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Birmingham Accident Hospital

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as in open wounds, that the blood lost appeared proportional to the severity of the wound and that the swelling of the injury frequently corresponded to the volume of blood lost. Blood loss from open wounds similarly matched blood lost from circulation. Blood losses had been consistently underestimated in the past but the provision of large transfusions during the Korean War had saved people with injuries who would not otherwise have survived. He recommended that where significant blood loss had occurred, even over an extended period of time, the patient should be transferred to expert medical care and receive an immediate transfusion. There was no place for hot tea, heat treatment or massage, which delayed proper treatment.
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barrier, meeting one of the recommendations. Investigation techniques included interviews with police, hospitals, survivors and coroners to study ways in which vehicle design could be changed to avoid accidents in the first place and to mitigate the injuries caused. Speaking in 2002, the former director of the hospital's research unit, Dr John Bull credited the unit with calling for mandatory seatbelt installation in new vehicles and compulsory wearing of motorbike crash helmets. The AA provided some money for research.
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entered wartime factories. Birmingham Accident Hospital and Rehabilitation Centre as it became, was thus the last voluntary hospital in the country and its specified objectives included prevention of industrial accidents. Its Surgeon in Chief and clinical director was Professor William Gissane. According to former consultant surgeon Keith Porter, the hospital had eight wards and there were usually around 600 staff working there at any one time.
242:, formerly known as Birmingham Accident Hospital and Rehabilitation Centre, was established in April 1941 as Birmingham's response to two reports, the British Medical Association's Committee on Fractures (1935) and the Interdepartmental Committee (1939) on the Rehabilitation of Persons injured by Accidents. Both organisations recommended specialist treatment and rehabilitation facilities. The hospital, generally recognized as the world's first 621:. Accident Hospital switchboards were jammed as a total of 217 victims were brought in. Speaking in 2011, Roger Farell, the head of medical records described how he set off for work immediately on seeing the TV newsflash. Injuries included wood and glass shards –which cannot be detected by x-rays and some victims were rendered unrecognisable. Drinkers at the Tavern in the Town pub which was located underground suffered very severe 366:, took over the presidency of the hospital. A new block opened in 1908 with three stories of wards as well as a roof ward for six patients, the first of its kind in Europe. The integrated nursing home's capacity increased from 34 to 74 beds, and the hospital itself now had 60 medical and 118 surgical beds, totalling 178. Bed count and services provided continued to expand until closure. 68: 447:
Colebrooke's work showing that specialist positively pressurised dressing rooms reduced infections. With John Babb he proved that a specialised filter system could remove bacteria from an airstream and retain them either reducing infection risk or allowing an already infected patient to be treated in an open ward. He documented the treatment of infections with
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Ruscoe Clarke further described how observations at the Birmingham Accident Hospital on peacetime accident victims confirmed Grant and Reeve's work and provided evidence to reject the old capillary theory. Their work showed that blood was missing from the circulation just as often in closed fractures
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opened. The outbreak of war however delayed the planned partial redeployment of the building as an accident hospital. In 1941, the opportunity was taken for Birmingham to address the problems of delay in treatment of serious injuries. Accidents in Birmingham had risen by 40% as inexperienced workers
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A further study of "all deaths from road accidents in certain areas and periods" suggested lorries were the main cause of car fatalities on Motorways and Link roads and that seatbelts provided little protection available for the car occupants. UK lorries are now fitted with an impact absorbing rear
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used a single mechanism, which conferred protection against a range of antibiotics. He further showed that overuse of a new antibiotic led to increased staphylococcus resistance, and that a subsequent reduction in use reversed the effect. His work with Rod Jones contributed to the development of a
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Whilst infection was known in the 19th century as a dangerous complication in severe burns, until the 1950s, its significance was regarded as secondary. It was only after treatment for shock was available that it became recognised as the main cause of death. Whilst initially a burn is likely to be
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at the opening of a new reception area and Outpatients department. Willink said the Accident Hospital experiment was being closely watched and was likely to have a permanent future in hospital services. Referring to the Beveridge report and his own 1944 White paper, he said he recognised the close
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for different types of injury and showed that the lethal collapse of blood volume was caused by swellings around a fracture or burn and not by blood becoming temporarily static in the capillaries. Immediate transfusion and surgery reversed or delayed the "illness of trauma" and was essential.
