1. 1 Graham Lloyd-Brandrick Burn Care Scene to Surgery

2. 2 The Isle of Mann Crown dependency Self governing Independent of DOH (UK)

3. 3 Noble’s Hospital

4. 4 Co-operation First aid agencies Ambulance Fire service Noble’s Hospital Ramsey District Cottage Hospital Air Ambulance service Isle of Man Steam-packet Company Regional burn unit, Whiston

5. 5

6. 6 Island wide strategy We have Identified burn hazards in community Developed Treatment policy Developed Education for staff Correctly Triage patients for referral Developed Major incident plan

7. 7 Island wide standard of care Education programmes to correctly identify: Type of burn Depth of burn Treatment Prevent and treat Infection When to refer/transfer to burn unit

8. 8 Hospital strategy Two policies in place Patients sent home Patients admitted Policy is also a treatment plan/pathway Visiting burn consultant After care on island Continuous theory & practical education

9. 9 Nurse Led Burns Team Three nurses trained in burns care First aid personnel Paramedic Emergency Room team Surgeon Physiotherapy Pain control nurse Sterile Supply Department Pharmacy Visiting burns & plastics surgeon

10. 10 Major incident More than three patients Burn unit, Intensive care - surgical bay- day procedures Pharmacy, Sterile Supply Dept, Stores Weather may ground us Air Ambulance will fly over Whiston team

11. 11 Key Issues Standardise treatment Standardise trolleys, stock & supplies Continuous education of staff at both hospitals Talk to experts, (fire, ambulance, burns unit) Need a Major Accident Plan Financial savings per annum £2000 in supplies £10,000 in air ambulance flights

12. 12 Trucks Burns Trolleys Noble’s Hospital Ramsey Hospital

13. 13 Burns trolley

14. 14 Burns trolley

15. 15 Burns trolley

16. 16 Burns trolley

17. 17 Air Ambulance

18. 18 ‘ Learn from the past, live for the present, plan for the future’