1 Graham Lloyd-Brandrick Burn Care Scene to Surgery

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

3 Noble’s Hospital

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

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 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 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 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 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 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 Trucks Burns Trolleys Noble’s Hospital Ramsey Hospital

13 Burns trolley

14 Burns trolley

15 Burns trolley

16 Burns trolley

17 Air Ambulance

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