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succeeded Colebrook as Head of Bacteriology. In the 1960s and 1970s, as one of the foremost researchers in hospital infection particularly in the prevention of burns infection, the problems of antibiotic resistance and skin disinfection, he lectured around the world. Clinical trials confirmed
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proposed that shock was caused by bleeding, a view accepted by various authorities by 1946. The war injuries study of Grant and Reeve published 1951 recommended early transfusions for large wounds and suggested existing theories were inadequate.
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described the results of saline solution at the Battle of the Somme as "most disappointing". Canadian surgeons recommended whole blood transfusions though volumes used were small: even the largest transfusions used were only about a litre.
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Colebrook established the practice of placing the patients in a near sterile environment. His political campaigning against unguarded fires and inflammable children's nightwear led to the Heating Appliances and Fireguards Act 1952.
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might occur 30 days or more after surgery for hip fracture triggered work by other researchers and revolutionised the profession's attitude to preventing, diagnosing, and treating the condition. Dr Sevitt died in September 1988.
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pseudomonas vaccine. With Harold Lilly he developed tests for the effectiveness of hand washes before alcohol became the norm in 1974. These tests were still the basis for European standards when he died in 2007. He worked on
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were added containing 28 beds for infectious and contagious disease cases, raising hospital capacity to 98. In 1867, adjacent grounds were purchased, and in 1871, Lord Leigh laid the foundation stone for a new
258:, England, in the United Kingdom. It changed its name to Birmingham Accident Hospital in 1974 and closed in 1993. A listed building, it is now part of Queens Hospital Close, a student accommodation complex. A 1305:
Prevention of venous thrombosis and pulmonary embolism in injured patients. A trial of anticoagulant prophylaxis with phenindione in middle-aged and elderly patients with fractured necks of femurii: 2:981–89
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and 36,708 outpatients. Average annual expenditure from 1909 to 1911 was £14,729, against average receipts £10,778 leaving an average annual deficit of £3,951, covered by endowments and donations.
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In 1875, Queen's became a free hospital, abandoning the previous system whereby the hospital's financial supporters issued "subscriber's tickets" to authorise treatment. A one
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described rehabilitation as "one of the great social advances which has emerged from this war". He added that only 18,000 of the 200,000 disabled and unemployed remained so.
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sterile, it will quickly become colonised from external sources, usually other patients in the same ward. Prevention of cross infection was therefore a key objective.
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department, originally known as the "Workmen's Extension" as it was funded by local working people, to the strains of a hymn written for the occasion by the Rev.
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In 1960, Professor Gissane became honorary director of the Road Injuries Research Group, which investigated and analysed accidents on the newly opened
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His controversial 1959 paper on thromboembolism after fracture of the hip in old people written in conjunction with Gallagher, which found that fatal
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co-operation between the University, the city authorities and the hospital and hoped that this spirit of co-operation would pervade the future
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In 1877, 16,117 patients were treated at Queen's, but by 1908, the patient count had more than doubled to 39,483, composed of 2,685
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were mandatory. Gissane believed risks of accidents occurring were lower on motorways but the consequences were more serious.
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The large transfusions made possible by the development of blood banks in the 1930s transformed many patients. In 1940,
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On 14 August 1944 the President of the Hospital, the Lord Mayor of Birmingham welcomed the Minister of Health
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and sung by 1,000 child choristers from the Birmingham Schools Choral Union. This building was designed by
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antibacterial compounds with surgeons Douglas Jackson and Jack Cason eventually leading to
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with blood transfusions, saline solution was the standard substitute from 1868 to 1916.
