Identification of @entity131 ( XXXX ) in the pre-hospital setting.

@entity1 @entity131 @entity13668 @entity11166 @entity542 @entity130
BACKGROUND: Identification of @entity131 is extremely difficult and is often missed in the pre-hospital setting. @entity130 triage tool (MTTT) criteria specifies the suspicion of an open or @entity13668 as indicating a @entity130 @entity1 . However, it is often the case that @entity1 with @entity131 recorded on the @entity130 Audit and Research Network (TARN) data with an ISS>15, indicating @entity130 , are not identified by the MTTT. This results in many @entity1 with significant @entity131 being undertriaged and not receiving definitive care as rapidly as possible. Early intervention in @entity1 suffering @entity131 is essential in ensuring the best possible outcome. A retrospective clinical record review is being conducted to establish whether there are clinical or behavioural indicators of @entity131 that could be incorporated into clinical guidance to improve identification. METHOD: The sample consists of 193 @entity1 on the @entity130 database who have sustained a @entity542 between January-March 2014. For each of these incidents the @entity1 clinical record (PCR) has been reviewed to provide data on many different demographic, physiological and behavioural aspects. All data has now been entered ready for analysis. Using the TARN data, @entity1 will be divided into 2 groups. The experimental group will consist of those @entity1 who have significant @entity542 recorded by TARN. The control group will include the @entity1 who have been identified as suspected @entity130 with a @entity542 but have no corresponding injuries recorded on TARN. RESULTS: It is anticipated that at least one demographic, physiological or behavioural aspect will be a reliable indicator of @entity131 . IMPLICATIONS: This retrospective clinical record review could greatly improve the identification of @entity130 @entity1 who have sustained a serious @entity542 . In turn this will mean more @entity1 being appropriately conveyed to the @entity11166 where specialised neurosurgeons are available.
