BLOG: Feedback and reviewing our missions – by Specialist Paramedic Critical Care, Lou Wigmore

Monday 4th June

As a pre-hospital clinician, it is important to be able to reflect and review cases that we have attended in order to improve our clinical practice in the future. Over the last few weeks, I have been involved in several presentations reviewing cases that our aircraft and Critical Care Team Vehicle have attended.

Trauma Breakfasts are held quarterly at the UHS lecture theatre and are organised by The Wessex Trauma Network; a regional network comprising all hospitals in the Wessex area, along with the region’s Ambulance Trusts. Our most recent Trauma Breakfast was titled ‘Scene to Discharge: A Patients Journey’ and presented the journey of three patients rescued by the HIOWAA, from the scene of an accident to their discharge from hospital. All three patients kindly gave their permission for us to use their case studies.

The presentations showed how multi-agencies work together and how an accident is often the start of a long recovery journey involving many people and professions; from paramedics to surgeons to physiotherapists.

Many parts of the journey are explored, such as the transition from one department to another and feedback on a patient’s condition. This feedback loop can be vital for us in the pre-hospital setting in order to ensure we are delivering the best patient care.

We also review cases on a more local level at Thruxton Clinical Governance Days. Independent cases are presented and shared by the Helimed56 Critical Care Team, with an opportunity to review areas such as the timeline of resources to a scene, the location of an incident, the medical equipment used, and medical decisions made. All this helps us to identify areas that went well and where improvements could be made.

Sharing case information within the Helimed56 Critical Care Team allows us to continue to provide high level patient care and to learn from each other. Although we may have attended many road traffic incidents, for example, no one road traffic incident is ever the same. Continually challenging and discussing our decision-making process helps us identify areas for improvement, whether it be choice of landing site, hospital destination or medical equipment used.

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