Trauma Trays - colour coded, secure, tamper evident and bacteriostatic procedure-packs for use in remote and temporary relief hospital facilities.

最近的COVID19大流行突显了有效应对与医疗有关的灾害对医疗系统的不利影响。虽然在现有的医院基础设施内护理特重病患者，但需要较少重症护理但仍需要住院的患者得到远程护理。正是这些偏远的设施需要特定的支持才能运作，因为它们没有主要医院的资源。特别是，分配给偏远设施的人力资源可能缺乏处理所需具体医疗干预的经验，设备可能不熟悉和有限，环境可能对工作人员和患者都具有挑战性。顾问与患者的夜莺比例为1：42，而标准的ICU比例最高为1：15。与此同时，护理比例已从1：1增加到至少1：6。针对救援医院设施中患者的需求提供适当和有效的护理是创伤托盘可以帮助支持的挑战。通过提供组织、安全和可审计的程序包(TraumaTrays)，其中包含为特定任务或紧急事件策划的设备和药物，远程医院设施/部门可以为患者提供优质和特定的护理，同时允许最佳地利用所有地点的人力资源，以尽可能快和有效地提供最好的护理。ICU或急诊室的最先进的急救车配备了防患于未然的设备，并为科室的所有专业人员所熟悉。然而，在偏远设施中提供可与重症监护室或急诊室标准相媲美的综合设备既昂贵又不合适；但相关的设备和药物必须立即提供给患者。由主医院集中分发、用可审计的标签安全密封的经过管理和安全的程序包，将提供一种手段，将必要和适当的设备、用品和药物安全地提供给远程住院的患者。“扩大影响”资金的效果是，我们可以验证计划的项目成果，并通过现有的和新的渠道向全球受众传播这些结果，提供可信的数据，以支持创伤托盘进入现有和新的程序包市场的好处。在延期期间产生的传播活动将在本项目期限之后持续到2021年及以后，因为它们自然是在已经交付的工作之后进行的。急救、军事和南丁格尔应用的商业机会将得到支持，因为我们可以证明程序包市场的可行性，证明患者的安全性和成本效益得到了改善。

The recent COVID19 pandemic has highlighted the adverse effects on healthcare systems to effectively deal with medical-related disasters. Whilst exceptionally ill patients are cared for within existing hospital infrastructures, patients requiring less intensive care, but still in need of hospitalisation, are cared for remotely. It is these remote facilities that require specific support to operate, as they will not have the resources of main hospitals. In particular the human resources allocated to remote facilities may be less experienced to deal with the specific medical interventions required, the equipment may be unfamiliar and limited and the environment may be challenging to staff and patients alike. Nightingales ratio of consultant to patient is 1:42 compared with standard ICU ratios of a maximum of 1:15\. While nursing ratios have increased from 1:1 to at least 1:6\.The challenge of providing appropriate and effective care, specific to the needs of patients in relief hospital facilities is one that Trauma Trays can help to support.By providing organisational, secure and auditable procedure-packs (TraumaTrays) containing equipment and medication curated for specific tasks or emergency incidents, remote hospital facilities/departments can deliver quality and specific care to patients whilst allowing for the optimum use of human resources across all sites to deliver the best care as quickly and efficiently as possible.State-of-the-art crash-carts in ICU or A&E are equipped for all eventualities and are familiar to all professionals in the department. However, the provision of comprehensive equipment, comparable to ICU or A&E standards in remote facilities is both costly and inappropriate; but relevant equipment and drugs must be immediately available for the patients.Curated and secure procedure-packs, centrally dispensed by the main hospital, securely sealed with auditable labels, will provide a means to get essential and appropriate equipment, supplies and drugs to patients, remotely hospitalised, quickly and safely.The effect of the ‘Extension for Impact’ funding is that we can validate the outputs from the project planned and disseminate these to a global audience through established and new channels providing credible data to support the benefits of Trauma Trays into established and new procedure pack markets. The dissemination activities generated during the term of the extension will continue beyond the term of this project into 2021 and beyond as they naturally follow from the work already delivered. The commercial opportunities for emergency, military and Nightingale use will be supported as we can demonstrate feasibility within the procedure pack market evidencing improved patient safety and cost benefits.