Dr Julie Mytton, Director of the Child Injury Health Integration Team (CIPIC HIT) gives an update of the HIT's activities in 2015-16.
The Child Injury Prevention and Injury Care HIT works to reduce the number of unintentional injuries to children across the Bristol area. We aim to improve the outcome for patients when those injuries do happen, and reduce the burden that avoidable childhood injuries place on NHS resources.
Our third conference took place on 17 March 2016, and included prevention, care and rehabilitation presentations from practitioners on the front line. Over 60 people attended, from a range of professions and educational fields.
Our burns and scalds theme is driven by the Healing Foundation Children’s Burns Research Centre. The SILKIE study looks at the feasibility of using low-friction sheets to improve the success of skin-grafting after a burn. We are also setting up a study into the early detection of infection in burn wounds, using SMART dressings. This work follows MISTIC, an observational study that examined the normal physiological response to small to moderate burns in young children. We have also been looking, with parents, at the information that they need at different times, after a major childhood burn injury. We have been working with the fire and rescue service to find out how children and families behave in house fires and exploring fire safety education. We are keen to develop this partnership.
We are leading a feasibility study on an intervention to prevent post-concussion syndrome in young children visiting emergency departments following a head injury. In June 2015 we hosted a child head injuries research meeting, inviting a multidisciplinary group to map interests, research and plans. Participants gained a clearer understanding of local research expertise and opportunities to collaborate over sports-related head injuries. We also had a visit from the NIHR Brain Injury Healthcare Technology Collaborative, to talk about head injury prevention.
We are continuing to develop and test paediatric hospital care pathways to improve management of open tibial fractures. A large trampolining centre has opened in north Bristol, so the HIT is monitoring injuries presenting at local children’s emergency departments. We have also started to work with the British Red Cross to explore patient’s and carer’s information needs prior to attending an emergency department or minor injuries unit.
There is genuine wider interest in the HIT model of integrating child injury prevention, care and rehabilitation. We have been asked to present our model at meetings in Wessex, Bristol and Exeter.