⚠️ TEN SECOND TRIAGE ⚠️

england.nhs.uk/publication/cl…

@NHSEngland have published the key training materials for #TenSecondTriage / #TST and MITT on their website (or sent it to your trust EPRR department)

🧵
/1 Users will be divided into:

Clinical Responders
🚑 🚁 🏥

or

Non-Clinical Responders
🚓 🚒

With specific materials available for each. The tool remains the same, but there are some subtle training nuances relevant to the various responsibilities of each user group

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A proud day at #TraumaCare22 where the ‘Ten Second Triage’ tool has been officially launched

Recommended as first line triage tool for all incidents

/1 TST is designed as a pan-emergency service early scene triage tool, actively confronting the challenges experienced by tools that have come before it (none of which were good enough)

Signed off for:
Amb & Military

Recommended for:
Police & Fire
(sign off likely imminent)

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After an extended virus-led hiatus, this weekend I was finally able to return to the @ATACCFaculty and the #ATACC course

The build up felt similar…
An email from @WestCorkRR informing me that I could have ‘my’ lectures if I wanted*

/1 *not necessarily ‘mine’, but I’ve delivered variances of the initial Roadside to Critical Care talk for a while. I didn’t expect to have them back… but it was amazing to slot back in. I asked to completely change Batons, Blades, Bullets & Blasts… “go for it”

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The Paramedic experience of COVID-19 is completely counter to what I initially expected

Not to discredit the work of our incredible in-hospital colleagues, but the prehospital management of COVID feels ‘simple’

Well enough to stay*?
Sick enough to go?
How much O2?

*caveats
/1 We have some pretty robust decision making guidelines and though it’s been dynamic and changing daily, I feel pretty confident about the clinical decisions being made and the core ‘ambulance work’ that we’re doing... which is actually what I feared being difficult

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I haven’t been terrified at work for a very long time. I remember brand new experiences as a student being ‘scary’; but with time, education, exposure & experience, they became more infrequent

Alas, I can categorically assure you, it still happens!

A thread

/1 [Details altered and only the minimal will be discussed. This isn’t theatre and you’ll understand why]

Cat 2: 7yr F - Chest Pain / Breathing Diff (Known Asthmatic)

OA:
Atonic, GCS3, RR10 grunting, minimal chest movment, silent on auscultation

Uncle futilely trying inhaler

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Practical thoughts on #SpontaneousResponders

It's important to acknowledge that the first people to respond to any incident will often be the lay person who uses their initiative; the relative, the work colleague, the fellow commuter

Day to day, this can be the difference

/1 We will all meet / have met a patient who was saved by a non-uniformed #SpontaneousResponder

Perhaps via public access defibrillation or good first aid

This is the system working! Amazing projects like @GoodSamApp/@ThecitizenAID show us how

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