NCEPOD: Trauma - Who Cares? - London Health Programmes

More documents

Recommendations

Info

CHAPTER 9 - Paediatric careKey findingsRecommendations68/795 (8.6%) cases were aged 16 or less.Only 54% of cases had consultant staff involved in theimmediate management.The pattern of assessment of overall care was similar toadults with less than half the cases judged as receivingcare classifi ed as good practice.Advanced Paediatric Life Support (APLS) trained staffwere not resident or available 24 hours in 20.2% ofhospitals.Only 22 out of 146 hospitals had Registered SickChildren’s Nurse cover 24 hours a day, 7 days a week.All recommendations in this report apply equally toseverely injured children.All sites accepting children for defi nitive traumamanagement should have protocols for theirmanagement in place. These protocols should beregularly reviewed and updated. (Hospital trusts)All hospitals should have up to date guidelines on themanagement and referral of suspected non-accidentalinjury in children. (Hospital trusts)Hospitals should use standard, universal defi nitionsfor neonates, infants and children. (Royal College ofPaediatrics and Child <strong>Health</strong>)Each receiving unit should have up to date guidelines forchildren which recognise the paediatric skills available onsite and their limitations and include agreed guidelinesfor communication and transfer with specialisedpaediatric services within the local clinical network.(Strategic health authorities and hospital trusts)An Advanced Paediatric Life Support (APLS) (orequivalent) trained consultant and a Registered SickChildren’s Nurse (RSCN) or an APLS trained nurseshould be involved in the immediate management of allseverely injured children. (Hospital trusts)If a hospital does not admit children for defi nitive carethen a bypass protocol should be in place. (Hospital andambulance trusts)116
9Paediatric careReferences1. Services for Children in Emergency departments. RoyalCollege of Paediatrics and Child <strong>Health</strong>. 2007www.rcpch.ac.uk/health-services/emergen-care2. The Royal College of Surgeons of England and the BritishOrthopaedic Society. Better Care for the Severely Injured.2000117
Page 1:
Trauma: Who cares?A report of the N
Page 4 and 5:
ContentsAcknowledgements 4Foreword
Page 6 and 7:
AcknowledgementsThis is the twenty
Page 8 and 9:
AcknowledgementsThe organisations t
Page 10 and 11:
ForewordSevere injury - a car crash
Page 12 and 13:
Summary of fi ndingsThis study show
Page 14 and 15:
Principal recommendationsOrganisati
Page 16 and 17:
IntroductionTrauma remains the four
Page 18 and 19:
IntroductionReferences1. Chaira 0,
Page 20 and 21:
MethodQuestionnaires and casenotesT
Page 22 and 23:
MethodQuality and confidentialityA
Page 24 and 25:
CHAPTER 1 - Data overviewFigure 2.
Page 26 and 27:
CHAPTER 1 - Data overviewMode of ar
Page 28 and 29:
CHAPTER 2 - Organisational dataTabl
Page 30 and 31:
Page 32 and 33:
Page 34 and 35:
Page 36 and 37:
CHAPTER 3 - Overall assessmentAll c
Page 38 and 39:
CHAPTER 3 - Overall assessmentKey f
Page 40 and 41:
CHAPTER 4 - Prehospital careRespons
Page 42 and 43:
CHAPTER 4 - Prehospital careFigure
Page 44 and 45:
CHAPTER 4 - Prehospital careTranspo
Page 46 and 47:
CHAPTER 4 - Prehospital careAdequac
Page 48 and 49:
CHAPTER 4 - Prehospital careIn 40/5
Page 50 and 51:
CHAPTER 4 - Prehospital carecaused
Page 52 and 53:
CHAPTER 5 - Hospital receptionIntro
Page 54 and 55:
CHAPTER 5 - Hospital receptionTable
Page 56 and 57:
CHAPTER 5 - Hospital receptionTraum
Page 58 and 59:
CHAPTER 5 - Hospital receptionTable
Page 60 and 61:
CHAPTER 5 - Hospital receptionThese
Page 62 and 63:
CHAPTER 5 - Hospital receptionOvera
Page 64 and 65:
CHAPTER 6 - Airway and breathingInt
Page 66 and 67:
CHAPTER 6 - Airway and breathingFig
Page 68 and 69: CHAPTER 6 - Airway and breathingFig
Page 70 and 71: CHAPTER 6 - Airway and breathingTab
Page 72 and 73: CHAPTER 7 - Management of circulati
Page 88 and 89: CHAPTER 8 - Head injury managementI
Page 90 and 91: CHAPTER 8 - Head injury managementT
Page 94 and 95: CHAPTER 8 - Head injury managementA
Page 98 and 99: CHAPTER 8 - Head injury managementH
Page 100 and 101: CHAPTER 8 - Head injury managementC
Page 102 and 103: CHAPTER 8 - Head injury managementf
Page 108 and 109: CHAPTER 8 - Head injury managementF
Page 110 and 111: CHAPTER 8 - Head injury managementK
Page 112 and 113: CHAPTER 8 - Head injury management1
Page 114 and 115: CHAPTER 9 - Paediatric careOrganisa
Page 116 and 117: CHAPTER 9 - Paediatric careClinical
Page 120 and 121: CHAPTER 10 - TransfersIntroductionM
Page 122 and 123: CHAPTER 10 - TransfersArrangement o
Page 124 and 125: CHAPTER 10 - TransfersFigure 52. De
Page 126 and 127: CHAPTER 10 - TransfersKey findingsR
Page 128 and 129: CHAPTER 11 -Incidence of trauma and
Page 130 and 131: CHAPTER 11 - Incidence of trauma an
Page 136 and 137: APPENDIX B - Injury severity scoreA
Page 138 and 139: APPENDIX C - Adult and paediatric G
Page 140 and 141: APPENDIX D - An example of an excel
Page 142 and 143: APPENDIX E - Level 1 trauma careAs
Page 144 and 145: APPENDIX F - ParticipationTrustCase
Page 150 and 151: APPENDIX G - Corporate structureThe
Page 152: Published November 2007 by the Nati
show all

NCEPOD: Trauma - Who Cares? - London Health Programmes

You also want an ePaper? Increase the reach of your titles

Delete template?

Save as template?