Pit Crew Approach to Pre Hospital Trauma Resuscitation

Ray Quinn, David Menzies, Angela Sheridan, Mark O'Byrne, Mark O'Neill, Phil Darcy, Danny Dowdall

DOI: http://dx.doi.org/10.32378/ijp.v3i2.127

Abstract

Introduction

Pre hospital trauma care is often delivered by dual crewed ambulances supported by additional resources as necessary and available. Coordinating resuscitation of a critically injured patient may require multiple simultaneous actions. Equally, a large number of practitioners can hinder patient care if not coordinated.

Aims

To describe a multi disciplinary, scaleabe approach to pre hospital trauma care suitable for small and large multi disciplinary teams. Methods The MCI medical team (as part of Motorsport Rescue Services) is a PHECC-registered multidisciplinary team, which provides medical cover at Motorcycle road racing events in Ireland. The MCI medical team has significant experience of major trauma and routinely performs prehospital anaesthesia for trauma patients. We have evolved a pit crew approach to trauma care with pre defined roles and interventions assigned to a five person team, three clinical members, a scribe and a team lead. The approach is both scalable and collapsible, meaning that if multiple patients are present, roles can be merged; if additional clinical input is required, roles can also be supplemented. Each team member carries equipment and medications specific to their role, allowing efficiencies at the patients side.

Results

The pit crew approach to pre hospital trauma care has evolved over a decade and is routinely implemented at motorcycle road races in Ireland.

Conclusions

The pit crew trauma approach, although applicable to a pre defined five person team in unique circumstances, may also be applicable to ad hoc clinical teams that typically form in the pre hospital arena.


Keywords

Trauma; Resuscitation; Team; Pit Crew

Full Text:

PDF (poster) PDF

References

PHECC CPGs 2017

ATLS Manual 2016

ATACC Manual 2014

MCI Medical Team SOPS 2018



DOI: http://dx.doi.org/10.32378/ijp.v3i2.127

Refbacks

  • There are currently no refbacks.




Copyright (c) 2018 Ray Quinn, David Menzies, Angela Sheridan, Mark O'Byrne, Mark O'Neill, Phil Darcy, Danny Dowdall

Creative Commons License
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.


IJP is an Open Access journal and articles published are distributed under the terms of the Creative Commons Attribution-NonCommercial License (CC BY-NC). Article copyright remains with individual authors. Authors grant unrestricted copyright license to the IJP. Readers may copy, distribute, build upon, reproduce, and display the work for non-commercial purposes with the proper citation of the original work in this publication. DPLA Rights statement: http://rightsstatements.org/page/InC-NC/1.0/?language=en. The IJP supports the National Principles for Open Access Policy Statement.

Electronic ISSN: 2009-938X.

We deposit a copy of all Irish healthcare related articles with Lenus, the Irish Health Repository and eDepositIreland, ensuring a full-text copy is always available and securely stored. The IJP is also listed with DOAJGoogle ScholarScienceOpenWorldCat, Index Copernicus, OAJI and JournalTOCs.