The three best abstracts submitted were chosen to present as an oral podium presentation, with the best winning the Scott Prize.
Psychological Well-being by Honor Hinxman (Queen Alexandra Hospital, Portsmouth)
Honor presents the stresses and strains that healthcare workers face, and describes them as Type 1 (acute bad day) and Type 2 (chronic strain). Honor’s work is called TRIM (Trauma Risk Management) and provides support, risk stratification and coping strategies after Type 1 traumas in the workplace. Apparently there has been an average of 15 suicide deaths per year in healthcare professionals, of which 1.5 are anaesthetists. Honor’s survey highlights how we are self-critical and unfairly negative upon ourselves. Honor’s key work has been a fortnightly, group session to reflect and support her peers.
Triage Tools in Head Injuries by Alex Belcher (Dorset County Hospital, Dorchester)
Alex starts by describing two cases: a major trauma in a teaching hospital with a large responding team and an elderly head-injured patient on warfarin waiting in the ED queue. The concerning contrast in care gets a few head nods in the audience. Alex’s work was an audit based upon NICE CG 176 – Management of Head Injury in Children and Adults: 50% were over 65 years old and 40% were a fall from standing or sitting. Alex has looked at the time to CT scan comparing those with an isolated head injury versus a major trauma patient (both groups have a target of less than 60 minutes): ~100min vs ~40min. She goes on to explore the various reasons for this significant delay. From this work, Alex is implementing an Adult Head Injury Checklist, which is yet to be re-audited.
Timeliness of RRT by Sophie Yelland (St. Richard’s Hospital, Chichester)
After a brief introduction, acknowledging the lack of clear standard for auditing against, Sophie describes her retrospective work looking at 10 years worth of cases. Those that needed ’emergency’ RRT numbered 21 (K+ > 6.5, pH < 7.0, Urea > 50). Median time to RRT from decision was 3 hours. This was the same for the cases categorised as ‘non-emergency’. Re-categorising these cases into those receiving RRT within 3 hours vs those greater than 3 hours gives a ‘trend’ towards a survival benefit (p=0.2) in favour of early RRT.
Best Poster – Dr Goonetilleke
Best Podium Presentation – Dr Yelland
Best Extended Case Summary – Dr Misselbrook
All three were presented their certificates by Richard Carter (Director of Global Communications at Rolls-Royce) and Dr Andy Ball (Consultant at Dorset County Hospital and FICM Board Member)