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Mr Jamie Ranse Ms Courtney Aitken Casualties referred to  hospital by first aiders:  A RETROSPECTIVE ANALYSIS OF  CASUALTY...
Overview <ul><li>What we already know </li></ul><ul><li>Problem and Aim </li></ul><ul><li>Method </li></ul><ul><li>Results...
What we already know <ul><li>Many event organisers use St John </li></ul><ul><li>St John members make referral decisions <...
What we already know <ul><li>Ambulance personnel make complex decisions regarding transportation of casualties </li></ul><...
What we already know <ul><li>Ambulance personnel make complex decisions regarding transportation of casualties </li></ul><...
Problem and Aim <ul><li>Problem </li></ul><ul><li>Are there patterns and/or characteristics of casualties who are referred...
Method <ul><li>Retrospective audit of casualty report forms, </li></ul><ul><li>Inclusion criteria: </li></ul><ul><li>1) Th...
Results <ul><li>During 2006  </li></ul><ul><li>487 events </li></ul><ul><li>7462 hours </li></ul><ul><li>1120 casualties <...
Results
Results
Results
Discussion <ul><li>Presentation and referral rates assist planning </li></ul><ul><li>Illness </li></ul><ul><li>Vital signs...
Questions Acknowledgement:  Thankyou to St John Ambulance Australia for providing a grant to conduct this research.
Mr Jamie Ranse Ms Courtney Aitken Casualties referred to  hospital by first aiders:  A RETROSPECTIVE ANALYSIS OF  CASUALTY...
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Casualties referred to hospital by volunteer first aiders: a retrospective analysis of casualty presentations.

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Paper presented at the St John Ambulance Australia National Conference, Adelaide, Australia, 20th June 2008.

Published in: Health & Medicine
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Casualties referred to hospital by volunteer first aiders: a retrospective analysis of casualty presentations.

  1. 1. Mr Jamie Ranse Ms Courtney Aitken Casualties referred to hospital by first aiders: A RETROSPECTIVE ANALYSIS OF CASUALTY PRESENTATIONS
  2. 2. Overview <ul><li>What we already know </li></ul><ul><li>Problem and Aim </li></ul><ul><li>Method </li></ul><ul><li>Results </li></ul><ul><li>Discussion </li></ul><ul><li>Questions </li></ul>
  3. 3. What we already know <ul><li>Many event organisers use St John </li></ul><ul><li>St John members make referral decisions </li></ul><ul><li>A number of factors influence casualty presentation </li></ul><ul><li>The weather (temperature and humidity); Duration of the event; Indoors or outdoor event; Seated or mobile crowd; Bounded (fenced or contained) or unbounded; Type of event; Mood of the crowd; Availability of alcohol and drugs; Crowd density; Geography of the venue (or terrain/locale); and Average age of the crowd. </li></ul><ul><li>Laypersons consult family and friends prior to calling an ambulance </li></ul><ul><li>Casualties transported to the ED are more acutely unwell then those who self present </li></ul>
  4. 4. What we already know <ul><li>Ambulance personnel make complex decisions regarding transportation of casualties </li></ul><ul><li>A number of in-hospital tools exist to assist in decision-making for assistance </li></ul>
  5. 5. What we already know <ul><li>Ambulance personnel make complex decisions regarding transportation of casualties </li></ul><ul><li>A number of in-hospital tools exist to assist in decision-making for assistance </li></ul>
  6. 6. Problem and Aim <ul><li>Problem </li></ul><ul><li>Are there patterns and/or characteristics of casualties who are referred to hospital by first aiders? </li></ul><ul><li>Aims </li></ul><ul><li>Identify patterns and/or characteristics of casualties who are referred to hospital by first aiders; </li></ul><ul><li>Make recommendations for future guidelines for casualty referral by first aiders; </li></ul><ul><li>Make recommendations for training and education of first aiders regarding casualty referral. </li></ul>
  7. 7. Method <ul><li>Retrospective audit of casualty report forms, </li></ul><ul><li>Inclusion criteria: </li></ul><ul><li>1) The casualty was from within the studied population, and </li></ul><ul><li>2) Were referred by St John Ambulance Australia first aiders to: </li></ul><ul><ul><li>hospital via the local government ambulance service; </li></ul></ul><ul><ul><li>hospital via their own private means; or to </li></ul></ul><ul><ul><li>personnel of an onsite government ambulance service. </li></ul></ul>
  8. 8. Results <ul><li>During 2006 </li></ul><ul><li>487 events </li></ul><ul><li>7462 hours </li></ul><ul><li>1120 casualties </li></ul><ul><li>100 referrals </li></ul>
  9. 9. Results
  10. 10. Results
  11. 11. Results
  12. 12. Discussion <ul><li>Presentation and referral rates assist planning </li></ul><ul><li>Illness </li></ul><ul><li>Vital signs </li></ul><ul><li>Further research </li></ul><ul><li>Clinical Governance </li></ul>
  13. 13. Questions Acknowledgement: Thankyou to St John Ambulance Australia for providing a grant to conduct this research.
  14. 14. Mr Jamie Ranse Ms Courtney Aitken Casualties referred to hospital by first aiders: A RETROSPECTIVE ANALYSIS OF CASUALTY PRESENTATIONS

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