Medic One Funded Projects

Scottish Pre Hospital Critical Care Working Group
Jayne McKinley

A Scottish Pre Hospital Critical Care Working Group was formed and met on 26 May 2016 in response from the Scottish Government (via the Scottish Ambulance Service) to ensure coherence and inclusivity of pre hospital emergency critical care (PHECC) delivery across Scotland.

Representation was from the Emergency Medical Retrieval Service (EMRS), Aberdeen Royal Infirmary Prehospital Critical Care Team (ARCC), Medic One (Edinburgh) and Tayside Trauma Team (TTT) with Jayne McKinlay(EMRS Consultant) enlisted to coordinate a joint clinical governance project.

The aims of the working group are to ensure uniformity in approach by all Prehospital Emergency Critical/Enhanced Care (PHECC) teams when responding to Scottish Ambulance Service (SAS) requests especially in response to a Major Incident and in support of the move to Major Trauma Centres (MTCs).

As well as coordinating the clinical governance of each of the services, there was an aspiration to hold joint inclusive clinical governance meetings amongst all Scottish PHECC teams with the inaugural meeting planned for 8th September 2016.

This aspiration was realized at Birnam Arts Institute and an excellent joint clinical governance day was held. Each of the teams kindly provided some sponsorship of the event. Each team also provided clinicians to present clinical cases for open discussion. Dr Matt Vale, EM registrar from the Royal Infirmary of Edinburgh and Medic One, presented a clinical case with the back up of the nursing team in the audience. This was well received and led to useful discussions on logistics of extrication of critically unwell patients.

Further meeting are planned to continue the theme of excellent joint pre-hospital clinical governance.