Upload
jamie-ranse
View
485
Download
2
Embed Size (px)
DESCRIPTION
Paper presented at the St John Ambulance Australia National Conference, Adelaide, Australia, 20th June 2008.
Citation preview
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