@HECTORcares HECTOR Heartlands Elderly Care Trauma & Ongoing Recovery.
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@HECTORcares HECTOR Heartlands Elderly Care Trauma & Ongoing Recovery
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Transcript of @HECTORcares HECTOR Heartlands Elderly Care Trauma & Ongoing Recovery.
@HECTORcares
HECTORHeartlands Elderly Care Trauma &
Ongoing Recovery
@HECTORcares
63 million UK residents
10.8 million >65 years of age
@HECTORcares
@HECTORcares
<6577%
>6523%
2011
<6561%
>6539%
2012
<6560%
>6540%
2013
@HECTORcares
Why The Issue?
@HECTORcares
@HECTORcares
Pre-Hospital Filters
@HECTORcares
Triage – Mechanism of Injury
@HECTORcares
@HECTORcares
Treatment
• Remains injury focussed
• Non-operative vs Operative Care
• Principles of treatment follow training - >16 years, most treated the same
@HECTORcares
Negative Stereotyping
@HECTORcares
What is HECTOR?
• Multidisciplinary Service-Level Intervention to address gaps in initial and ongoing trauma care for elderly patients
• ED Approach
• Ward-Based Approach
@HECTORcares
Key Aims for ED Approach
• Address Issues of Under-Triage• Lowered thresholds for given mechanisms• Recognise occult hypoperfusion• Holistic care & “Silver Survey”
@HECTORcares
Key Aims for Ward-Based Approach
• Daily screen for delerium
• HECTORhydrationeating / toiletingcomfort & confusionthromboembolismoccult illnessrecovery
@HECTORcares
Study
• Time Interval Analysis• Comparison to similar sized centres –
outcomes (complications, length of stay, mortality)
• Historical control
“Treating Patients with Injuries, not Injuries on Patients”
@HECTORcares
@HECTORcares
HECTOR Team
Dr David Raven, HoEFTProfessor Fang Gao, HoEFTDr Gill Coombs, University of BirminghamSarah Flanagan, University of BirminghamTeresa Melody, MIDRU HoEFTSarah Pountain, MIDRU HoEFT
