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My brief was to identify:
- Where are the ‘hot spots’ in the patch?
- What responses are needed?
Stabbings in the South Central region the ambulance service - - PowerPoint PPT Presentation
Stabbings in the South Central region the ambulance service - - PowerPoint PPT Presentation
Stabbings in the South Central region the ambulance service perspective Mark Ainsworth-Smith Consultant Pre-Hospital Care Practitioner 4 th June 2019 My brief was to identify: Where are the hot spots in the patch? What
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The SCAS ‘footprint’
Population 4 million
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Background
Since November 2016, SCAS have been using electronic patient records (ePR). This gives us the ability capture huge amounts of very accurate data which includes:
- Hot spot areas
- Common mechanisms of injury (i.e. RTC, stabbings etc)
- Demographics, including ‘at risk’ age groups
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Original methodology
- We did a search of all of our ePR records
looking for ‘stabbing’ in the free text
- 3 years worth of data (approximately 1.5 million
records) from April 2016 to March 2019……..
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On the face of it
SCAS appeared to have the highest number
- f stabbings in the UK (circa 47k)
Strangely it was our over 65’s who were most at risk of being stabbed……
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In fact
Our ePR data was flawed. If a patient complained of ‘stabbing chest pain’ then they were captured in the stabbing data……..
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Revised methodology
Chief complaint ePR search:
- Trauma
AND Free text ePR search on:
- Weapon used
- Bladed implement
- Knife
- Stabbed
- Attacked
- ‘Stabbing’ removed
All calls from 111 were excluded
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Stabbing Data
The following information is based on
- ur ePR data with the revised
search….
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Who is affected by stabbing?
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Demographics
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Where do stabbings occur?
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‘Stabbing’
Map shows demand identified as potential stabbing between Apr ‘16 & Mar ’19. 86% of our stabbings occur in our urban areas
Demand by local authority
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Reading
Map filtered to show: Fri-Sun 21:00 – 00:00
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Portsmouth
Map filtered to show: Fri-Sun 21:00 – 00:00
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Milton Keynes
Map filtered to show: Fri-Sun 21:00 – 00:00
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Hot spots
- Taxi ranks
- Fast food outlets
- Pubs + clubs
- Police stations
- Walk in centres
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When do stabbings occur?
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Day/Time Profile
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Local Authority Differences
Southampton Local Authority Profile Milton Keynes Local Authority Profile
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What responses are required?
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Responses that are needed:
The initial management of a patient with stab wounds is absolutely (time) critical: We can directly improve patient care by:
- ‘Dispatch modelling’ to ensure that the right resources
are available to be sent – as quickly as possible
- Appropriately using our critical care assets
- Additional training in ‘hotspot’ areas – including
ambulance, police and hospital staff
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But even more important than the medical care, is preventing stabbings from occurring in the first place…….
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Collaborative working - Prevention
Better working with our partner agencies which includes: – Police – Emergency departments – Security staff – Youth workers – Voluntary sectors We also need to change the culture……
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Demand trend
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Conclusion
- Based on our SCAS data, stabbing is an
increasing problem
- We need to work collaboratively
- We know who, where, and when people are
affected by stabbing – now let’s do something to stop it………
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Thank you to:
- Vivienne Parsons – SCAS Specialist Business
Intelligence Analyst
- Phil King – SCAS Senior Analyst / Clinical
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