Events and Videos

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Events

Paediatric trauma evening- Starship July 2021

Predictors of child injury

Dr Bridget Kool – A/Professor School of Pop. Health University of Auckland

Burns and Scalds Update

Ms Sharon Cassidy – Canterbury Area Coordinator NZ Wound Care Society

Pain in Paediatric Trauma

Dr Jane Thomas – Pain Service Starship Child Health

Safekids Home Safety Program

Lora Waqabitu – Community Engagement Advisor Safekids Aotearoa

Dog Bite Prevention

Dr Natasha Duncan-Sutherland – Emergency Dept. Middlemore Hospital

Long Term Outcomes following Paediatric Major Trauma

Prof Shanthi Ameratunga – School of Pop. Health University of Auckland

Complex Paediatric Trauma Panel Discussio

Dr Brent McSharry – Paediatric Intensive Care Starship Child Health

Paediatric trauma evening – Starship July 2020

Emergency Management of Severe Head Trauma

Dr J McMillan – Paediatric Emergency Medicine Specialist

Neurosurgical management of Penetrating Head Injury

Mr P. Heppner – Consultant Neurosurgeon

Supporting parents & families in the early stages following childhood TBI – What’s Important ?

Sanchia Logie – Clinical Psychologist, Paediatric Rehab Team Starship

PREDICTS Australian and New Zealand Guideline for Mild to Moderate Head Injuries in Children

Professor Stuart Dalziel

Developing water competence in children – do big people know best?

Teresa Stanley – Research & Development Drowning Prevention Auckland Please note The video presentations below are aimed at clinicians caring for the injured patient and may contain graphic clinical content which may offend some viewers. The views and opinions expressed in these presentations are those of the presenter, and does not necessarily suggest endorsement or support by the Northern Regional Trauma Network, nor reflect any policies, procedures, standard or guidelines of the Northern Regional Trauma Network

Locked down but not locked up -Paediatric trauma during COVID-19

Mr James Hamill – Paediatric Surgeon Starship Child Health

Paediatric trauma – Starship July 2019

 

 

 

 

 

 

Paediatric burn care update

Mr Richard Wong She (National Burns Centre, Middlemore Hospital)

The national child alert protection system

Dr. Carmen Basu

Paediatric spinal injuries

Mr. Haemish Crawford (Paediatric Orthopaedic Surgeon, Starship Hospital)

Quad bike injuries

Dr. Erica Fernandes

Nurse lead trauma tertiary survey at a children’s hospital

Mr. Matt Sawyer (Paediatric Trauma Nurse Specialist, Starship Hospital)

MTP in action

Dr. Susie Cunningham (Paediatric Emergency Specialist, Starship Hospital)

Massive transfusion in paediatrics – what does the blood bank do?

Ms. Soyoung Choi-Maxwell (Transfusion Nurse Specialist)

Paediatric Trauma Evening – Starship July 2018

Baby steps become giant leaps

Prof. Ian Civil – National Clinical Lead Major Trauma Network

Paediatric head injury

Dr. Stuart Dalziel – Paediatric Emergency Medicine Specialist, Starship Hospital

Images of abusive head trauma

Dr. David Perry – Consultant Radiologist, Starship Hospital

Button battery ingestion – the macaroon sign

Dr. Emma Littlehales – Surgical Registrar, Middlemore Hospital

Button battery ingestion

Dr. Nikki Mills – Paediatric ENT Surgeon, Starship Hospital

AMPLE

Dr. Brent McSharry – Intensivist PICU, Starship Hospital

Trauma quiz

Dr. Aidan Bannon and Matt Sawyer – Starship Hospital

St John and NRTN Education Evening 2018

Helping the helpers

Ari Peach – AUT Lecturer Paramedicine

Trauma and Resilience

Psychologist St John, Health, Safety and Wellbeing

How the ambulance Clinical Procedures and Guidelines relate to trauma incidents

Dan Ohs – Intensive Care Paramedic St John, Assistant Director of Operations – Clinical

