The Institute of Pre-Hospital Care
For thirty years, London’s Air Ambulance has been a leader in the development and practice of pre-hospital care in the U.K. and abroad. Through its research, innovation and education activities, as well as the professional affiliations and publications of its clinical leadership, it has influenced clinical guidelines, governance standards, and the practice of air ambulances in the U.K., Europe and Australia.
The Institute of Pre-Hospital Care at London’s Air Ambulance was founded in 2013 to build on and expand this influence. Its mission is to drive excellence in pre-hospital care standards and practice through research, innovation and education; and by fostering collaboration across medical disciplines and institutions dedicated to improving outcomes for people afflicted by critical injury and illness.
The Institute remains closely aligned with London’s Air Ambulance, sharing its clinical and organisational leadership teams; drawing on its case studies to inform priorities; and collaborating to develop new clinical interventions, conduct research and educate the next generation of pre-hospital care experts.
Update on 2018-2019 at The Institute
The Institute has had another successful year. The fifth cohort of the Intercalated BSc degree in Pre-Hospital Medicine, delivered in partnership with Queen Mary, University of London (QMUL), began their studies in September 2018, completing the course just after the end of the reporting period in May 2019. It has been a pleasure to welcome another outstanding group of future doctors, and see them complete this step on their journey with excellent results. The new MSc in Pre-Hospital Medicine, scheduled to begin on 16th September 2019, has begun recruiting for the first cohort of students. The Institute has developed a brand new faculty team to deliver this Masters and the course will be the first of its kind in the world.
Our short courses continue to grow and expand. In its thirteenth year, the Pre-Hospital Care Course (PHCC) continues to attract candidates from across the world, helping to develop increasingly productive relationships with countries such as Canada and New Zealand. Candidates who attend the course routinely go on to deliver advanced pre-hospital interventions for patients in their services and introduce London’s Air Ambulance- style governance to ensure patient safety is of the highest standards. Every member of our own team also takes part in the PHCC prior to sign off.
Our Pre-Hospital Emergency Endovascular Resuscitation (PEER) course is focused on REBOA. The course evolves each time it is taught in response to lessons learned by our endovascular team during their educational visits across the world. Our service is now recognised as leading the way in the pre-hospital evolution of this type of intervention. The course allows us to innovate further with REBOA, for example with the introduction of invasive arterial monitoring for the first time, and a bespoke new balloon that makes the procedure better and safer for patients.
In response to our upcoming ECMO trial, the Pre- Hospital Extracorporeal Life Support (PEELS) course was developed by the ECMO team to prepare us for delivering this intervention for patients outside of hospital.
Our PUNCC (Pre-Hospital Underground and Novel Concepts Course) combines specific training for our teams who help those injured on the underground network with rehearsal and preparation for the delivery of all of the novel concepts and ideas that we have in the service pertaining to these incidents.
The Pre-Hospital Care Programme (PCP) academic fora, held once a month, continue to attract approximately 300 students each time, with pre-hospital care achieving an increasingly high profile within the medical school at QMUL.
Finally, our research strategy is developing rapidly with a new research and clinical effectiveness lead and new programme around data. Adequate data systems are crucial to the research and innovation of the future and this is a complex piece of work, with collaborations between multiple organisations and stakeholders that should make our systems fit for purpose.