NCEPOD: Trauma - Who Cares? - London Health Programmes

APPENDIX E - Level 1 trauma careAs defi ned in Better Care for the Severely Injured. A Reportfrom the Royal College of Surgeons of England and theBritish Orthopaedic Society. 2000• There must be on-site departments of:• Orthopaedic trauma• NeurosurgeryThe Required Facilities at the Major AcuteHospitals (Level 1)• A 24-hour resuscitative trauma team, led by aconsultant with current ATLS ® certification orequivalent, must be in place.• A 24-hour, fully staffed A&E department,supported by on-call A&E consultants,supported by specialist registrars.• ICU beds and trauma beds on the same siteas the A&E department.• On-site 24-hour X-ray and CT scanningwith appropriate staffing and immediatereporting facilities.• The equivalent of four to eight whole-timeconsultants exclusively dealing withorthopaedic trauma.• General and vascular surgery• Plastic surgery• Cardiothoracic or thoracic surgery• Head & neck surgery• Urology• Anaesthesia with intensive care• Interventional radiology• Paediatric surgery• Intensive care beds for children• A named consultant director of trauma.• A dedicated trauma theatre and dailyconsultant orthopaedic trauma lists.• A helicopter pad close to the A&E departmentis mandatory. There should be no additionalsecondary journey by road. The helicopter landingsite should allow landing throughout the 24 hours.140