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Pre-Hospital Handovers
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One method used for the medical hand over of patients is using M.I.S.T
Mechanism of Injury
Injuries sustained
Signs
Treatment given
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This can be modified to include the specific type of crash,
whether the patient was wearing a seat belt, estimated speed of the crash, whether front seated or rear seated etc.
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Having a method is useful in stressful situations and may prove to be helpful, this needs to be practiced regularly
otherwise vital information for the medical and surgical teams will be missed
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Example of an average handover at a receiving hospital....
- Front seat passenger in Motor Vehicle Collision
- T-boned on passengers side
- No seat belt
- Has a suspected L tension pneumothorax and fractured femur
- Airway - laboured breathing, RR 40, BP 106/86, HR 90, GCS 15
- Treatment on scene, 15L of Oxygen, R needle decompression, IV fluids, analgesia
- Spinal immobilisation
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Further information would clearly be extremely helpful in this case
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Good medical handovers are an important part of trauma medicine and should be practiced
Dr. N Sparrow - 20 April 2006
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