NCEPOD: Trauma - Who Cares? - London Health Programmes

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ContentsAcknowledgements 4Foreword 8Summary of findings 10Principal recommendations 12Introduction 14References 16Method 17Chapter 1 – Data overview 21Chapter 2 – Organisational data 25Key fi ndings 33Recommendations 33Chapter 3 – Overall assessment 34Key fi ndings 36Chapter 4 – Prehospital care 37Introduction 37Organisational aspects of care 37Clinical aspects of care 42Airway and ventilation 43Key fi ndings 48Recommendations 48References 49Chapter 5 – Hospital reception 50Introduction 50Results 50<strong>Trauma</strong> team response 51<strong>Trauma</strong> team response – individual cases 52Primary survey and overall assessment 59Key fi ndings 60Recommendations 61References 612
Chapter 6 – Airway and breathing 62Introduction 62Results 62Case study 1 68Key fi ndings 68Recommendations 68References 69Chapter 7 – Management of circulation 70Introduction 70Results 71Case study 2 72Case study 3 76Key fi ndings 81Recommendations 82References 82Chapter 8 – Head injury management 85Introduction 85Results 85Prehospital data 86Hospital data 91Case study 4 97Case study 5 104Key fi ndings 108Recommendations 109References 109Chapter 10 – Transfers 118Introduction 118Results 119Case study 6 123Case study 7 123Key fi ndings 124Recommendations 124References 125Chapter 11 – Incidence of traumaand organisation of trauma services 126Introduction 126Results 126Discussion 128Key fi ndings 131Recommendations 131References 132Appendix A – Glossary 133Appendix B – Injury severity score 134Appendix C – Adult and paediatricGlasgow Coma Scale 135Appendix D – An example of an excellentPatient Report Form (PRF) 138Chapter 9 – Paediatric care 112Organisational data 112Clinical data 114Key fi ndings 116Recommendations 116References 117Appendix E – Level 1 trauma care 140Appendix F – Participation 141Appendix G – Corporate structure 1483
Page 1: Trauma: Who cares?A report of the N
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 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
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Page 44 and 45: CHAPTER 4 - Prehospital careTranspo
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Page 52 and 53: 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 7 - Management of circulati
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CHAPTER 8 - Head injury managementI
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CHAPTER 8 - Head injury managementT
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CHAPTER 8 - Head injury managementA
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CHAPTER 8 - Head injury managementC
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CHAPTER 8 - Head injury management1
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CHAPTER 9 - Paediatric careOrganisa
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CHAPTER 9 - Paediatric careClinical
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CHAPTER 9 - Paediatric careKey find
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CHAPTER 10 - TransfersIntroductionM
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CHAPTER 10 - TransfersArrangement o
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CHAPTER 10 - TransfersFigure 52. De
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CHAPTER 10 - TransfersKey findingsR
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CHAPTER 11 -Incidence of trauma and
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CHAPTER 11 - Incidence of trauma an
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APPENDIX B - Injury severity scoreA
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APPENDIX C - Adult and paediatric G
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APPENDIX D - An example of an excel
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APPENDIX E - Level 1 trauma careAs
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APPENDIX F - ParticipationTrustCase
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APPENDIX G - Corporate structureThe
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Published November 2007 by the Nati
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NCEPOD: Trauma - Who Cares? - London Health Programmes

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