A new model for bleeding patients - Barts Charity

A new model for bleeding patients

From the moment a patient arrives at The Royal London Hospital, clinicians have around 60 minutes to save their life. The sooner they can stop the bleeding, the better their chances of survival, rehabilitation and recovery.

But without charitable investment, better survival rates cannot be achieved.

London’s Lifeline is a programme that aims to reduce mortality rates for patients with major traumatic injury by 60% by 2027. 

London's Lifeline

London's Lifeline

London’s Lifeline is a unique opportunity to boost the capital’s capacity to protect against injury and major incident, setting a new global standard for trauma care and saving thousands more lives.

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Core elements of the three-year £3.67m project

Our funding is enabling clinicians to set up a new clinical pathway based on the latest research discoveries into blood clotting after major trauma. This includes:

Networked ROTEM machines from the helipad, emergency department, operating theatres and blood bank will provide a real-time diagnosis system across the emergency patient pathway. This will allow trauma clinicians to diagnose and monitor complex blood clotting abnormalities. They can then tailor the delivery of clotting products for each patient.

An onsite facility in the Major Trauma Centre will provide rapid access to specialist blood products for patients within 5 minutes. This is instead of the current 45 minutes waiting time. Every minute is crucial in helping to save lives in severely bleeding patients.

The creation of the UK’s first dedicated trauma ECMO service will give trauma patients a better chance of survival by helping to reduce cardiac damage and collapse caused by severe bleeding.

This will help tackle the 3 most fatal consequences of bleeding by:

  • Identifying new ‘super components’ – blood components, therapeutics and repurposed therapies for early phase clinical trials that show potential to reverse major clotting disturbances in patients.
  • Improving outcomes from traumatic brain injury – identifying specific clotting abnormalities within this group of patients – to help stop bleeding and reduce brain damage.
  • Evaluating veno-arterial ECMO for cardiac support in major trauma haemorrhage –evidencing the best treatment protocols in the UK’s first dedicated ECMO service for trauma patients.

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