Management of Major Incidents

 

• One method used for the medical hand over of patients is using M.I.S.T

  Mechanism of Injury

  Injuries sustained

  Signs

  Treatment given

   

• This can be modified to include the specific type of crash, whether the patient was wearing a seat belt, estimated speed of the crash, whether front seated or rear seated etc.

• Having a method is useful in stressful situations and may prove to be helpful, this needs to be practiced regularly otherwise vital information for the medical and surgical teams will be missed

• Example of an average handover at a receiving hospital....

  - Front seat passenger in Motor Vehicle Accident

  - T-boned on passengers side

  - No seat belt

  - Has a suspected L tension pneumothorax and fractured femur

  - Airway - laboured breathing, RR 40, BP 106/86, HR 90, GCS 15

  - Treatment on scene, 15L of Oxygen, R needle decompression, IV fluids,           

    analgesia

  - Spinal immobilisation

 

• Further information would clearly be extremely helpful in this case

• Good medical handovers are an important part of trauma medicine and should be practiced

 

Dr. N. Sparrow - 20th April 2006

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