Preventing Hypocalcemia in Major Trauma - A QIP in a Major Trauma Centre in UK
Authors:
Jitendra Manji Siyani,
Roshan Joseph,
Uche okpokiri
INTRODUCTION Addenbrookes is a major trauma centre in the UK dealing with trauma of all ages and mechanisms. Major trauma is often complicated by hypocalcaemia which we have recognised that is often under-recognized and under-corrected. AIMS / OBJECTIVES To improve the knowledge gap among clinicians concerning hypocalcaemia as a complication of Major Trauma. MATERIALS / METHODS Utilising the PDSA cycle, we initially retrospectively reviewed the notes of over 40 major trauma patients between August 2022 and January 2023 and carried out a clinician's survey. Following a period of formal teaching and education in October regarding hypocalcaemia as a complication of major trauma, the clinician survey was repeated. RESULTS In the initial survey, only 25% of clinicians recognized hypocalcaemia in major trauma - potentially leading to poorer patient outcomes. Following the implementation of the teaching programme, the incidence of clinicians recognizing hypocalcaemia rose to 75%. The prevalence of calcium prescribing by clinician's also rose from a trough level of 16% pre-education to 60% post-education DISCUSSION While hemorrhage in major trauma leads to calcium loss, resuscitation with blood products contributes to hypocalcaemia through citrate induced calcium chelation. CONCLUSION Hypocalcaemia is an under-recognised complication of major trauma and education helps to promote it's correction.
Keywords: Hypocalcemia in major trauma,calcium chloride ,major blood transfusion.
Authors
Correspondence to:
Jitendra Manji Siyani, Basildon Hospital jitendra.siyani5@nhs.net
Publication history:
Received 22 Mar 2024
Accepted 13 May 2024
Published online 18 May 2024
Siyani JM, Joseph R, okpokiri U. Preventing Hypocalcemia in Major Trauma - A QIP in a Major Trauma Centre in UK. SJEMed. Online First: 18 May, 2024. doi:
10.24911/SJEMed.72-1711114989
Siyani JM, Joseph R, okpokiri U. Preventing Hypocalcemia in Major Trauma - A QIP in a Major Trauma Centre in UK. https://sjemed.com/?mno=195132 [Access: September 16, 2024]. doi:
10.24911/SJEMed.72-1711114989
Siyani JM, Joseph R, okpokiri U. Preventing Hypocalcemia in Major Trauma - A QIP in a Major Trauma Centre in UK. SJEMed. Online First: 18 May, 2024. doi:
10.24911/SJEMed.72-1711114989
Siyani JM, Joseph R, okpokiri U. Preventing Hypocalcemia in Major Trauma - A QIP in a Major Trauma Centre in UK. SJEMed, [cited September 16, 2024]; Online First: 18 May, 2024. doi:
10.24911/SJEMed.72-1711114989
Siyani, J. M., Joseph, . R. & okpokiri, . U. (2024) Preventing Hypocalcemia in Major Trauma - A QIP in a Major Trauma Centre in UK. SJEMed, Online First: 18 May, 2024. doi:
10.24911/SJEMed.72-1711114989
Siyani, Jitendra Manji, Roshan Joseph, and Uche okpokiri. 2024. Preventing Hypocalcemia in Major Trauma - A QIP in a Major Trauma Centre in UK. Saudi Journal of Emergency Medicine, Online First: 18 May, 2024. doi:
10.24911/SJEMed.72-1711114989
Siyani, Jitendra Manji, Roshan Joseph, and Uche okpokiri. "Preventing Hypocalcemia in Major Trauma - A QIP in a Major Trauma Centre in UK." Saudi Journal of Emergency Medicine Online First: 18 May, 2024. doi:
10.24911/SJEMed.72-1711114989
Siyani, Jitendra Manji, Roshan Joseph, and Uche okpokiri. "Preventing Hypocalcemia in Major Trauma - A QIP in a Major Trauma Centre in UK." Saudi Journal of Emergency Medicine Online First: 18 May, 2024. Web. 16 Sep 2024 doi:
10.24911/SJEMed.72-1711114989
Siyani, J. M., Joseph, . R. & okpokiri, . U. (2024) Preventing Hypocalcemia in Major Trauma - A QIP in a Major Trauma Centre in UK. Saudi Journal of Emergency Medicine, Online First: 18 May, 2024. doi:
10.24911/SJEMed.72-1711114989