NCEPOD: Trauma - Who Cares? - London Health Programmes

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AcknowledgementsThe organisations that provided funding to cover thecost of this study:The professional organisations that support our workand who constitute our Steering Group:National Patient Safety AgencyDepartment of Health, Social Services and Public Safety(Northern Ireland)Aspen HealthcareBenenden HospitalBMI HealthcareBUPACapio GroupCovenant HealthcareCromwell HospitalIsle of Man Health and Social Security DepartmentFairfield Independent HospitalHCA InternationalHorder CentreHospital Management TrustHospital of St John and St ElizabethKing Edward VII HospitalKing Edward VIIs Hospital Sister AgnesLondon ClinicMcIndoe Surgical CentreMount Alvernia HospitalNetcare HealthcareNew Victoria HospitalNorth Wales Medical CentreNuffield HospitalsOrchard HospitalSt Anthony’s HospitalSt Joseph’s HospitalSpencer Wing, Queen Elizabeth theQueen Mother HospitalStates of Guernsey, Health and Social ServicesStates of Jersey, Health and Social ServicesUlster Independent ClinicAssociation of Anaesthetists of Great Britain and IrelandAssociation of Surgeons of Great Britain and IrelandCoroners’ Society of England and WalesFaculty of Dental Surgery of the Royal Collegeof Surgeons of EnglandFaculty of Public Health of the Royal Collegeof Physicians of the UKInstitute of Healthcare ManagementRoyal College of AnaesthetistsRoyal College of Child Health and PaediatricsRoyal College of General PractitionersRoyal College of NursingRoyal College of Obstetricians and GynaecologistsRoyal College of OphthalmologistsRoyal College of PathologistsRoyal College of Physicians of LondonRoyal College of RadiologistsRoyal College of Surgeons of England6
AcknowledgementsThe authors and Trustees of NCEPOD wouldparticularly like to thank the NCEPOD staff for theirhard work in collecting and analysing the data forthis study:Robert Alleway, Sabah Begg, Philip Brown, HeatherCooper, Karen Protopapa, Sidhaarth Gobin, Clare Holtby,Dolores Jarman, Viki Pepper, and Saba Raza.In addition we thank our scientifi c advisors Dr Martin Utleyand Professor Steve Gallivan for all their assistance.DISCLAIMERThis work was undertaken by NCEPOD, which receivedfunding for this report from the National Patient SafetyAgency. The views expressed in this publication are thoseof the authors and not necessarily those of the Agency.7
Page 1: Trauma: Who cares?A report of the N
Page 4 and 5: ContentsAcknowledgements 4Foreword
Page 6 and 7: AcknowledgementsThis is the twenty
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
Page 56 and 57: 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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NCEPOD: Trauma - Who Cares? - London Health Programmes

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