Casualties referred to hospital by volunteer first aiders: a retrospective analysis of casualty...
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Transcript of Casualties referred to hospital by volunteer first aiders: a retrospective analysis of casualty...
Mr Jamie Ranse
Ms Courtney Aitken
Casualties referred to hospital by first aiders:
A RETROSPECTIVE ANALYSIS OF CASUALTY PRESENTATIONS
Overview
• What we already know• Problem and Aim• Method• Results• Discussion• Questions
What we already know
• Many event organisers use St John• St John members make referral decisions
• A number of factors influence casualty presentation The weather (temperature and humidity); Duration of the event; Indoors or outdoor event; Seated
or mobile crowd; Bounded (fenced or contained) or unbounded; Type of event; Mood of the crowd; Availability of alcohol and drugs; Crowd density; Geography of the venue (or terrain/locale); and Average age of the crowd.
• Laypersons consult family and friends prior to calling an ambulance
• Casualties transported to the ED are more acutely unwell then those who self present
What we already know
• Ambulance personnel make complex decisions regarding transportation of casualties
• A number of in-hospital tools exist to assist in decision-making for assistance
What we already know
• Ambulance personnel make complex decisions regarding transportation of casualties
• A number of in-hospital tools exist to assist in decision-making for assistance
Problem and Aim
Problem• Are there patterns and/or characteristics of casualties who are
referred to hospital by first aiders?
Aims• Identify patterns and/or characteristics of casualties who are
referred to hospital by first aiders;• Make recommendations for future guidelines for casualty
referral by first aiders;• Make recommendations for training and education of first
aiders regarding casualty referral.
Method
• Retrospective audit of casualty report forms,
Inclusion criteria:1) The casualty was from within the studied population, and2) Were referred by St John Ambulance Australia first aiders to:
– hospital via the local government ambulance service;– hospital via their own private means; or to – personnel of an onsite government ambulance service.
Results
During 2006 487 events7462 hours1120 casualties100 referrals
Results
R e f e r r e d t oh o s p i t a l b y a m b u l a n c e
4 % ( n = 4 5 )
R e f e r r e d t oh o s p i t a l b y o w n m e a n s
3 . 7 5 % ( n = 4 2 )
T r a n s p o r t e d t o h o s p i t a lb y a m b u l a n c e
( n = 1 )
R e f e r r e d t o h o s p i t a lb y o w n m e a n s
( n = 1 )
R e r r e r e d t og e n e r a l p r a c t i t i o n e r
( n = 6 )
N o t r e f e r r e d( n = 5 )
R e f e r r e d t oo n s i t e a m b u l a n c e
1 . 1 5 % ( n = 1 3 )
N o t r e f e r r e d O Rr e f e r r e d t o g e n e r a l p r a c t i t i o n e r
9 1 . 1 % ( n = 1 0 2 0 )
T o t a l n u m b e r o f p r e s e n t a t i o n s i n 2 0 0 6( n = 1 1 2 0 )
Results
Results
Discussion
• Presentation and referral rates assist planning• Illness• Vital signs• Further research• Clinical Governance
Questions
Acknowledgement: Thankyou to St John Ambulance Australia for providing a grant to
conduct this research.
Mr Jamie Ranse
Ms Courtney Aitken
Casualties referred to hospital by first aiders:
A RETROSPECTIVE ANALYSIS OF CASUALTY PRESENTATIONS