“We just want to provide a framework for them to reach out to that many patients and do the things that are most likely to save someone’s life.”
Air ambulances are expected to have a clinician capable of delivering the advanced medical care Lt Col Park speaks of.
The research found that there was a nationwide plea for “greater consistency” in the ability of air ambulances to provide emergency medical care at the pre-hospital consultant level.
Lt Col Park says she supports it.
She agrees that consideration should be given to “making changes so that air rescue teams can get there as soon as possible and be part of the response.”
She says the best way to triage is to hire an experienced clinician.
She points to a new national triage system to be used by all first responders that is being developed.
Lt Col Park says with multiple casualties it’s “hard to know where to begin”.
She says guidance should focus on catastrophic bleeding and opening the airway.
Then, she says, there would be a “tagging system” because people often go through the same things when triaging a patient.
Lt Col Park said they would not expect cops or first responders to “pronounce someone dead”.
She says, “We just want to give them a framework to reach out to these many patients and do the things that are most likely to save someone’s life.”
All law enforcement officers, she agrees, should be trained in dealing with catastrophic bleeding and airway opening.
Paul Greaney QC, Counsel for the Inquiry, says: “This would be a complement to that, which is to provide an easy to use triage system to enable police officers to identify which individuals need these first responder interventions. Have I understood that correctly? “
Lt Col Park sagt: “Yes, correct.”
Another element of the triage system would be the identification of “penetrating trauma to the upper body.”
These victims are at high risk for catastrophic bleeding that “cannot be controlled at the crime scene.”
“One of the elements of that triage system would be to identify someone with that injury as a priority for evacuation because those are the patients that nobody on the ground can really do anything for.”
A sub-group of NHS England has been given the task of developing a new “national early scene triage tool”, the inquiry says.
“It’s not over yet,” she says.
Lt. Col Park agrees that this will result in a new national triage system that can be used by all emergency services and is based on principles of ease of use, prioritization of first responder interventions, and penetration of trauma to a person’s torso, among others.
The plan is to share the new “tool” in March, but testing has yet to be done.
It would then be rolled out to all emergency services, followed by training.
Ambulance service personnel would wear guide cards, the investigation said.
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