Graham Lloyd-Brandrick Burn Care Scene to Surgery

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Graham Lloyd-Brandrick Burn CareScene to
Surgery
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The Isle of Mann

• Crown dependency
• Self governing
• Independent of DOH (UK)

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Nobles Hospital
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Co-operation

• First aid agencies
• Ambulance
• Fire service
• Nobles Hospital
• Ramsey District Cottage Hospital
• Air Ambulance service
• Isle of Man Steam-packet Company
• Regional burn unit, Whiston

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Island wide strategy

• We have
• Identified burn hazards in community
• Developed Treatment policy
• Developed Education for staff
• Correctly Triage patients for referral
• Developed Major incident plan

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Island wide standard of care

• Education programmes to correctly identify
• Type of burn
• Depth of burn
• Treatment
• Prevent and treat Infection
• When to refer/transfer to burn unit

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Hospital strategy

• Two policies in place
• Patients sent home
• Patients admitted
• Policy is also a treatment plan/pathway
• Visiting burn consultant
• After care on island
• Continuous theory practical education

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Nurse Led Burns Team

• Three nurses trained in burns care
• First aid personnel
• Paramedic
• Emergency Room team
• Surgeon
• Physiotherapy
• Pain control nurse
• Sterile Supply Department
• Pharmacy
• Visiting burns plastics surgeon

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Major incident

• More than three patients
• Burn unit, Intensive care - surgical bay- day
  procedures
• Pharmacy, Sterile Supply Dept, Stores
• Weather may ground us
• Air Ambulance will fly over Whiston team

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Key Issues

• Standardise treatment
• Standardise trolleys, stock supplies
• Continuous education of staff at both hospitals
• Talk to experts, (fire, ambulance, burns unit)
• Need a Major Accident Plan
• Financial savings per annum
• 2000 in supplies
• 10,000 in air ambulance flights

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Trucks

• Burns Trolleys
• Nobles Hospital
• Ramsey Hospital

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Burns trolley
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Burns trolley
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Burns trolley
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Burns trolley
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Air Ambulance
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Learn from the past, live for the present,
plan for the future