North East London & Essex Trauma Network - London Trauma Office
North East London & Essex Trauma Network - London Trauma Office
North East London & Essex Trauma Network - London Trauma Office
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<strong>North</strong> <strong>East</strong> <strong>London</strong> & <strong>Essex</strong><br />
<strong>Trauma</strong> <strong>Network</strong><br />
Karim Brohi FRCS FRCA<br />
Professor of <strong>Trauma</strong> Sciences<br />
Barts and the <strong>London</strong> School of Medicine
PARTNER HOSPITALS<br />
Major <strong>Trauma</strong> Centre:<br />
�The Royal <strong>London</strong> Hospital<br />
Specialist <strong>Trauma</strong> Units:<br />
�Broomfield (Chelmsford) – Burns<br />
�Queen’s (Romford) – Isolated Head Injuries & MaxFax<br />
�Royal Free (Hampstead) – Isolated Head Injuries<br />
<strong>Trauma</strong> Units:<br />
�Homerton Hospital<br />
�Newham University Hospital<br />
�Whipps Cross Hospital<br />
�Barnet & Chase Farm Hospitals<br />
�<strong>North</strong> Mids Hospital<br />
�University College Hospital<br />
�Basildon Hospital<br />
�Southend Hospital<br />
�Colchester Hospital<br />
�Princess Alexandra Harlow
NELETN Structure<br />
Royal <strong>London</strong><br />
MTC Director<br />
RLH <strong>Trauma</strong><br />
Board<br />
TU / STU<br />
Directors<br />
<strong>Trauma</strong> Unit<br />
Boards<br />
<strong>London</strong> <strong>Trauma</strong><br />
<strong>Office</strong><br />
NELETN<br />
Steering Group<br />
Ambulance<br />
Service Liaisons<br />
Rehab Unit<br />
Liaisons
Peer Review<br />
& Governance<br />
<strong>Trauma</strong> Service<br />
Board<br />
<strong>Trauma</strong> Director<br />
Nurse Consultant<br />
<strong>Trauma</strong> Manager<br />
NELETN System<br />
Board<br />
Research<br />
Board<br />
Education<br />
Board
Cutaneous<br />
Materials<br />
Biophysics &<br />
Bioengineering<br />
Royal <strong>London</strong> Hospital<br />
<strong>Trauma</strong> CAU<br />
Neurosciences<br />
Coagulation &<br />
Inflammation<br />
Centre for <strong>Trauma</strong><br />
Sciences<br />
Imaging<br />
Military<br />
Complexity<br />
Shock<br />
Genome<br />
Centre<br />
Infection
NELETN Data: Royal <strong>London</strong> Hospital<br />
2500<br />
2000<br />
1500<br />
1000<br />
500<br />
0<br />
2004 2005 2006 2007 2008 2009 2010<br />
TTAs<br />
ISS >15
Risk of Death
Risk of Death<br />
2008 2009
Risk of Death<br />
2008 2009 2010
92%<br />
trauma teams<br />
consultant-led
92%<br />
trauma teams<br />
consultant-led<br />
66%<br />
2-Consultants
92%<br />
trauma teams<br />
consultant-led<br />
66%<br />
2-Consultants<br />
12%<br />
Multiple<br />
casualties
Activity: Queen’s Romford<br />
120<br />
100<br />
80<br />
60<br />
40<br />
20<br />
0<br />
<strong>Trauma</strong> Calls at Queen's Hospital - Romford<br />
October<br />
December<br />
January<br />
February<br />
March<br />
April<br />
May<br />
June<br />
July<br />
August<br />
September<br />
October<br />
November<br />
December<br />
January
100<br />
90<br />
80<br />
70<br />
60<br />
50<br />
40<br />
30<br />
20<br />
10<br />
0<br />
Activity Queen’s Romford<br />
October<br />
December<br />
January<br />
Percentage of <strong>Trauma</strong> Call Patients receiving CT-Head<br />
at Queen's Hospital Romford 2010-11.<br />
February<br />
March<br />
April<br />
May<br />
June<br />
July<br />
August<br />
September<br />
October<br />
November<br />
December<br />
January
Activity: Royal Free<br />
120<br />
100<br />
80<br />
60<br />
40<br />
20<br />
0<br />
TTAs<br />
TBI Admissions
Rescue<br />
retrieval role<br />
Automatic<br />
acceptance<br />
policy<br />
Secondary<br />
transfer<br />
policy<br />
<strong>Trauma</strong><br />
registry<br />
development<br />
Personalised<br />
patient<br />
information<br />
policy<br />
<strong>Trauma</strong><br />
follow-up<br />
clinic<br />
Repatriation<br />
policy<br />
Rehabilitation<br />
pathway and<br />
directory
Royal Free – Head Injury Algorithm
Educational Developments in NELETN
Educational Developments in NELETN
Educational Developments in NELETN<br />
TRAUMA TEAM LEADER COURSE
Educational Developments in NELETN<br />
TRAUMA TEAM LEADER COURSE
Paediatrics<br />
35<br />
30<br />
25<br />
20<br />
15<br />
10<br />
5<br />
0<br />
NELETN Paediatric <strong>Trauma</strong> Calls 2010<br />
August September October November December<br />
MTC<br />
<strong>Trauma</strong> Unit
Paediatrics<br />
35<br />
30<br />
25<br />
20<br />
15<br />
10<br />
5<br />
0<br />
NELETN Paediatric <strong>Trauma</strong> Calls 2010<br />
August September October November December<br />
210 NELETN /yr<br />
110 MTC /yr<br />
MTC<br />
<strong>Trauma</strong> Unit
Paediatrics<br />
120%<br />
100%<br />
80%<br />
60%<br />
40%<br />
20%<br />
0%<br />
Locality<br />
% not local to MTC<br />
% from outside NELETN
<strong>North</strong> <strong>East</strong> <strong>London</strong> & <strong>Essex</strong><br />
<strong>Trauma</strong> <strong>Network</strong>
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