ASHICE

Last updated

ASHICE is one of several mnemonic acronyms used by emergency medical services in the United Kingdom and the Republic of Ireland to pass summarised advance details of a patient to the next group of persons or organisation dealing with them, otherwise known as a "Pre-Alert" [1] other pre-alert acronyms include 'ATMIST' and 'CASMEET'. In the English and Welsh NHSs the procedure is not used for non-critical patients on their eventual journey to hospital [2] [3] but is used as standard procedure for handovers of patients before transport to hospital where a site or event is staffed by trained personnel of both paid or voluntary ambulance services. This procedure is in addition to written records of the patient's personal and medical details and any treatment or medication applied prior to transport to the hospital.

The word is treated as a noun by personnel (whether first aiders, community first responders or paramedics) who might refer to e.g. 'passing an ASHICE'. The purpose of an ASHICE message is to enable persons involved in the next stage of treatment to make an advance determination of the appropriate personnel and facilities to deal with a patient and the degree of urgency to be applied.

Meaning of the acronym

The acronym is used to pass all the most vital details of the patient to the receiving hospital in order to ensure staff have all the appropriate equipment and staff assembled and prepared. [4]

In the British Red Cross and St John Ambulance the same acronym is used by First-Aiders in the stages between initial contact and handover (if any) to ambulance crew but the last letter is trained [5] as 'Everything Else'

Related Research Articles

<span class="mw-page-title-main">First aid</span> Emergency first response medical treatment

First aid is the first and immediate assistance given to any person with either a minor or serious illness or injury, with care provided to preserve life, prevent the condition from worsening, or to promote recovery until medical services arrive. First aid is generally performed by someone with basic medical training. Mental health first aid is an extension of the concept of first aid to cover mental health, while psychological first aid is used as early treatment of people who are at risk for developing PTSD. Conflict First Aid, focused on preservation and recovery of an individual's social or relationship well-being, is being piloted in Canada.

<span class="mw-page-title-main">Emergency medical services</span> Services providing acute medical care

Emergency medical services (EMS), also known as ambulance services or paramedic services, are emergency services that provide urgent pre-hospital treatment and stabilisation for serious illness and injuries and transport to definitive care. They may also be known as a first aid squad, FAST squad, emergency squad, ambulance squad, ambulance corps, life squad or by other initialisms such as EMAS or EMARS.

<span class="mw-page-title-main">Paramedic</span> Healthcare professional who works in emergency medical situations

A paramedic is a healthcare professional who responds to emergency calls for medical help outside of a hospital. Paramedics mainly work as part of the emergency medical services (EMS), most often in ambulances. The scope of practice of a paramedic varies among countries, but generally includes autonomous decision making around the emergency care of patients.

<span class="mw-page-title-main">Ambulance</span> Vehicle equipped for transporting and care for ill and wounded people

An ambulance is a medically equipped vehicle which transports patients to treatment facilities, such as hospitals. Typically, out-of-hospital medical care is provided to the patient during the transport.

<span class="mw-page-title-main">Emergency department</span> Medical treatment facility specializing in emergency medicine

An emergency department (ED), also known as an accident and emergency department (A&E), emergency room (ER), emergency ward (EW) or casualty department, is a medical treatment facility specializing in emergency medicine, the acute care of patients who present without prior appointment; either by their own means or by that of an ambulance. The emergency department is usually found in a hospital or other primary care center.

London's Air Ambulance Charity is a registered charity that operates a helicopter emergency medical service (HEMS) dedicated to responding to serious trauma emergencies in and around London. Using a helicopter from 08:00 to sunset and rapid response vehicles by night, the service performs advanced medical interventions at the scene of the incident in life-threatening, time-critical situations.

<span class="mw-page-title-main">London Ambulance Service</span> Ambulance service in London

The London Ambulance Service NHS Trust (LAS) is an NHS trust responsible for operating ambulances and answering and responding to urgent and emergency medical situations within the London region of England. The service responds to 999 phone calls across the region, and 111 phone calls from certain parts, providing triage and advice to enable an appropriate level of response.

<span class="mw-page-title-main">Welsh Ambulance Service</span> NHS trust and ambulance service in Wales

The Welsh Ambulance Services NHS Trust is the national ambulance service for Wales. It was established on 1 April 1998 and as of December 2018 has 3,400 staff providing ambulance and related services to the 3 million residents of Wales.

<span class="mw-page-title-main">Yorkshire Ambulance Service</span> UK public sector provider of ambulance services in Yorkshire, England (2006- )

Yorkshire Ambulance Service NHS Trust (YAS) is the NHS ambulance service covering most of Yorkshire in England. It is one of ten NHS Ambulance Trusts providing England with emergency medical services as part of the National Health Service it receives direct government funding for its role.

<span class="mw-page-title-main">West Midlands Ambulance Service</span> Ambulance trust in England

The West Midlands Ambulance Service University NHS Foundation Trust (WMAS) is responsible for providing NHS ambulance services within the West Midlands region of England. It is one of ten ambulance trusts providing England with emergency medical services, and is part of the National Health Service.

