trauma centres
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Transcript trauma centres
The Trauma Centre
Kelvin Wright, Consultant
Critical Care & Emergency Medicine
Frimley Park Hospital NHS Trust
Demographics
District General Hospital
95 000 ED attendances per year
25 TARN cases per month
12 bedded General ICU
45 minutes by road from a MTC
No helipad (yet!)
No Neurosurgery, PICU, Cardiothoracics
The early days……
NCEPOD report
Small working group
Trauma Care
Delivery Group
Anaesthetics/ICU
General Surgery
Orthopaedics
Emergency Medicine
Radiology
Trauma Care Group - evolved
Anaesthetics
Intensive Care
Emergency Medicine
General Surgery
Orthopaedics
Radiology
Medical Director
ED nursing
representative
Rehabilitation team
Ambulance service
South East Coast
South Central
Successful projects to date
Spine clearance policy
Spinal transfer policy (OOH)
Massive transfusion policy
TARN membership and data submission
Network engagement
Immediate future
Audit
Repatriation
The Role of the Trauma Centre
Bypass protocols should minimize
inappropriate cases but….
0200 hrs – no helicopter
Daylight hours – may be limited
advanced airway skills in prehospital
arena
Long pre-hospital transport time to MTC
Trauma
will still arrive in the DGH
Trauma centre service
Trauma centre still needs an active
trauma receiving system
ED should act as a staging post for those
cases that require immediate/urgent
transfer
Some trauma will still be managed
locally depending on services at DGH
Referral Pathway
Single point of access
Repatriation
Easy return of
patients to local
DGH
Thank you
Kelvin D Wright
Frimley Park Hospital