NCEPOD: Trauma - Who Cares? - London Health Programmes

9Paediatric careFigure 49. Grade of first reviewer/team leaderPercentage of patients in dataset6050403020100ConsultantNCCGSpR 3SpR 1/2SpRGrade of clinicianSHONurse>16 years≤16 yearsOtherOverall assessment of careFigure 48 shows overall assessment of care for the paediatricsample compared with the adult sample. There was littledifference between the two groups.Appropriateness of initial responseTable 92 shows advisor assessment of appropriateness ofinitial hospital response.Grade of first reviewer/team leaderFigure 49 shows grade of fi rst reviewer/team leader analysedby age of patient. In comparison with the adult data, it wasencouraging that there was more consultant involvementin the initial management, but still worth noting that aconsultant was the fi rst reviewer in only 54% of cases.Trauma team responseA trauma response was documented in the notes in 69% of≤16 year olds, slightly higher than the overall data (58%).Table 92. Appropriateness of initial responsedepending on patient age>16 years ≤16 yearsNumber ofpatientsNumber ofpatients% %Yes 548 86.4 53 88.3No 86 13.6 7 11.7Subtotal 634 60Insuffi cient data 89 8Total 723 68Outcome at 72 hoursSix out of 68 paediatric cases (8.8%) were deceased at 72hours post injury.115