Keyhole

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Prof Karim Brohi was the London Trauma System is a clinical Director for 2014

All 75 minutes, someone in London, admitted to The Hospital with traumatic injuries, according to the capital ambulance. In a week-long diary for the BBC, the London Trauma System is a clinical Director describes the moment he stopped stabbed A Man to death, The Heart in his hands-and how rising knife crime, "taking its toll" on the health care system.

Monday - Spleen -removal The Surgeon had to remove the stabbed patients, the Spleen Prof Karim Brohi is the clinical Director of the London Trauma System, trauma care is monitored at 30 hospitals in the capital.

He watches The Royal London Hospital Major Trauma Centre is Run by Barts Health NHS Trust - at 08:00 BST, and is now the on-call trauma surgeon with overall responsibility for patients until the same time on The Following Monday .

There are 42 patients on The Ward to a trauma, when he comes, including an injured 15-year-old boy, eight stabbings and four gunshot wounds.

in Spite of this, it is a relatively quiet day, and he watches two hours of delay to 19:00. But within a couple of hours, he called back to treat, a teenager, was repeatedly stabbed with a knife.

"A CT scan shows a severe injury," Prof Brohi says. "We take him to surgery and open up his belly. He has Life -threatening injuries to his lungs and Spleen and has lost a significant amount of blood.

"We need him, as we continue with the Operation, before the removal of his Spleen . Finally, he is stabilised and we are able to fix his other injuries. "

Tuesday - 50/50 chance of the Trauma of the Operation is often only the beginning of the months of the treatment the teenager from the previous night is now "stable and good", in spite of the loss of his Spleen . But overnight, there are six new trauma patients, including two stabbing victims.

During the morning rounds a Code Red is coming - A Man was hit by a car and has a severe pelvic fracture, and bleeding.

Specialised radiologists, who are called to lead, a procedure known as an embolization - where the blood vessels are clogged with medical glue or small beads to stop the bleeding.

"The patient is admitted in the intensive care unit for further stabilization, where specialist pelvic surgeons to Take Care of the next level of his concern," Prof Brohi explained.

"fortunately, he has No Brain injury, but it's going to be a long process of rehabilitation, and I would expect that there is only a 50/50 chance that he will ever return to work. "

What happens during a Code Red ? A Code Red is called in the paramedics, if you can have a patient To Live only a few minutes.

A team of specialists around The Hospital gather in The Major trauma unit and key staff on stand-by. An emergency surgery was put on hold and a CT scanner instead of a blank for the patient.

Different types of blood thawed and special components that are supplied with the help of procedures such as embolization.

The patient arrives, and a team of doctors and nurses have to diagnose seconds to the problem and begin treatment.

Wednesday - Keyhole surgeryIt is a quiet night, with only two new entrants. To improve Monday teenage stabbing victim, although in a "fair bit of pain".

Another teenager in the congregation, who was stabbed a week ago a large blood clot, which requires in his chest, the treatment still has.

"I'll take him in the surgery and we the collapse of his lung and remove the clot with a key-Hole surgery approach," says Prof Brohi.

"Approximately half a Liter of blood and clots removed. He'll be sore tomorrow from the new sewer, which we have been placed, but hopefully is now making a good Recovery , physically anyway. "

Thursday - flashbacks and panic attacksA patients with very bad head injuries after an accident in The Night and the Critical Care team is brought in support of the "distraught" family.

The prognosis is poor and "for the next 24 hours will be crucial," said Prof Brohi.

elsewhere on the Station, four stabbing victims, cannot be discharged, because they are in danger of further violence if they Return Home .

"Sometimes, in spite of our United efforts, the people come back, was again attacked," The Surgeon says.

"Even for those who are not going to Go Home , we know The Level of post-traumatic stress for these people is extremely high - Many are limited to their own home, too scared.

", stop to socialize, or attend school or College. You have flashbacks and panic attacks. The burden of The Family immensely. "

The Hospital 's trauma service is working with the St. Giles Trust , which helps steer the people away from violent crime.

Since the merger with The Charity , The Hospital says it has the unit of a "significant reduction in the proportion of people under 25 years, the return to The Hospital with another violent injury", with less than 1% of the cases, the return of the trauma. But Prof Brohi believes The Trust needs more support.

"It is an excellent support for Young People after they leave The Hospital , but their resources, and the range is limited. We are working hard to find in order to try to provide a safe environment for these patients, but it can take. "

What is the London Trauma System? The System at St Mary's, St George' s, King ' s College and The Royal London hospitals.

Between them, they offer a combined major trauma care from about 30 hospitals and health facilities in the whole of London and its resources, to ensure that you with care 24 hours A Day .

Since its founding in 2010, says the London Trauma System, it has improved access to specialized trauma treatment and improves the quality of care.

It was The First system of its kind in the country and in the research from The Queen Mary Centre for Trauma Sciences,

patients seen people by the London-Trauma-System

, concerned about The Four networks in 2016/17

source: London Ambulance service Friday - Hole in The Heart -Prof Brohi with A Number of Code Red calls, the forecast from Thursday head injury patients was in the course of the week, Unfortunately, correctly, and rapidly deteriorates and dies.

she has No Other medical problems and a potential organ donor, "perhaps the only good that comes could ever say, in such cases," Prof Brohi.

He spends the afternoon with the research team, conducting studies in the improvement of survival rates of major trauma.

Later, a Code Red , The Surgeon brings back to The Hospital , at 22:00 BST - a young man was stabbed in the chest, and his vital functions are deteriorating.

"The blood pressure of the patient decreases rapidly. The trauma team has already re-animate started him and put him to sleep and my surgical registrar, has started to open up his chest while I quickly dress up.

"It's hit a massive blood to stop clots to The Heart , to remove and we can easily reveals a large laceration to The Heart itself.

"We control this with our hands, to reanimate while The Team was on to him and together we get his heart beating strongly again. My Registrar, then The Hole sews in his heart, and we take him to the operating room to complete the operation, close his chest.

"shortly After Midnight , we're going to talk to His Family . I hope he will do well. But regardless of the outcome, these discussions with A Family in the relative room in The Middle of The Night to mark the beginning of a terrible Chapter in all their Lives - some of which may never again. "

Saturday - Dangerous , bloodA young girl comes into the trauma ward to lose Dangerous a lot of blood after falling and cutting through the main artery in the arm.

By the time it reaches you, The Hospital , paramedics controlled the bleeding temporarily with a pressure bandage.

"We will take you to the op-looking room, while she was sleeping in the anesthesia," says Prof Brohi.

"repaired her artery And Then our plastic surgeons have a great job, a terrible wound in a clean scar. Transfer the children's hospital and your arm should hopefully be fine. "

A busy Saturday Night sees a further nine trauma patients - of which four stabbings. Two injuries to their lungs, a liver.

fortunately, none are serious enough to be operated by Prof Brohi. Their acute injuries are managed, and you are admitted for observation.

Sunday - pancreas in half prof Brohi is at home, playing Lego with his daughter, when he gets a call that A Man was stabbed in the chest, back and legs. Although initially, a Code Red , a CT scan shows no major injuries, and The Surgeon of the Stand is explained below, and the Chancellor assumes.

Later in the evening, there is a further sting. This Time , Prof Brohi is called, go straight to the theatre.

"open it, We find his stomach, The Knife is completely gone through the stomach and cut his pancreas in half.

knife crime, surgery, london violence, nhs

Source of news: bbc.com