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Trauma remains the fourth leading cause of death in western countries and the leading cause of death for people under 40. Each year in Scotland 5000 people are seriously injured and with each fatality there are two survivors with serious or permanent disability with a significant impact on quality of life. The development of a major trauma app has been driven by the development of the Scottish Trauma Network. The network seeks to redesign care to improve patient outcomes by delivery of integrated, multi-specialty care to the severely injured.
The initial phases of Emergency Department (ED) care is critical to outcome and depends on effective team working to deliver complex interventions. Team composition and familiarity with evolving care standards contribute to variations of care. New tools are required to integrate and align health care delivery within the complex systems within the ED. The development of the major trauma app will support clinicians to achieve three key aims:
The granularity of collected data increases throughout the episode of care as repeat observations, clinical interaction and tests progress. The app has been developed to reflect this and each data point is stored and linked to enable clinical review. For instance, each blood pressure result recorded is stored with a time stamp allowing trends to visualised by the clinical team.
This breadth of data has never before been captured in trauma and allows real insight into trends and developments during the treatment of an individual case. Further to this it provides a much richer and more accurate data set to delve into post event and gain a fuller understanding of what’s happening in major trauma care and where improvements can be made.
18 Jan 2018
Presenting the Trauma App at Scottish Trauma Network Conference, Murrayfield, Edinburgh.
19 Dec 2017
Good discussion with the Scottish Trauma Network Steering group around next steps for app and integrating into whole of Scotland’s Trauma pathway.
10 Nov 2017
SIM scenario at ERI to understand trauma app in different team and gain feedback from wider audience. Overall positive with some good challenges raised.
17th Aug 2017
First full SIM of app in QEUH. Great to see the app in action and some really useful learning and understanding and some positive feedback. Thanks to all who gave their time and thoughts.
30th Mar 2017
Funding received from DHI to complete the first prototype
30th Mar 2016
Daysix come onboard as a collaboration partner. Woohoo!
Central Line setup and documentation https://emquire.care/project/central-line-qi-project/ Neuroprotection bundles coming soon
OCTS (Outcomes following Chest Trauma Score) has begun in the QEUH ED! This study aims to measure patient reported outcomes following rib fractures to optimise and improve care of this patient group. The patient will be asked to fill in a questionnaire at time of injury and two follow up questionnaires to assess how […]
Nicola was our first nurse appointed smashing the interview and rapidly getting a handle on the intricacies of clinical research in the ED. Her portfolio of studies includes She leads on Rapid-CTCA, Target-CTCA, SABER and Pro Teds
Mark was appointed in June 2017 and has rapidly found his feet helping promote QEUH ED nurse engagement. His infectious enthusiasm and energy will be a huge asset to the team! He leads on Novel, Aerogen, RAMPP, Frontiers
Introducing Dave the Trauma Man! The QEUH will become a Major Trauma Centre in 2019 as part of the Scottish Trauma Network. Dave is going to have a pretty tough year… in fact he is going to experience more car accidents, falls from height and industrial accidents than any other manikin in Scotland.