Anaesthetists Handbook - MEDICAL EDUCATION at University ...

Miscellaneous issuesSee page 37 for a description of the duties of the traumaanaesthetist.WeekdaysThe trauma list should usually start promptly with a patient who hasbeen assessed in the holding bay.The long-day anaesthetist comes on duty at 13:00 (08:00 onFridays).A second trauma theatre may only be opened if the consultantanaesthetist on call is in agreement.If the trauma cases finish within list times, the trauma anaesthetistshould assess the next day’s cases and plan the list. See ‘Fracturedneck of femur: management guidelines’ on page 151.The trauma list finishes with the patient handed over by theanaesthetist to recovery by 21:00 (19:00 on Friday). The trauma listanaesthetist goes off duty at 21:00 (19:00 on Friday). Any patientswho may require review in recovery once the trauma anaesthetistleaves must be handed over to the resident anaesthetists on call.Operative trauma cases may be done after 21:00 (19:00 on Friday)but they should be emergency cases that would involve serious andpermanent harm if left until the morning. Each case should bediscussed with the senior resident anaesthetist. Earlier delays are nota reason to overrun the trauma list.Weekends and bank holidaysThe trauma anaesthetist comes on duty at 08:00.If the resident or senior resident anaesthetists do not havecases, they should work cooperatively with the traumaanaesthetist to make sure that the trauma patients are treated in atimely fashion.A second trauma theatre may only be opened with the agreement ofthe consultant anaesthetist on call.Anaesthetists Handbook January 2010 237