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J.Med.Microbiol-Vol 27(1988) Pathological Society of Great Britain and Ireland
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The stages of development and the organisation of Birmingham Accident Hospital
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In his 1957 lecture to the St. John Ambulance Brigade Surgeons' Conference in
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A. Ruscoe Clarke; Balla, JI; Swanson, I; Foster, JB (28 September 1957).
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and is also Grade II listed. It opened for patients on 7 November 1873.
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Treatment of shock from 1919 was based on observations of Cowell and
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was appointed to the position. This building was designed by
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Drummond, Lieutenant-General Sir Alexander (25 April 1960).
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was the worst terrorist attack in Great Britain until the
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Birmingham Accident Hospital – older building to the right
1609:"Fatal Car Occupant Injuries after Car Lorry Collisions" 1101:"AIM25 Colebrook, Leonard (1883–1967)Identity Statement" 948:. British Medical Journal. 2 September 1944. p. 318 395:. The Parliamentary secretary to the Minister of Labour 1634:. The Journal of Bone and Joint Surgery. Archived from 235:
Birmingham Accident Hospital – adjacent (west) building
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Birmingham Accident Hospital and Rehabilitation Centre
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Burns unit and Medical Research Council ('MRC') Unit
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Cambridge University Press. p. 137. 883:Professor William Gissane (December 1963). 2402:St Michael & All Angels, Bartley Green 2176: 2088: 1756: 1742: 1734: 1728:Archaeological assessment of the buildings 1426:"Recent Advances in Haemorrhage and Shock" 719:: CS1 maint: location missing publisher ( 34: 3406:History of medicine in the United Kingdom 1449: 1342: 1340: 1287: 992: 670:. The National Archives Hospital Database 527:Ruscoe Clarke and the Treatment of Trauma 1257: 1255: 1253: 1251: 95:, West Midlands, England, United Kingdom 3401:Grade II listed buildings in Birmingham 1048:Hospital Infection:from Miasmas to MRSA 767: 765: 763: 761: 687: 685: 633: 469:, which was still in use at his death. 423:, an expert on the earliest antibiotic 417:Lister Institute of Preventive Medicine 3386:Hospitals in Birmingham, West Midlands 1419: 1417: 1415: 1214: 1212: 1210: 1183: 1181: 841:. Cornish Brothers. 1885. p. 101. 712: 1990:Birmingham Wildlife Conservation Park 1150: 1148: 914:"ACCIDENT HOSPITAL STAFF REUNION JOY" 270: 7: 3396:Hospital buildings completed in 1845 3391:Hospital buildings completed in 1840 1486:. Ulster Medical Society. p. 13 531:By 1954, before the introduction of 380:Queen Elizabeth Hospital, Birmingham 1400:. Journal of Bone and Joint Surgery 1684:BRETT GIBBONS (24 November 2011). 1126:Michael N Tempest (15 June 1956). 969:"Infections associated with burns" 838:Showell's Dictionary of Birmingham 815:National Heritage List for England 744:National Heritage List for England 557:Surgeon Ernest Cowell, writing in 504:Though his best known work was in 477:In 1947, Dr Simon Sevitt set up a 25: 2950:Birmingham Museum and Art Gallery 2282:SS Faith & Laurence, Harborne 1162:. 