PaediatricMTC

One of my favourite slides today at @ScotTraumaNwk Paediatric major trauma day today - Sarah Alexander’s perfect trauma team lead. An excellent event full of valuable learning & networking.

Thank you to all who attended and contributed in person and online, with over 200 delegates, all joined by our passion and drive to improve paediatric trauma care in Scotland, and beyond. #teamwork

Marco Fantin, presented on the support that @Brakecharity can give to victims of Road Traffic Incidents. Network of Scottish co-ordinators now established and contact from Police and NHS teams welcome to explore potential benefits for patients and families post-RTC

George Henry, Head of Safety and Policy at @transcotland, outlining strategies to reduce fatalities and serious injuries on Scottish Roads by 50% by 2030, and the aspiration to have zero road deaths in Scotland by 2050.

Jennifer Pyper, Bereavement Lead at RHCYP. Shared a powerful and humbling presentation from a parent of one of our PMTC patients. Words too profound for Twitter...Thank you for sharing.

Next @DaveLBywater & @DrMicheala - presenting the national collaboration between Police, Ambulance & NHS -> pathway for families of bereaved children to maximise support that can be given whilst adhering to police guidance - all depts should have a plan for enacting this process

Jill Baker & @PaedsOrthopod on PMTC Orthoplastic Service: - evidence -> outcome improvements in early frames +- (free) flap grafts ideally < 72h - earlier mobilisation & discharge - supported by anaes (nerve blocks/catheters) & PMTC physio - collaboration between adult MTC & PMTC

Trauma app @mark_j_lilley: - can generate a contemporaneous record, with drugs, interventions, obs all time-stamped - multiple users can input concurrently - single PDF is generated and end of resus that can integrate to patients EPR - data can be used for audit and governance

Specific challenges with paeds MIs - Children are portable, may be moved around at scene or self-present via police/taxi/parents - Identification, assessment, triage tool specificities - Parents - if injured, can they be co-located? - Is there a recovery plan - staff and service

Major Incidents involving children: - have an understanding of language used and communication pathways - know our role/Action Card within our dept's action plan - do as much 'normal' as possible but in an enhanced capacity - documentation is everything

Slightly delayed summaries of key messages from afternoon session at @ScotTraumaNwk Paediatric Major Trauma Study Day…

And many thanks you you Marie, @mark_j_lilley & @DrMicheala for your presentations and contribulations to the day. #teamwork

Demonstrating the Major Trauma app is @mark_j_lilley Using technology to improve communication and documentation during high stress incidents 🏴󠁧󠁢󠁳󠁣󠁴󠁿🏥

Dr Sarah Alexander reflecting on trauma lead- managed to mention Superheros, Barbie, and cognitive overload! Not too "touchy feely"! @PaediatricMTC study day.

Next up is @whytock999 discussing Paediatric Trauma, a Pre-Hospital perspective. Mark is an Advanced Practitioner in Critical care based in Edinburgh with @Scotambservice 🏴󠁧󠁢󠁳󠁣󠁴󠁿🚑

7-8x prevalence of autism in trauma population vs general population.

1:7 children in the UK are neurodivergent. Higher proportional representation with the paediatric trauma cohort. Teams managing ND trauma patients need to focus on these differences to maximise recovery.

Interesting reflection from Dennis our PMTC ANP - saying “you’re going home today” can strike fear if the “what happens next” questions haven’t been addressed… Especially important across the regional boundaries within the @ScotTraumaNwk

Powerful story from one of our young trauma patients. What matters to us: doing stuff and fixing things. What matters to patients: fear, anxiety, frustration, missing family, friends, pets, being far from home, missing out on normal activities…

2018-2023 eSTAG report: publichealthscotland.scot/media/27422/se…