NCEPOD: Trauma - Who Cares? - London Health Programmes

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AcknowledgementsThis is the twenty first report published by NCEPOD and, as always, could not have beenachieved without the support of a wide range of individuals and organisations.Our particular thanks go to:The Expert Group who advised NCEPOD:Dr B WinterConsultant in Adult Critical CareDr C CarneyChief Executive East Anglian Ambulance NHS TrustMr D GilroyConsultant General SurgeonMr K PorterConsultant Orthopaedic SurgeonProfessor P GiannoudisProfessor of Trauma and OrthopaedicsMr S DaviesTrauma Nurse Co-ordinatorProfessor T CoatsProfessor of Emergency MedicineMr T PigottConsultant Spinal SurgeonMs E SymondsLay RepresentativeDr A GrayConsultant AnaesthetistDr A NicholsonConsultant Vascular Radiologist,Clinical Director of RadiologyDr I DoughtyConsultant PaediatricianThe Advisors who reviewed the cases:Dr A WilsonConsultant in Emergency MedicineMiss A HutchingsTrauma Nurse Specialist / Trauma Co-ordinatorDr A FeazeyConsultant in Emergency MedicineDr A BlackConsultant PaediatricianMiss A McGinleyConsultant NurseDr A SutcliffeConsultant in Intensive CareMr A ArmstrongConsultant Plastic SurgeonMr B WhiteConsultant Neurosurgeon4
AcknowledgementsDr C StevensonSpecialist Registrar in AnaesthesiaDr C GomezConsultant in Intensive CareDr C DeakinConsultant AnaesthetistDr D GardinerConsultant in Intensive CareDr D BrydenConsultant in Intensive CareMr D TeanbyConsultant Orthopaedic SurgeonDr D EsbergerConsultant in Emergency MedicineDr E AbrahamsonConsultant in Emergency MedicineMiss H CattermoleConsultant Orthopaedic SurgeonMr M PerryConsultant Oral and Maxillofacial SurgeonMr M McMonagleSpecialist Registrar in General SurgeryMr N TaiConsultant Vascular SurgeonDr O BagshawConsultant PaediatricianDr R LandauConsultant in Emergency MedicineDr R BanksSpecialist Registrar in Maxillofacial SurgeryMr S MarksConsultant NeurosurgeonDr S SmithConsultant in Emergency MedicineDr S LuneyConsultant AnaesthetistDr J BerridgeConsultant AnaesthetistMr K BrohiConsultant General SurgeonMajor M ButlerSpecialist Registrar in Trauma and Orthopaedics5
Page 1: Trauma: Who cares?A report of the N
Page 4 and 5: ContentsAcknowledgements 4Foreword
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
Page 42 and 43: CHAPTER 4 - Prehospital careFigure
Page 44 and 45: CHAPTER 4 - Prehospital careTranspo
Page 46 and 47: CHAPTER 4 - Prehospital careAdequac
Page 48 and 49: CHAPTER 4 - Prehospital careIn 40/5
Page 50 and 51: CHAPTER 4 - Prehospital carecaused
Page 52 and 53: CHAPTER 5 - Hospital receptionIntro
Page 54 and 55: 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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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 managementH
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CHAPTER 8 - Head injury managementC
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CHAPTER 8 - Head injury managementf
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CHAPTER 8 - Head injury managementF
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CHAPTER 8 - Head injury managementK
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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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