Preventibility of pre-hospital injury deaths in New Zealand

Associate Professor Bridget Kool, University of Auckland

Out-of-hospital trauma

Dr Tony Smith, Medical Director, St John

Northern Region Trauma Education Evening – Ko Awatea MMH March 2018

Spinal Cord Impairment Service

Mr. Alpesh Patel – Spinal Surgeon MMH

Major Burn Injuries

Mr. Richard Wong She – Clinical Leader National Burns Centre NZ

Acute stress reactions, early predictors of PTSD and treatment

Dr. Paul Vroegop – Paediatric Consult Liaison Psychiatrist MMH

Whangarei Hospital Trauma Education Evening – June 2017

Trauma in provincial New Zealand

Dr. Mark Sanders – General Surgeon Whangarei Hospital

Trauma data: what do we collect?

Olivia Mitten & Chris Harmston Whangarei Hospital

Recent trauma literature

Dr. Scott Cameron – Emergency Physician Whangarei Hospital

Overview of regional and national trauma issues

Siobhan Isles – Major Trauma NZ Major Trauma NZ

Middlemore Hospital Trauma Education Evening – November 2016

Reversal of novel anticoagulants and balanced transfusion

Dr Rajeev Rajagopal Haematologist, Middlemore Hospital

2015 ILCOR Resuscitation guidelines for traumatic arrest

Dr Andrew Brainard Emergency Physician, Middlemore Hospital

Blunt viscus injury

Dr. Chris Harmston Surgeon, Whangarei Hospital

Transfer guidelines and improving hospital transitions

Dr. Tony Smith – Intensivist Auckland City Hospital Medical Director St John

Obstetric trauma, the role of CT imaging & perimortum C-section

Dr. Sylvia Boys Emergency Physician, Middlemore Hospital

Major burns and the role of the National Burn Centre

Dr. Richard Wong-She Plastic Surgeon, National Burns Centre Middlemore

Concussion 101

Kevin Henshall Trauma Nurse Specialist, Middlemore Hospital

Radiology trauma quiz

Dr. Simran Singh Radiologist, Middlemore Hospital

Training Videos

Resuscitative thoracotomy

EEMCrit 2018 Live Thoracotomy Demonstration

EMCrit team

News

Original research published by the NRTN

Association between COVID-19 public health interventions and major trauma presentation in the Northern region of New Zealand

19th May 2021

Matthew J McGuinness, Chris Harmston, on behalf of the Northern Region Trauma Network.

New Zealand (NZ) joined the global fight against COVID-19 on 28 February 2020, following the first verified case. Confirmed community transmission and a rapidly escalating epidemic curve led the NZ Government to swiftly respond with restrictive public health interventions and a strategy aimed at COVID-19 eradication. Early reports suggested one downstream ramification was a change in trauma presentations. The aim of this study was to evaluate the effect these public health measures had on major trauma presentations in the Northern Region, New Zealand.  

The number of major trauma presentations from 16 March to 8June 2020was compared to the same time period in 2019. This period in 2020 included level four lockdown during which the population was instructed to isolate at home and limit interaction only to essential service.

Key findings:

  • There was a 25% reduction in major trauma presentations. 
  • There was a significant difference in place of injury with 20% of injuries happening at home in 2019 compared with 35% in 2020.
  • There was variation in effect amongst different institutions within the region with all Northern Region District Health Boards seeing a decrease in presentations apart from Northland District Health Board which saw a 29% increase in presentations in 2020 compared to 2019.
  • There was no significant difference in mechanism of injury, type of injury or intent of injury between 2019 and 2020.

This study has shown that public health interventions to prevent the spread of COVID-19 reduced major trauma admissions in the Northern Region of New Zealand. It demonstrates the responses in major trauma admissions at different levels of public health restriction allowing hospitals with future planning as further restrictive periods. This will facilitate prioritisation of resources in a time when they may already be stretched while maintaining adequate acute trauma services. This study also reinforces the notion that trauma is a societal disease. The significant reduction in the number of major trauma admissions highlights the preventable burden of disease trauma places on the healthcare system.

Figure 1. Comparison of 2019 and 2020 major trauma admissions by level of public health intervention and incidence of new COVID-19 cases per day.

Click here for link to full article: https://onlinelibrary.wiley.com/doi/pdfdirect/10.1111/ans.16711?download=true