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    The post fall assessment tool devised by paramedics, created and trademarked by Winncare

    Winncare has collaborated with the Welsh Ambulance Services NHS Trust to develop ISTUMBLE ®, an algorithm and app used to determine the appropriate course of action in the occurrence of a fall.

    The algorithm provides care home staff with clear instructions on when to call for an ambulance or use aids and manual handling to lift residents from the floor. This is beneficial to residential homes who may not have clinical staff available as is the case with nursing homes. Residential care staff may also lack the confidence and/or skills to assess a resident for injury in a systematic way safely and effectively. ISTUMBLE ® offers a tool to supplement the existing knowledge and skills of staff.

    An nationally recognised tool, the ISTUMBLE ® app has had over 140,000 downloads and is accredited by Orcha for use within the NHS. Importantly, the algorithm has been demonstrated to reduce the length of time that residents are on the floor.

    The Importance of Post Fall Management

    • ISTUMBLE® empowers carers to make good decisions around when to lift a fallen resident and when to call an ambulance.
    • Used in conjunction with lifting cushions, the combination safeguards care home residents by providing a safe, dignified lift for elderly, frail and disabled people who have fallen to the floor.
    • The equipment protect healthcare workers and carers from injury acquired through moving and lifting people with limited mobility
    • ISTUMBLE® and Lifting cushions save the NHS and Care organisations £millions annually by reducing avoidable ambulance call outs and hospital admissions.


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