Keir Rutherford's guest appearances

Keir Rutherford

Pre-Hospital Care Podcast 

OwlTail

Alec Wilding

This is the second instalment of the conversation on the approach to major incidents with Keir Rutherford &amp; Alec Wilding. We examine triage tools which have just come into practise which is around the TST - 10 second triage algorithm and the MITT - major incident triage tool and also look at enhanced levels of care on scene and what should be done in the casualty clearing station. We also examine at how we manage our emotions as senior clinicians both on scene and retrospectively and work we work with interdisciplinary teams around the fire brigade and the police on scene.  Here are more resources from the conversation:  London Bridge article: https://www.magonlinelibrary.com/doi/abs/10.12968/jpar.2017.9.12.512 Ten second triage: A novel and pragmatic approach to major incident triage: https://t.co/LXdO1MFRX4 New NHS Prehospital Major Incident Triage Tool: from MIMMS to MITT: https://emj.bmj.com/content/39/11/800.long NARU app: https://naru.org.uk/jesip-launched-free-app-emergency-responders/ Jesip aid memoir : https://jesip.org.uk/uploads/media/pdf/Aide_Memoires/JESIP_Aide_Memoire_2022.pdf

This is the second instalment of the conversation on the approach to major incidents with Keir Rutherford &amp; Alec Wilding. We examine triage tools which have just come into practise which is around the TST - 10 second triage algorithm and the MITT - major incident triage tool and also look at enhanced levels of care on scene and what should be done in the casualty clearing station. We also examine at how we manage our emotions as senior clinicians both on scene and retrospectively and work we work with interdisciplinary teams around the fire brigade and the police on scene. Here are more resources from the conversation: London Bridge article: <a href="https://www.magonlinelibrary.com/doi/abs/10.12968/jpar.2017.9.12.512" rel="noopener noreferer nofollow" target="_blank">https://www.magonlinelibrary.com/doi/abs/10.12968/jpar.2017.9.12.512</a> Ten second triage: A novel and pragmatic approach to major incident triage: <a href="https://t.co/LXdO1MFRX4" rel="noopener noreferer nofollow" target="_blank">https://t.co/LXdO1MFRX4</a> New NHS Prehospital Major Incident Triage Tool: from MIMMS to MITT: <a href="https://emj.bmj.com/content/39/11/800.long" rel="noopener noreferer nofollow" target="_blank">https://emj.bmj.com/content/39/11/800.long</a> NARU app: <a href="https://naru.org.uk/jesip-launched-free-app-emergency-responders/" rel="noopener noreferer nofollow" target="_blank">https://naru.org.uk/jesip-launched-free-app-emergency-responders/</a> Jesip aid memoir : <a href="https://jesip.org.uk/uploads/media/pdf/Aide_Memoires/JESIP_Aide_Memoire_2022.pdf" rel="noopener noreferer nofollow" target="_blank">https://jesip.org.uk/uploads/media/pdf/Aide_Memoires/JESIP_Aide_Memoire_2022.pdf</a>

Part 2 - Reflections on major incident management with Keir Rutherford & Alec Wilding

In this conversation we will examine some of the lessons learnt from anecdotal experiences in major incidents, together with the reflections from previous recommendations in major incident enquiries such as the Manchester bombings. We will examine the differentiation of terrorist attacks at point of call from an otherwise normal RTC or ‘typical’ incident. We also look at the initial approach to triage, who and how this should be done as well as the integration and relationship of the Ten Second Triage (TST) algorithm, the Major Incident Triage Tool (MITT) and levels of enhanced care at the scene. Also, the concept of casualty clearing and when and how this should be performed. We also examine the level/ceiling of intervention that is beneficial from the empirical research in such events and how this should be approached. We also examine inter-disciplinary working with other services such as police responders and fire brigade.   Keir Rutherford is an Advanced Paramedic Practitioner in Critical Care and also a flight paramedic with London’s Air Ambulance. Alec is also an Advanced Paramedic Practitioner in Critical Care and the Emergency Planning Resilience and Response (EPRR) lead for Festival Medical Services, who are a charity providing event medical cover including at Glastonbury and also a Specialist Paramedic for Hampshire Isle of Wight Air Ambulance.  To read more on some of the information referred to in the Manchester Bombing inquiry please see here: https://manchesterarenainquiry.org.uk/  This is part 1 of a 2 part conversation as we felt there was too much to include in just one episode. 

In this conversation we will examine some of the lessons learnt from anecdotal experiences in major incidents, together with the reflections from previous recommendations in major incident enquiries such as the Manchester bombings. We will examine the differentiation of terrorist attacks at point of call from an otherwise normal RTC or ‘typical’ incident. We also look at the initial approach to triage, who and how this should be done as well as the integration and relationship of the Ten Second Triage (TST) algorithm, the Major Incident Triage Tool (MITT) and levels of enhanced care at the scene. Also, the concept of casualty clearing and when and how this should be performed. We also examine the level/ceiling of intervention that is beneficial from the empirical research in such events and how this should be approached. We also examine inter-disciplinary working with other services such as police responders and fire brigade.  Keir Rutherford is an Advanced Paramedic Practitioner in Critical Care and also a flight paramedic with London’s Air Ambulance. Alec is also an Advanced Paramedic Practitioner in Critical Care and the Emergency Planning Resilience and Response (EPRR) lead for Festival Medical Services, who are a charity providing event medical cover including at Glastonbury and also a Specialist Paramedic for Hampshire Isle of Wight Air Ambulance. To read more on some of the information referred to in the Manchester Bombing inquiry please see here: <a href="https://manchesterarenainquiry.org.uk/" rel="noopener noreferer nofollow" target="_blank">https://manchesterarenainquiry.org.uk/</a> This is part 1 of a 2 part conversation as we felt there was too much to include in just one episode.