NCEPOD: Trauma - Who Cares? - London Health Programmes

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<strong>Trauma</strong>: <strong>Who</strong> cares?A report of the National Confidential Enquiry into Patient Outcome and Death (2007)Compiled by:G Findlay MB ChB FRCAI C Martin LLM FRCS FDSRCSS Carter MBBS FRCS FRCS(G) RCPSN Smith BSc PhDD Weyman BScM Mason PhD11
Page 1: Trauma: Who cares?A report of the N
Page 5 and 6: Chapter 6 - Airway and breathing 62
Page 7 and 8: AcknowledgementsDr C StevensonSpeci
Page 9 and 10: AcknowledgementsThe authors and Tru
Page 11 and 12: ForewordAs a junior in the emergenc
Page 13 and 14: Summary of findingsThe organisation
Page 15 and 16: Principal recommendationsAirway and
Page 17 and 18: Introductionsystematically audited
Page 19 and 20: MethodMethodStudy aimThe aim of thi
Page 21 and 22: MethodSpecifi c sections of the ass
Page 23 and 24: 1Data overviewCHAPTER 1 - Data over
Page 25 and 26: 1Data overviewFigure 3. Patient arr
Page 27 and 28: 2Organisational dataCHAPTER 2 - Org
Page 29 and 30: 2Organisational dataTable 10. CT sc
Page 31 and 32: 2Organisational dataThere are some
Page 33 and 34: 2Organisational dataTable 20. Numbe
Page 35 and 36: 2Organisational dataKey findingsRec
Page 37 and 38: 3Overall assessmentTable 25. Approp
Page 39 and 40: 4Prehospital careCHAPTER 4 - Prehos
Page 41 and 42: 4Prehospital careMode of arrivalThe
Page 43 and 44: 4Prehospital careFigure 9. Average
Page 45 and 46: 4Prehospital careproblems with the
Page 47 and 48: 4Prehospital careFigure 11. Documen
Page 49 and 50: 4Prehospital careFigure 13. Prehosp
Page 51 and 52: 4Prehospital careReferences1. Nathe
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5Hospital receptionFigure 14. Docum
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5Hospital receptionFigure 15. Docum
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5Hospital receptionTrauma team lead
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5Hospital receptionRelationship bet
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5Hospital receptionPrimary survey a
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5Hospital receptionRecommendationsA
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6Airway and breathingThere are issu
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6Airway and breathingFigure 21. Fir
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6Airway and breathingCervical spine
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6Airway and breathingReferences1. G
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7Management of circulationways, CT
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Management of circulationFigure 26.
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7Management of circulationFigure 27
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7Management of circulationIntervent
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7Management of circulationThe time
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7Management of circulationOverall m
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7Management of circulation10. Reed
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8CHAPTER 8 - Head injury management
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8Head injury managementTable 66. Pr
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8Head injury managementadequate ven
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8Head injury managementHospital dat
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8Head injury managementFrequency of
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8Head injury managementFigure 37. F
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8Head injury managementCarbon dioxi
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8Head injury managementFigure 41. T
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8Head injury management“CT imagin
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8Head injury managementFigure 44. L
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8Head injury managementWithin this
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8Head injury managementtimely in 68
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8Head injury managementRecommendati
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8Head injury management27. Ashkan K
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9Paediatric caredefi ned children a
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9Paediatric careFigure 49. Grade of
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9Paediatric careReferences1. Servic
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10TransfersThe Intensive Care Socie
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10Transfershappening. The lack of d
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10TransfersCase study 6A young pati
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10TransfersReferences1. Mackenzie P
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11Incidence of trauma andorganisati
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AGlossaryAPPENDIX A - GlossaryA&EAc
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CAPPENDIX C -Adult and paediatric G
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CAdult and paediatricGlasgow Coma S
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DAn example of an excellentPatient
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FParticipationAPPENDIX F - Particip
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FParticipationTrustCasesidentifiedO
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GCorporate structureDr K ClearyNati
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