159 Applying and Following the Acute Abdomen Pathway Standards in One of the NHS District General Hospitals (Retrospective Study)

Abstract Aim This is a retrospective Study conducted in one the NHS district general hospitals aiming to assess and analyse if the acute abdomen pathway of the trust is applied and followed according to the (NELA) National Emergency Laparotomy Audit for the patients with acute abdomen potentially requiring emergency surgery by assessing the delays in CT scan requesting if there are any, achieving the sepsis six bundle and the time taken for a senior registrar's review. Method Data were collected retrospectively of 50 patients from January till April 2025 from the NELA website then data were analysed for every patient individually through the hospital internal system by looking carefully into every patient's chart, CT scan requesting, vetting and reporting times as well as senior registrars review time and assessing if there are any delays and where the delays are originating Result 1- Sepsis 6 Bundle was often not completed due to missing the blood cultures, however; the rest of the sepsis 6 bundle components were all completed 2- CT scan time intervals were monitored since the initial referral till the CT scan reporting and the delay was in the phase between CT requesting and vetting it 3- Senior registrar's review was only achieved in 24% of the patients Conclusions All clinicians involved in dealing with the acute abdomen patients needed to be more aware of the acute abdomen and NELA Pathway by presenting Acute Abdomen Pathway teaching sessions in all clinicians’ official meetings as well as teaching Junior doctors and making awareness posters.