Dr Jacqui Jones1, Mr Carpenter David1, Mr Joh Talman1, Dr Mardi Steere1
1Royal Flying Doctor Service (Cfentral Operations), Adelaide Airport, Australia
Clinicians from a hospital setting will be familiar with the primary survey as a structured approach to trauma resuscitations, however, this omits many elements in the prehospital setting of team preparation and additional non-clinical elements that benefit from a structured approach. Crew resource management tools such as call-response checklists to minimise human factors in medical error have been widely adapted from the aviation industry into the healthcare sector to improve safety, particularly in surgical, intensive care and emergency department settings, to improve team dynamics and improve patient safety.
One adaptation in the emergency setting has been the Zero Point Survey, a structured approach not just to clinical care of the patient, but additionally preparation and reevaluation of personnel, equipment, roles and team dynamics. Additional elements of emergency care in the prehospital setting include a dynamic environment, with benefits of a regular systematic “re-zeroing” of self, team, scene safety and patient, with regular clear communication of evolving shared priorities.
Royal Flying Doctor Service of Australia (Central Operations) has adapted the Zero Point Survey methodology into Tasking, Scene and Mobile ZPS checks which incorporate established elements of the ZPS with additional integration of preflight checklists, team composition decisions, briefing elements including pilots/coordinators, cabin safety briefs and the sterile cockpit, command and control at the scene, extreme/variable weather, considerations of the offline environment, SitReps and a constantly changing mission environment. Specific considerations of the Aeromedical Zero Point Survey across multi-platform, often lengthy retrievals will be discussed.
Biography:
Biography to come