• Guideline - Catastrophes
  Link:www.aagbi.org/sites/default/files/catastrophes05.pdf
  
• Immediate
• Records
• Keep accurate and contemporaneous records
• Legible, timed, dated and signed
• Electronic record printed
• Full retrospective account made ASAP if not able to at the time
• Keep a copy of the notes and make personal notes
• Fill out incident form
• Dealing with the anaesthetist
• The consultant should attend
• Decision made about continuing his/her on call
• Dealing with the patient
• Leave lines in
• Inform the coroner/GP
• Independent anaesthetist to confirm tube position
• Move body to appropriate area
• Dealing with relatives
• Do not explain over the phone
• Ask to come in for discussion
• FInd suitable room
• Interview with team
• Explain the news in a straightforward and honest way
• Stick to the facts
• May require an interpreter
• Later actions
• Equipment and drugs
• Consultant not involved should check the patient, drugs and equipment
• Drugs, ampoules, airway devices should all be kept in a secure place
• Further investigation may be required by manufacturers, toxicologists or maintenance personnel
• Dealing with the theatre team
• Debrief within a few hrs ideally
• Trained councellor may be needed
• Dealing with the media
• Trust manager should speak with the media
• Role of the anaesthetic department
• Provide support for the trainee
• An experienced anaesthetist should be assigned as a mentor
• Trust Response
• Ascertain if poor practice or system failure was evident
• If suspicion of a criminal act, the police should be informed
• Ensure the incident form has been filled out
• Liase with MRHA, NPSA and HSE
• Undertake root cause analysis
• Ensure the anaesthetist involved has sufficient support