|
Total no. for England
|
12-16
|
80-100
|
|
Administration/governance:
|
|
Commitment from executive team administration and senior clinical staff to deliver such services
|
100%
|
100%
|
|
Clinical director for trauma, programme manager and data manager
|
100%
|
100%
|
|
Full dataset submission to TARN
|
100%
|
100%
|
|
Commitment to RTN, trauma governance, continuous improvement
|
100%
|
100%
|
|
Critically injured patients (complex or major trauma)
|
>250 per year
|
Only for few cases when the bypass protocols are not followed (patient in extremis, accident in the premises of TU)
|
|
Accident and emergency (A&E): early resuscitation:
|
|
A&E availability
|
24/7
|
24/7
|
|
Resuscitation trauma team leader
|
Consultant 24/7 resident
|
Experienced middle grade 24/7 resident; consultant on calla
|
|
Fully staffed with specialist nursing and allied health professionals
|
24/7
|
24/7
|
|
Band 7 nurse: specialist ED trauma nursing
|
24/7
|
Variable
|
|
Activation protocols: established prealert pathways
|
24/7
|
24/7
|
|
Trauma service:
|
|
Ongoing patient care post initial resuscitation
|
Consultant on calla
|
Consultant on calla
|
|
Admission under a named consultant
|
Consultant on calla
|
Consultant on calla
|
|
Consultant-led service for ongoing coordination of the care of major trauma patients
|
Consultant on calla
|
Consultant on calla
|
|
Trauma nurse coordinator
|
Yes
|
Variable
|
|
Radiology: (X-ray/FAST-CT)
|
Reporting within 24 h
|
Reporting within 24 h
|
|
Available high specification CT scanner
|
24/7
|
24/7a
|
|
Staffed laboratory services
|
24/7
|
24/7
|
|
Blood bank
|
24/7
|
24/7
|
|
Massive transfusion protocol
|
24/7
|
24/7
|
|
Trauma and orthopaedic
|
Middle grade resident, consultant on calla, pelvic reconstruction service, complex limb reconstruction service
|
Middle grade resident, consultant on calla
|
|
General surgery
|
Middle grade resident, consultant on calla
|
Middle grade resident, consultant on calla
|
|
Neurosurgery
|
Middle grade resident, consultant on calla
|
Variable
|
|
Spinal surgery
|
Middle grade on calla, consultant on calla
|
Variable
|
|
Vascular surgery
|
Middle grade resident, consultant on calla
|
Middle grade resident, consultant on calla
|
|
Anaesthetist
|
Middle grade resident, consultant on calla; ODP support within resuscitation
|
Middle grade resident, consultant on calla
|
|
Plastic surgery
|
Middle grade on calla, consultant on calla
|
Variable
|
|
Urology
|
Middle grade on calla, consultant on calla
|
Variable
|
|
Cardio/thoracic surgery
|
Middle grade on calla, consultant on calla
|
Variable
|
|
Maxillofacial/head and neck
|
Middle grade on calla, consultant on calla
|
Variable
|
|
Interventional radiology
|
Angio suite available 24/7a, consultant on calla
|
Variable
|
|
Dedicated trauma theatres, operating lists
|
Immediately available, ability for second if overwhelmed
|
Immediately available, ability for second if overwhelmed
|
|
Intensive care facilities
|
24/7
|
24/7
|
|
Critical care
|
Middle grade resident, consultant on calla
|
Middle grade resident, consultant on calla
|
|
Miscellaneous:
|
|
Education-prevention-research programmes
|
100%
|
Variable
|
|
Clinical governance programmes
|
100%
|
100%
|
|
Interhospital transfer protocols
|
100%
|
100%
|
|
Trauma rehabilitation programmes
|
100%
|
100%
|
