Major trauma in the elderly population is being identified as a substantial challenge to medical services(1). Furthermore, with medical advances the elderly now encompass the fastest growing group within the population, moreover it is predicted that by 2030 the number of people over 65 years-old in the United Kingdom (UK) will increase by 50% and those over 85 years-old by 100%(2). Ageing increases the probability of having a fall, alongside the risk of suffering a significant subsequent injury, and it means ones capability to recover...

Trauma CT Chest, Abdomen and Pelvis for over 70-year-olds were reviewed over four months at Barnet General Hospital (n=41) (Figure 2). The patient time of arrival, request time of the scan; time of the CT scan; and report time were analysed. The STAC tool was implemented in the Accident and Emergency Department with posters and staff teaching. The tool provided physiological, anatomical and mechanical parameters that would entail a senior review or pan-CT. Two months post-implentation the data was reaudited (n=48) using the same parameters.

The average time from arrival to CT request was the indicator for early identification of potential injury. Pre-STAC the mean time was 2 hours 31minutes, post-STAC was 2 hours 10 minutes, unpaired t-tests indicated no significance (p=0.46) (Figure 3).Average time from CT request to CT performed presented a significant difference post-STAC implementation of 26 minutes (p=0.05).Average time from CT request to CT report showed a significant improvement of3 hours 31minutes to 2 hours 25minutes (p=0.007). Similarly, time from CT performed to CT report also demonstrated...

Implentation of STAC did not significantly improve prospective identification of serious injuries.This may be attributed to frequent under triage of the potentially life-threatening injuries that can be sustained in elderly patients following simple low level falls. This delayed or failed recognition highlights the need for further education.Conversely, the results highlighted access to CT scans and reports were promptly made available post-implementation of the STAC tool. This may be accredited to the importance of timely CT scans being conveyed within the department, and once patients had...

S. U. Patel; London, ENGLAND/UK - nothing to disclose E. Cox; London/UK - nothing to disclose C. Solomonides; London/UK - nothing to disclose S. L. Dluzewski; London/UK - nothing to disclose F. Ingham; London/UK - nothing to disclose

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