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so in this that you were going to look at who comes when the drama team has activated and when is it actually activated on high? The handover works, so you'll know that there are some comparisons being made within emergency teams. And between that and a Formula One scenario and whether those comparisons air fare or not, and there are some parallels, the Red Bull at team did a pet stop, which was a word to record breaking one in 2019 with the recording time of 1.2 seconds and the Brazilian grown pre on board, I suppose, How do they get to that point? So they have a well organized team. I've always got a lot of money, which we don't always have a healthcare have a clear a leader. And that's the person wearing the red helmet. And they also have force of teams operating there and one around hte each tire for a tire change on a refueling team. Age personal. The teen news exactly what they're meant to do it and have a rule in that, and they have a shared your purpose, and that's really to refuel. 100. Please tires quickly as possible on they practiced together, relentless late to try and improve those times. So what's our shared purpose in a trauma team? Let's just ask the patient's airway breathing, circulation, urologically and explosive to look for life threatening injuries and so that we've Marge those before the patient goes for traumatic trauma. CT and I want to get through the drama CT in less than 30 minutes. So those really are shared ghouls at trauma colds or activated based on the patient's shock index or on the anatomical location or the nature off their injuries. They can be activated when the patient arrived in hospital or pre hospital. A beast on the information that's given by the Northern Ambulance Service or by the Helicopter Emergency Service drama calls are color coded, so they're either red, which is the most emergency on on stable patients Number or green, red and amber colds. Both require a major trauma team response, with green dramas being managed mainly in heist by the CT team, with consultation potentially back surgeons and other other teams as well. So a red calls activated when you have a critically unstable patient and on, you can determine that really based on the information given, um can be helpful to think about the prehospital, or hospital based shock index. Chuck Index is hardly it's and over systolic BP on. Really, If your heart rate is approaching and your systolic BP prehospital e, and then you're likely to have ah shock index approaching 0.9 or in hospital if the heart rate has just over taken the systolic BP or the lactate measured in hospital is over 3.5, and then you're dealing with a reg trauma on that requires a consultant, and hence later. So you got a Troma rotor within the merchant department of consultants who will then come in be present to leave the team on, then a representation from orthopedics, general surgery on anesthetics and often needy doctor involved in the team as well. Out, register or level. The under trump calls are little more varied and sometimes harder to determine those patients with a GCS of less than 12 and the motor score being most important there, those with the system and BP less than 90 day or sustained and changing respiratory rate under 10/29 was with traumatic amputations. Any penetrating trauma, centrales chest or abdomen? UH, open or depressed skull fractures, suspected pelvic practice fractures, spinal injuries with abnormal neurology, patients with term long bone fractures or those with burns. Over 20% estimate facial or circumstantial burns because those burns patients will usually need anesthetic involvement and airy management or surgical management, respectively. So when you look at the trauma team and the CD the sauce over here, this is what it should look like. Patient in the middle and with a certain number of set and objects there, so the emergency be so strolling is usually the patients right. A man at moment, hours in ventilator would be to the patient's left and at the back of the trauma big. There's a clock on which is set time. Zero in the patient arrives, and that lies everyone of the team to see how far we're progressing, you know what's the red line behind the red line will stand the trauma team leader on the scrape on there, maybe representation from radiology T X rays, for example. But often we're going up to see t t t get imaging. Um, the first part of coal, the anesthetic team, usually the head of the bed. And that's comprised off on a doctor on down on Aesthetic Nurse on then to the right off the patient, usually the breathing doctor and the breathing nurses, the breathing team on then the C team to the patient's left and usually one of the surgical at members of the team and then again on Emergency department nurse. So by staying to that fixed format and everyone knows who's on what team on but where they're meant to just stand, visit principles within the trauma team is to make sure that we manage the patient quickly and safely. To do that, we have to make sure communication is consents, concise, on structured, particularly around the time of hand over from the pre hospital service. So when they arrive with the patient before formalized that in a structure news at most and that's used in the trauma networks around the UK, this template will be up on the trauma white board and help your memory if you're not familiar with it. So it starts with the age of the patient, basic demographics, the time off, the injury and the mechanism off the injury on that may or may not be fully known. But other factors associated with an upper so come such a centrum mint or rejection from vehicle injuries that are seen or suspected, and the patient's basic vital signs on a degree of information about whether those are worsening or improving. And then the treatments given so prehospital e Those treatments would be, uh, pelvic binder, a spinal immobilization on deaf Phoenix. Access is being secured tranexamic acid, so the Northern Hard and I'm going service will be able to apply all of those treatments if the patient comes in through the helicopter emergency service, there's over there doctor involved in that team, and they have may have performed on advanced maneuvers such a Zinter vacation or finger Thora cost me when the patient arrives. There's a five second polls by the leader, the trauma team leader, Just to make sure that there's nothing that has to be absolutely immediately acted on on those very critically on stable patients, it may not be possible to Philly listen to all of the hand over, but if it's the patient is stable enough to have everyone listen to and 45 2nd silent period where the Prehospital team 100 over in the atmosphere truck Chur then transferred the patient on to the E. D. Truly, the trauma whiteboard is completed with all the important demographic on mechanism and information. And then if there is additional information that the trauma team later may need to know, and they will in pass that own in the next video, we're gonna look at all the rules and the trauma team and higher actually operates.