Thread by @dastrainees

Pre-hospital urban trauma in London - Dr Claire McCahill. Majority penetrating trauma and relating to knife crime, road traffic collisions, fall from height - also trains and underground incidents #DAS2022

Safety concerns with knife crime - wearing a stab vest to intubate sounds awful #DAS2022

Data from London Airway Ambulance 99.3% initial success rate for intubation. Standardised techniques, standardised drugs, use of a bougie for every intubation and a check and challenge checklist #DAS2022

London Airway Ambulance - drugs for intubation

Standard drugs 1 2 1
1mcg/kg fentanyl
2mg/kg ketamine
1mg/kg rocuronium

Hypovolaemic/co-morbid - 1 1 1
1mcg/kg fentanyl
1mg/kg ketamine
1mg/kg rocuronium

20 year retrospective data of surgical airway management - 50% in cardiac arrest when team arrived, rates dropped when LMA ProSeal and iGel introduced and when SOP and drugs changed #DAS2022

What did Dr Claire McCahill take from her time from London Air Ambulance back to her hospital work?

Pace
Sharing a mental model
Mentorship
Knowing equipment well and having it in anaesthetic room #DAS2022