NCEPOD: Trauma - Who Cares? - London Health Programmes

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CHAPTER 11 - Incidence of trauma and organisation of trauma servicesReferences1. www.facs.org/trauma/verifi cationhosp.html2. Nathens AB, Jurkovich GJ, Maler RV et al. Relationshipbetween trauma centre volume and outcomes. JAMA2001; 285: 1164-713. MacKenzie EJ et al. A national evaluation of the effect oftrauma centre care on mortality NEJM 2006; 354: 366-3784. Gorman et al. The epidemiology of major injuries inMersey and North Wales. Injury. 1995 26; 1 51-545. Burdett-Smith P, Airey GM, and Franks AJ. Improvementin trauma survival in Leeds. Injury. 1995 26; 7.455-458.6. Lecky FE, Woodford M, Bouamra O, Yates DW. Lack ofchange in trauma care in England and Wales since 1994.Emerg Med J. 2002 Nov; 19(6):520-37. Commission on the Provision of Surgical Services. TheManagement of Patients with Major Injuries. The RoyalCollege of Surgeons of England; 19888. The Management of Skeletal Trauma in the UnitedKingdom. British Orthopaedic Association. London; 199212. Sampalis JS, Denis R, Fréchette P, Brown R, FleiszerD, Mulder D. Direct transport to tertiary trauma centersversus transfer from lower level facilities: impact onmortality and morbidity among patients with majortrauma. J Trauma. 1997 Aug; 43(2):288-9513. Durham R, Pracht E, Orban B, Lottenburg L, Tepas J,Flint L. Evaluation of a mature trauma system. Ann Surg.2006; 243(6):775-8314. Lecky FE, Woodford M, Bouamra O, Yates DW. Lack ofchange in trauma care in England and Wales since 1994.Emergency Medical Journal 2002; 19:0-315. Patel HC, Woodford M, King AT, Yates DW, Lecky FE.Trends in head injury outcome from 1989 to 2003 andthe effect of neurosurgical care: an observational studyon behalf of the Trauma Audit & Research Network. TheLancet 2005; 366: 1538-4416. Dark P, Woodford M, Vail A, Mackway-Jones K, Yates D,Lecky F. Systolic hypertension and the response to blunttrauma in infants and children. Resuscitation 2002; 54:245-25317. Henderson K, Coats TJ, Hassan TB, Brohi K. Audit oftime to emergency trauma laparotomy. Br J Surg 2000;87: 472-4769. The Care of Severely Injured Patients in the UnitedKingdom. British Orthopaedic Association. London; 199710. The Royal College of Surgeons of England and the BritishOrthopaedic Society. Better Care for the Severely Injured.200011. http://www.healthcareforlondon.nhs.uk/framework_for_action.asp132
AGlossaryAPPENDIX A - GlossaryA&EAccident and EmergencyMTOSMajor Trauma Outcome StudyABCAirway, breathing, circulationNCCGNon consultant career gradeABGArterial blood gasNHSNational Health ServiceAPLSATLSAVPUCTDPLFASTAdvanced paediatric life supportAdvanced trauma life supportAlert, verbal, pain, unresponsiveComputed tomographyDiagnostic peritoneal lavageFocussed Assessment with Sonographyfor TraumaNICEOPCSPaCO 2PaO 2PRFRCSNational Institute for Healthand Clinical ExcellenceOffi ce of Population, Censuses and SurveysPartial pressure of Carbon DioxidePartial pressure of OxygenPatient report formRoyal College of Surgeons of EnglandGCSGlasgow coma score / scaleRSCNRegistered sick children’s nurseICPIntracranial pressureRTCRoad traffi c collisionICUIntensive care unitSHOSenior house offi cerISSInjury severity scoreSIGNScottish Intercollegiate Guidelines NetworkIVIntra venousSpCO 2Saturation of peripheral Carbon DioxideJRCALC Joint Royal Colleges AmbulanceLiaison CommitteekPa Kilo PascalsmmHg Millimetres of MercurySpO 2SpRTARNSaturation of peripheral OxygenSpecialist registrarTrauma Audit Research Network133
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Trauma: Who cares?A report of the N
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ContentsAcknowledgements 4Foreword
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AcknowledgementsThis is the twenty
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AcknowledgementsThe organisations t
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ForewordSevere injury - a car crash
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Summary of fi ndingsThis study show
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Principal recommendationsOrganisati
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IntroductionTrauma remains the four
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IntroductionReferences1. Chaira 0,
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MethodQuestionnaires and casenotesT
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MethodQuality and confidentialityA
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CHAPTER 1 - Data overviewFigure 2.
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CHAPTER 1 - Data overviewMode of ar
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CHAPTER 2 - Organisational dataTabl
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CHAPTER 3 - Overall assessmentAll c
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CHAPTER 3 - Overall assessmentKey f
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CHAPTER 4 - Prehospital careRespons
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CHAPTER 4 - Prehospital careFigure
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CHAPTER 4 - Prehospital careTranspo
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CHAPTER 4 - Prehospital careAdequac
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CHAPTER 4 - Prehospital careIn 40/5
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CHAPTER 4 - Prehospital carecaused
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CHAPTER 5 - Hospital receptionIntro
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CHAPTER 5 - Hospital receptionTable
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CHAPTER 5 - Hospital receptionTraum
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CHAPTER 5 - Hospital receptionTable
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CHAPTER 5 - Hospital receptionThese
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CHAPTER 5 - Hospital receptionOvera
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CHAPTER 6 - Airway and breathingInt
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CHAPTER 6 - Airway and breathingFig
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CHAPTER 6 - Airway and breathingFig
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CHAPTER 6 - Airway and breathingTab
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CHAPTER 7 - Management of circulati
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Page 114 and 115: CHAPTER 9 - Paediatric careOrganisa
Page 116 and 117: CHAPTER 9 - Paediatric careClinical
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Page 120 and 121: CHAPTER 10 - TransfersIntroductionM
Page 122 and 123: CHAPTER 10 - TransfersArrangement o
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Page 126 and 127: CHAPTER 10 - TransfersKey findingsR
Page 128 and 129: CHAPTER 11 -Incidence of trauma and
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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
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Page 152: Published November 2007 by the Nati
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