Anticoagulated Patients with Suspected Haemorrhage in Pre- Hospital Care: a review of Kent Surrey Sussex Air Ambulance patients in 2016

2018-05-11T08:46:32Z (GMT) by Rose Hall Anthony Hudson
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.

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.