29 January 2002. Archived from 453:, noting that the development of 431:, moved with his burns unit from 286:laid the foundation stone of the 271:The Queen's Hospital (Birmingham) 246:, used the existing buildings of 18:Queen's Hospital, Birmingham 1765: 66: 59: 43: 2884:Empire Cinema, Sutton Coldfield 2818:International Convention Centre 2571:Christopher Wray Lighting works 1539:"First Aid Journal 1943 - 1944" 1303:Sevitt S, Gallagher NG (1959). 697:. England. 1900. Archived from 2327:Holy Trinity, Sutton Coldfield 1481:"Andrew Fullerton (1868–1934)" 1398:"Alan Ruscoe Clarke 1908–1959" 912:Alison Dayani (15 June 2010). 668:"Birmingham Accident Hospital" 262:commemorates its former role. 1: 3232:Central Goods railway station 2059:University College Birmingham 1262:Bull J.P. (5 November 1988). 1227:Journal of Hospital Infection 858:Rossbret Institutions Website 473:Dr Simon Sevitt and Pathology 3416:Defunct hospitals in England 2247:St Catherine, Bristol Street 2242:Bishop Latimer, Winson Green 1985:Town Hall (Sutton Coldfield) 1771:Buildings and structures in 1512:. p. 16. Archived from 1369:Bird, Steve (22 July 2009). 973:Postgraduate Medical Journal 945:Birmingham Accident Hospital 644:. Trauma.org. Archived from 585:Road Injuries Research Group 317:and Drury and is a Grade II 240:Birmingham Accident Hospital 194:; 184 years ago 179:Yes Accident & Emergency 38:Birmingham Accident Hospital 2074:Queen's College, Birmingham 1630:Jackson D.J. (April 1978). 1396:Gissane W (November 1959). 619:Birmingham General Hospital 615:7 July 2005 London bombings 3432: 3066:Birmingham Banking Company 3046:17 & 19 Newhall Street 2965:Newman Bros Coffin Factory 2442:SS Peter & Paul, Aston 2322:Holy Trinity & St Luke 2312:Handsworth Cemetery Chapel 2042:Birmingham City University 1567:. Royal Army Medical Corps 1318:Giancarlo Agnelli (1988). 852:Rossbret (6 August 2007). 772:Lloyd, John Henry (1911). 27:Former hospital in England 3335: 3287:St James the Less' Church 2297:St Gabriel, Weoley Castle 2232:St Bartholomew, Edgbaston 1718:William Gissane 1898-1981 1659:"Birmingham Pub Bombings" 1280:10.1136/bmj.297.6657.1190 279:Queen's Hospital as built 54: 42: 3317:Post & Mail Building 3111:Holliday Street Aqueduct 3081:Castle Bromwich Assembly 2687:Resorts World Birmingham 2417:St Nicolas, Kings Norton 2317:Holy Trinity, Birchfield 2237:St Benedict's, Bordesley 2064:University of Birmingham 2047:Birmingham School of Art 1041:Graham A. 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London. 18 July 2007 967:E.J.L.Lowbury (1972). 854:"The Queen's Hospital" 567:Walter Bradford Cannon 450:Pseudomonas aeruginosa 280: 236: 75:Shown in West Midlands 3247:Church of the Messiah 3191:Woodcock Street Baths 3176:Victoria Square House 3126:New Street Signal Box 3041:1–7 Constitution Hill 3015:Edgbaston Priory Club 2447:St Philip's Cathedral 2372:St Mary, Acocks Green 2272:St Edward, Selly Park 2257:St Cyprian, Hay Mills 2207:St Andrew, Handsworth 2192:St Agatha, Sparkbrook 2187:Ascension, Hall Green 1999:Main railway stations 1958:Library of Birmingham 1792:Sutton Coldfield mast 1586:Gissane W, Bull J.P. 1229:: 299. 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Index

Queen's Hospital, Birmingham

Birmingham Accident Hospital is located in West Midlands county
Birmingham
Coordinates
52°28′23″N 1°54′35″W / 52.4731°N 1.9096°W / 52.4731; -1.9096
Care system
NHS
Type
District General
Emergency department
Hospitals in England

trauma centre
Teaching Hospital
Birmingham
blue plaque

Earl Howe
Royal School of Medicine and Surgery in Birmingham
£
Henry Pepys
Anglican
Lord Bishop of Worcester
Prince Albert
Lord Leigh
Bateman
listed building
wards
outpatient

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