Five years following DART’s inception, Bristol Royal Infirmary’s Difficult Airway Response Team highlight the challenges intrinsic to maintaining the service and how they have attempted to overcome these.
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‘Her death was wholly avoidable and was contributed to in major part by neglect.’ This was the conclusion of the coroner examining the death of Mrs Glenda Logsdail following her death from hypoxic-ischaemic encephalopathy after an unrecognised oesophageal intubation.
Duncan McMillan, our Head of Content, welcomes you to the second article in our new feature, in which we share and showcase education and training content.
In this second of our ‘Education resources of the quarter’ feature, we’re taking a look at recent College talks and podcasts on airway matters, and taking videos from our events and podcast programme from the last few years and re-sharing them here.
Dr Stephen Adshead, ST7, and Dr Matt Townsend, ST6, North Bristol NHS Trust discuss how there might be situations where it falls to anaesthetists to intervene.
Twenty five per cent of trauma deaths are directly caused by injury to the thorax and, while a minority will require emergency surgery, up to eighty five per cent of chest injuries can be managed without the need for formal surgical intervention.1 In these cases, rapid recognition and management of life-threatening conditions are key to successful resuscitation.
Thoracostomy (the creation of an artificial opening in the chest wall) is a procedure performed for decompression of the chest, usually by our pre-hospital, surgical or emergency medicine colleagues. It is also the first stage to placing a tube thoracostomy or ‘open’ chest drain. In the context of trauma, emergency lateral thoracostomy is indicated in the following circumstances:
- traumatic tension pneumothorax
- massive haemothorax
- traumatic cardiac arrest.
In this first of an article series, Dr Greig explores some of the issues relevant to presenting information, beginning with iconography.
Anaesthetic room walls are often covered with various posters and warnings reminding staff about recent incidents or safety hazards. Signs prompt us where to find dantrolene or intralipid, or how to confirm tube placement.
When the RCoA changed its branding in 2016, professional designers were called in and consulted on the changes. When creating clinical informatics however, it is often left to clinicians; but a complex series of decisions that combine aesthetics, psychology, and ergonomics are required to make presentation effective.
In this, the first of a series of articles, we will explore some of the issues relevant to presenting information, beginning with iconography.
This article tells us why increasing support for SAS anaesthetists will cultivate a more resilient and skilled workforce, fostering enhanced patient care and organisational success.
Lawrence Mudford, CPOC Patient Representative, updates on how they are improving the patient experience and quality of care.
In my role as a patient representative, I am committed to represent the patient voice to ensure it is at the centre of everything we do.
For those who may not know, CPOC is a cross-specialty initiative made up of 11 partners dedicated to the advancement and development of perioperative care. Perioperative care means the whole patient journey from the GP’s, to when a patient returns home after surgery. Our vision is to improve the health of people of all ages, at all stages of their surgical journey, by promoting the highest standards of perioperative care.
Improving perioperative care will make a difference to a lot of things important to patients, including getting fitter before surgery, better pain management (getting mobile quicker), recovery (getting out of hospital faster), reducing anxiety felt, and putting the patient at the centre of all decisions about treatment.
Dr Nava, CR&I Fellow looks at the challenge for health services researchers to discover new knowledge that is both relevant to clinicians and truly meaningful to patients.
As NELA enters its second decade, it's important to look at persisting challenges as well as successes, and consider where improvement efforts should now be concentrated. This article highlights three areas of emphasis from Year 10 (2023) of the audit.
Dr Adrian Jennings, Consultant Anaesthetist, and Dr Kavaladeep Jabbal, ACCS CT4 Anaesthetics at Russels Hall Hospital, Dudley discuss their innovative ‘traffic light’ system.
When emergency cases are booked, they must be able to access theatre in an appropriate time frame. Assessing the operational pressure on the emergency theatre is a complex calculation considerate of the number of cases booked, their acuity, and expected duration.
The National Emergency Laparotomy Audit (NELA) uses a classification for surgical urgency based on the National Confidential Enquiry into Patient Outcome and Death (NCEPOD) and Surviving Sepsis.1
- 1: Immediate (<2 hours)
- 2a: Urgent (2–6 hours)
- 2b: Urgent (6–18 hours)
- 3: Expedited (>18 hours).