The epidemiology of major injuries in Mersey Region and North Wales

Gorman, D.F.; Teanby, D.N.; Sinha, Madhu; Wotherspoon, Jane; Boot, D. A.; Molokhia, Ashraf

doi:10.1016/0020-1383(95)90553-a

Cited by 34 publications

(15 citation statements)

References 10 publications

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“…9 The aims of the trauma team are summarised in box 2. The team should be available at all hours, since about 75% of patients present between 17.00 and 09.00 h.9" 5'33 The reported number of team members varies from two to 1 0,32,40A42 but size does not primarily determine the team's speed and efficiency.…”

Section: The Trauma Teammentioning

confidence: 99%

The trauma team--a system of initial trauma care

Adedeji

Driscoll

1996

Postgraduate Medical Journal

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Summary Trauma remains the leading cause of death under the age of 35 years. England and Wales lost 252,000 working years from accidental deaths, including poison, in 1992. In this country, preventable deaths from trauma are inappropriately high. In many hospitals there are not enough personnel; in the majority, there are no recognisable trauma care systems, which can reduce preventable deaths to a minimum. The appropriateness of trauma centres for this country is being assessed in Stoke-on-Trent, and a report is due out later this year. Even if the recommendation is made to establish such centres, it is unlikely that many will be set up. Consequently most hospitals will have to rely on their own resources to set up and run a trauma team. This type of trauma care system is the subject of this article.

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Section: The Trauma Teammentioning

confidence: 99%

The trauma team--a system of initial trauma care

Adedeji

Driscoll

1996

Postgraduate Medical Journal

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“…In the UK and in many other developed countries, most of the first hour after trauma is spent in the prehospital phase. [28][29][30] Prehospital RSI has many potential risks, and we believe that even when experienced doctors administer the procedure, a robust clinical governance structure is required to minimise risk. In addition to a regularly reviewed standard operating procedure, our doctors are instructed to make an on-scene ''risk-benefit assessment'' in every case before conducting RSI-that is, in each specific situation they need to decide that the potential benefits of RSI outweigh the potential risks.…”

Section: Discussionmentioning

confidence: 99%

Prehospital rapid-sequence intubation of patients with trauma with a Glasgow Coma Score of 13 or 14 and the subsequent incidence of intracranial pathology

Ellis

Davies

Pearn

et al. 2007

Emergency Medicine Journal

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Aim: To identify the incidence of intracranial pathology in a population of patients with trauma with an onscene Glasgow Coma Score (GCS) of 13 or 14, and the proportion that required prehospital intubation and ventilation. Method: A retrospective review of a prehospital trauma database was carried out over a 12-month period, and 81 patients were reviewed. All had a traumatic mechanism of injury and had an on-scene GCS of 13 or 14 recorded by a prehospital doctor. 43 patients required prehospital rapid-sequence intubation. Overall, 31.5% of patients with a GCS of 13 or 14 had an abnormal computed tomography scan of the head and 20.5% had an intracranial haemorrhage. Results: For this group of patients with trauma with a drop of only one or two points on the GCS, the incidence of intracranial pathology was almost one in three and that of intracranial haemorrhage was one in five.

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“…One of the recommendations of the 2000 report was the establishment of a National Trauma Service trauma hub and spoke network between hospitals in each geographic area [14].…”

Section: Care Of the Severely Injuredmentioning

confidence: 99%

Anaesthesia and pre‐hospital emergency medicine

Steel

Klein

2012

Anaesthesia

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SummaryMajor trauma is a leading cause of death and disability in the UK, particularly in the young. Pre‐hospital emergency medicine (PHEM) involves provision of immediate medical care to critically ill and injured patients, across all age ranges, often in environments that may be remote and are not only physically challenging but also limited in terms of time and resources. PHEM is now a GMC‐recognised subspecialty of anaesthesia or emergency medicine and the first recognised training program in the UK commenced in August 2012. This article discusses subspeciality development in PHEM, the competency based framework for training in PHEM, and the provision of pre‐hospital emergency anaesthesia.

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The epidemiology of major injuries in Mersey Region and North Wales

Cited by 34 publications

References 10 publications

The trauma team--a system of initial trauma care

The trauma team--a system of initial trauma care

Prehospital rapid-sequence intubation of patients with trauma with a Glasgow Coma Score of 13 or 14 and the subsequent incidence of intracranial pathology

Anaesthesia and pre‐hospital emergency medicine

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