<span class="mw-page-title-main">Emergency medical services in France</span>

Emergency medical services in France are provided by a mix of organizations under public health control. The central organizations that provide these services are known as a SAMU, which stands for Service d’aide médicale urgente. Local SAMU organisations operate the control rooms that answer emergency calls and dispatch medical responders. They also operate the SMUR, which refers to the ambulances and response vehicles that provide advanced medical care. Other ambulances and response vehicles are provided by the fire services and private ambulance services.

<span class="mw-page-title-main">Emergency medical services in the United Kingdom</span>

Emergency medical services in the United Kingdom provide emergency care to people with acute illness or injury and are predominantly provided free at the point of use by the four National Health Services (NHS) of England, Scotland, Wales, and Northern Ireland. Emergency care including ambulance and emergency department treatment is only free to UK residents and a charge may be made to those not entitled to free NHS care.

<span class="mw-page-title-main">Emergency medical personnel in the United Kingdom</span> People engaged in the provision of emergency medical services

Emergency medical personnel in the United Kingdom are people engaged in the provision of emergency medical services. This includes paramedics, emergency medical technicians and emergency care assistants. 'Paramedic' is a protected title, strictly regulated by the Health and Care Professions Council, although there is tendency for the public to use this term when referring to any member of ambulance staff.

<span class="mw-page-title-main">Healthcare in the United Kingdom</span> Overview of healthcare in the United Kingdom

Healthcare in the United Kingdom is a devolved matter, with England, Northern Ireland, Scotland and Wales each having their own systems of publicly funded healthcare, funded by and accountable to separate governments and parliaments, together with smaller private sector and voluntary provision. As a result of each country having different policies and priorities, a variety of differences have developed between these systems since devolution.

<span class="mw-page-title-main">Medical Priority Dispatch System</span>

The Medical Priority Dispatch System (MPDS), sometimes referred to as the Advanced Medical Priority Dispatch System (AMPDS) is a unified system used to dispatch appropriate aid to medical emergencies including systematized caller interrogation and pre-arrival instructions. Priority Dispatch Corporation is licensed to design and publish MPDS and its various products, with research supported by the International Academy of Emergency Medical Dispatch (IAEMD). Priority Dispatch Corporation, in conjunction with the International Academies of Emergency Dispatch, have also produced similar systems for Police and Fire

<span class="mw-page-title-main">Mass casualty incident</span> Incident which results in medical care systems becoming overwhelmed

A mass casualty incident describes an incident in which emergency medical services resources, such as personnel and equipment, are overwhelmed by the number and severity of casualties. For example, an incident where a two-person crew is responding to a motor vehicle collision with three severely injured people could be considered a mass casualty incident. The general public more commonly recognizes events such as building collapses, train and bus collisions, plane crashes, earthquakes and other large-scale emergencies as mass casualty incidents. Events such as the Oklahoma City bombing in 1995, the September 11 attacks in 2001, and the Boston Marathon bombing in 2013 are well-publicized examples of mass casualty incidents. The most common types of MCIs are generally caused by terrorism, mass-transportation accidents, fires or natural disasters. A multiple casualty incident is one in which there are multiple casualties. The key difference from a mass casualty incident is that in a multiple casualty incident the resources available are sufficient to manage the needs of the victims. The issue of resource availability is therefore critical to the understanding of these concepts. One crosses over from a multiple to a mass casualty incident when resources are exceeded and the systems are overwhelmed.

In a medical encounter, a past medical history, is the total sum of a patient's health status prior to the presenting problem.

The West Midlands Central Accident, Resuscitation & Emergency (CARE) team is a charitable organisation who respond to serious medical incidents within the West Midlands, UK. Working in teams alongside West Midlands Ambulance Service, volunteer doctors, nurses and other healthcare professionals deliver enhanced critical care to seriously injured and unwell patients.

<span class="mw-page-title-main">Portsmouth Hospitals University NHS Trust</span> General Hospital in Hampshire, England

Portsmouth Hospitals University NHS Trust is an NHS trust which runs Queen Alexandra Hospital in Portsmouth, Hampshire, England. It is one of six centres used by the Defence Medical Services.

CASMEET is a mnemonic acronym used by emergency medical services to communicate the important details of a patient over to an emergency control centre, receiving hospital, or other definitive care provider. A CASMEET message can be sent in order to pre-alert a receiving emergency department that a critically ill patient is being brought in. It can be used as an alternative to ASHICE.

References

  1. Sheppard (2016). "Prevalence and predictors of hospital prealerting in acute stroke: a mixed methods study". Emergency Medicine Journal. 33 (7): 482–488. doi:10.1136/emermed-2014-204392. PMC   4941194 . PMID   26949969.
  2. South East Coast Ambulance Service NHS Trust Quality Account 2009 – 2010 http://www.nhs.uk/aboutNHSChoices/professionals/healthandcareprofessionals/quality-accounts/Documents/south-east-coast-ambulance-service-nhs-trust.pdf
  3. NHS Direct Wales - Standard Operating Procedure Hospital Pre-alert & Patient Handover http://www.wales.nhs.uk/sitesplus/862/opendoc/215354
  4. "Ambulance Technician Study". Archived from the original on 2007-09-28. Retrieved 2006-06-14.
  5. 2015 Clinical Competence Assessment training material