14. and then………
Allergies
Background
Past Hx
Social circumstances
Pictures on your mobile
What you had for dinner
What you’re going to have for dinner
What you think the TTL should have for dinner
Illness
Medication
Stress
Alcohol
Fatigue
Eating
What can we predict?
Blood transfusion inevitable
Advanced airway care inevitable
Difficult decisions on where to go - CT? Theatre?
Difficult decisions on where to do things?
Geography is important here
So pre-arrival
Activate MHP/
Brief team on sequence and likely events.
Brief team on decision points e.g. if this then we go to theatre, if this then we go to CT.
There are many ways to do this. I am going to tell you how I do it, and why I think we should do it this way.
TTL meets crew at door.
Any immediate concerns.
Who is going to handover
Have you done/prepared a MIST handover