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HECTOR Heartlands Elderly Care Trauma & Ongoing Recovery

HECTOR Heartlands Elderly Care Trauma & Ongoing Recovery. 63 million UK residents 10.8 million >65 years of age. Why The Issue?. Pre-Hospital Filters. Triage – Mechanism of Injury. Treatment. Remains injury focussed Non-operative vs Operative Care

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HECTOR Heartlands Elderly Care Trauma & Ongoing Recovery

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  1. HECTOR Heartlands Elderly Care Trauma & Ongoing Recovery @HECTORcares

  2. 63 million UK residents 10.8 million >65 years of age @HECTORcares

  3. @HECTORcares

  4. @HECTORcares

  5. Why The Issue? @HECTORcares

  6. @HECTORcares

  7. @HECTORcares

  8. Pre-Hospital Filters @HECTORcares

  9. Triage – Mechanism of Injury @HECTORcares

  10. @HECTORcares

  11. Treatment • Remains injury focussed • Non-operative vs Operative Care • Principles of treatment follow training - >16 years, most treated the same @HECTORcares

  12. Negative Stereotyping @HECTORcares

  13. 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

  14. Key Aims for ED Approach • Address Issues of Under-Triage • Lowered thresholds for given mechanisms • Recognise occult hypoperfusion • Holistic care & “Silver Survey” @HECTORcares

  15. Key Aims for Ward-Based Approach • Daily screen for delerium • HECTOR hydration eating / toileting comfort & confusion thromboembolism occult illness recovery @HECTORcares

  16. Study • Time Interval Analysis • Comparison to similar sized centres – outcomes (complications, length of stay, mortality) • Historical control @HECTORcares

  17. “Treating Patients with Injuries, not Injuries on Patients” @HECTORcares

  18. HECTOR Team Dr David Raven, HoEFT Professor Fang Gao, HoEFT Dr Gill Coombs, University of Birmingham Sarah Flanagan, University of Birmingham Teresa Melody, MIDRU HoEFT Sarah Pountain, MIDRU HoEFT @HECTORcares

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