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Hello. My name is Katherine Paterson. I'm a consultant in emergency medicine and the Royal in Belfast. I just want to give you haven't update about quality improvement project, which is going on in my department at the moment. So I haven't rested major trauma on in particular time two CT and our major trauma patients and most critically injured patients in the department. So trauma is the leading cause of death in the under 45 population. Nice recommended whole body CT as a gold standard for patients over 16 with multiple injuries. The Trauma Audit Research Network recommends that tame the CT in these patients really should be under 60 minutes. But most centers across the UK this is accepted as a minutes. It makes sense because Taylor CT allies prompt identification of severe life threatening injuries on there for her defendant care Earlier intervention so time to see, to use a surrogate marker for a trauma team efficiency. And that's really the rationale for part of the treatment part of the rationale for trauma team trailing So time is tissue time is organs time. His life delay is deterioration, disability and death. So just to give you a bit of a flavor of our times. Two. CT. They really very anything. So between about 20 minutes and 35 minutes, you can see your target or median time. Two. CT should be your own 30 minutes. It fluctuates during the median as any any normal script out a word, obviously, during the cooler lock down, our time to see today was between 2030 minutes. It's crept up gradually and prone to fluctuation, so as a result, we have launched a quality improvement project with our team with 23. Clinical fellow. Some major trauma Ward, a senior band of on six nurse R. A. M. Is really to extract patients from resource. I'm safe, a transparent a CT. Within 30 minutes, these patients go on to the days where we would have done locals PR's clean films. These patients need a B C D assessment on extraction to CT. Assume it's possible we should be yourselves in the movie resuscitation unit. We should be taking the most critically on well on on stable patients to the scanner to get an early diagnosis resuscitated as we go with blood products etcetera for earlier defendant care. So are interventions from leading the team. We should set time, really. Her goals for our team. We should say in five minutes I'd like us to be able to see t the team itself. We should be prepared. We should do a mission rehearsal for injuries whenever pre for the patient arrived on only two critical adventures like thoracotomy chest Reines. Um, describe really describes you facing your nurse. And we've as described to probably trouble team leader of 15 minutes. If there's Bean, no mention of CT or just to remind them, really, that CT should be the next thing on the horizon. So I hope you enjoy your trailer on been ecstasy. Some of your resource, Good luck.