My second day at Trauma Care this year was mostly spent in the Major Trauma in the ED stream. I took some notes, which I have expanded on and reported here, on the off-chance that someone might find it useful. Caution – If I have misrepresented anything, please do let me know and I will update. My notes on the first day are here.
In the early days of our major trauma centre, when the network was in its relative infancy there was a noticeable lack of standardisation. Patients would be brought to us from distance as close as a few hundred yards, or over a hundred miles on ‘spinal boards’, with occasional use of scoop stretchers.
With time, effort, communication and education things have changed for the better. I would like to write this article to help provide some evidence to others who are passionate about getting the word out.
A long while ago, I tinkered with blogging, before getting distracted with real life, getting a proper job and then the rapid responsiveness of Twitter.
My old blog http://drgreenway.blogspot.com was an attempt at explaining life as a junior anaesthetist. I tried writing a little clinical education work back then, well before the #FOAMed explosion, and found that those pages got the most comments and certainly the best realtime feedback from people wanting answers. One of my articles, “Pain relief in Labour” quickly made the rounds amongst anxious mothers when the great Kirstie Allsopp retweeted me. It was my first experience of helping others by sharing information digitally, and I was hooked.
For the last three years I have been working at a Major Trauma Centre, in the role of Consultant in Trauma Resuscitation Anaesthesia – a new role developed as part of a new system of front door trauma care, recently described in the British Journal of Anaesthesia. It has been a truly exciting time putting this system together and we have learned a great deal.
I also respond in the prehospital environment both locally for the charity North Staffordshire BASICS, and as part of the West Midlands Ambulance MERIT service.
My plan is to try to put some of the best that I find out there on the web here, along with my own thoughts and experiences in the new subspecialty that is Trauma Resuscitation Anaesthesia (TRA). It may take a few goes to try to get the format right, so bear with me!
Watch this space!