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
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The early days……
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NCEPOD report
 Small working group
 Trauma Care
Delivery Group
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Anaesthetics/ICU
General Surgery
Orthopaedics
Emergency Medicine
Radiology
Trauma Care Group - evolved
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Anaesthetics
Intensive Care
Emergency Medicine
General Surgery
Orthopaedics
Radiology
Medical Director
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ED nursing
representative
 Rehabilitation team
 Ambulance service
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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
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Audit
 Repatriation
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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
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 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
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Referral Pathway
Single point of access
Repatriation
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Easy return of
patients to local
DGH
Thank you
Kelvin D Wright
Frimley Park Hospital