NCEPOD: Trauma - Who Cares? - London Health Programmes

CHAPTER 2 - Organisational dataTable 13. 24 hour access to haematology andbiochemistry investigationsHaematologyBiochemistryYes 165 165No 1 0Subtotal 166 165Notanswered17 18Total 183 183Table 14. Number of resuscitation baysNumber of hospitals %1 5 2.72 19 10.43 46 25.34 60 33.05 29 15.96 18 9.9> 6 5 2.7Subtotal 182Not answered 1Total 183Only one hospital was reported not to have access to 24hour haematology investigations, however a further 17 sitesfailed to answer the question (Table 13). This fi nding wassimilar for the 24 hour accessibility to biochemistry.The resuscitation bay provides an area and an array ofequipment that are essential for the immediate treatment ofpatients. Since there are often two or more victims from oneroad traffi c collision (RTC), and other seriously ill patients alsoneed to be treated in this location, it is important to note that70 hospitals had less than four resuscitation bays(Table 14).Table 15. Equipment available to eachresuscitation bayNumber of hospitalsAnaesthetic machine/head 136Diffi cult intubation trolley 149Positive pressure ventilator 166SpO 2monitoring 182FeCO 2monitoring 158Central venous171pressure monitoringArterial pressure monitoring 170Surgical set 146Cricothyroidotomy set 178Intercostal drain set 180Tracheosotomy set 165Diagnostic peritoneal lavage 144Cut down set 177External pelvic fi xation set 48Foley catheter 182Nasogastric tube 183Obstetric wedge 87Rapid infusion equipment 147Fluid warming equipment 171Rhesus negative blood 112Defi brillator 181Focused Assessment withSonography for TraumaPortable x-ray 165Fixed gantry x-ray 56Portable or fi xed gantry x-ray 1836128