A device that could identify critically ill patients more quickly was featured on BBC news in July. Doctors at the Queen Elizabeth Hospital have started the full scale trial of this device, the first of its kind anywhere in the world, which could aid in the diagnosis of patients with bleeding after major injuries.
This research is part of Dr David Naumann’s PhD studies, and is part of a collaboration between Birmingham, Kings College London and Royal London.
The microcirculation is the engine of the bloodstream, where all oxygen and nutrient exchange takes place. Visualising these tiny vessels with a microscope under the tongue can be useful in predicting the outcomes for septic patients, but has not been tested in patients following major bleeding. The group hopes to discover whether this technique is of use for patients who present to hospital as an emergency following massive trauma. If proven to be useful, the technique may be used to guide therapy and direct resuscitation.
The idea and study design originated from Kings College London but David’s amendments to the protocol allowed the technology to be used earlier in patient care. It can now be used within the Emergency Department rather than waiting until the patient arrives in the Intensive Care Unit.
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