturation is...
131
01:15Methods of Documentation VI: Case Management Model
760
The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic...
For example, a patient with a chronic...
760
01:21Cardiopulmonary Resuscitation I: Adult
376
Cardiopulmonary resuscitation, or CPR, is a life-saving emergency procedure performed when a person's heart has stopped beating or they are no longer breathing. The foundation of CPR is Basic Life Support (BLS), which focuses on the early recognition of cardiac arrest, the immediate start of high-quality chest compressions, and the timely use of an automated external defibrillator (AED).Assessing Responsiveness and Checking the Carotid PulseWhen approaching an unresponsive person, first ensure...
376
01:23Cardiopulmonary Resuscitation III: AED Use
330
Introduction to AEDAn Automated External Defibrillator (AED) is a portable medical device that analyzes the heart's rhythm and, if necessary, delivers an electrical shock to help the heart re-establish an effective rhythm during sudden cardiac arrest (SCA). SCA occurs when the heart suddenly and unexpectedly stops beating, leading to a loss of blood flow to the brain and other vital organs. In such emergencies, time is of the essence, and using an AED, combined with Cardiopulmonary...
330