10.24376/rd.sgul.6249641.v1 Rose Hall Rose Hall Anthony Hudson Anthony Hudson Anticoagulated Patients with Suspected Haemorrhage in Pre- Hospital Care: a review of Kent Surrey Sussex Air Ambulance patients in 2016 St George's, University of London 2018 Air ambulance anticoagulation time to treatment Novel Oral Anticoagulant NOACs Medicine 2018-05-11 08:46:32 Poster https://sgul.figshare.com/articles/poster/Anticoagulated_Patients_with_Suspected_Haemorrhage_in_Pre-_Hospital_Care_a_review_of_Kent_Surrey_Sussex_Air_Ambulance_patients_in_2016/6249641 This study, performed by a student in collaboration with a clinician, aims to transform and enhance the quality of care for patients assessed and transported by air ambulance. The project was a retrospective record audit which ascertained: the number of anticoagulated patients attended, in 2016, who had their anticoagulation with warfarin reversed with a Prothrombin Complex Concentrate (PCC); the gain in time to treatment for patients; and the number of attendees prescribed a Novel Oral Anticoagulant (NOAC). Throughout 2016, the air ambulance attended 1,614 patients, and 2% of these were identified as taking warfarin. Of these patients on warfarin, 40% were reversed, all of which had an International Normalised Ratio >2. Patients on NOACS were 0.43% of attendees. This project highlights the transformation of medical education by the involvement of a medical student in a real time quality initiative, and highlights the transformation in clinical care, as new clinical innovations become available for implementation.<br><br>This poster was presented at St George's, University of London's Education Day on Wednesday 15 November 2017. More information on the event can be found via the link referenced below. <br>