Trauma Pathway Awareness month

Side of RRV with lozenge

Next month (July) will be our Trauma Pathway Awareness month – a time to refresh your minds on our processes for the most seriously ill patients.

The Trauma clinical assessment and triage pathway has been in place for five years now and we at EEAST, along with the Trauma Network are in the process of reviewing the pathway to see where improvements could be made.

As part of this review, in the month of July, we are promoting the use of the trauma triage tool (TTT) to refresh and reinforce the pathway, and capture exactly what we do in terms of assessment, communications and bypass.

There are certain expectations that were laid down as part of the TTT implementation process that we will be measuring and they are:

  • All Major Trauma Positive patients (MTPOS) should be reported to the Critical Care Desk (CCD) within 10 minutes of completing the primary survey by the first attending EEAST clinician
  • All MTPOS patients should, where possible, have an Enhanced Care Team or Critical Care Paramedic attend on scene
  • All MTPOS declarations will be reported to the Network Coordination service by CCD within 10 minutes of receiving word from the EEAST crews
  • Assuming the patient's airway, breathing and circulation (A,B,C) can be controlled and the travel time is less than 45 minutes, all MTPOS patients will be taken directly to the nearest major trauma centre
  • If the travel time is greater than 45 minutes or A,B or C cannot be controlled, the patient will be taken directly to the nearest trauma unit (local general hospital)
  • If an MTPOS patient is greater than 45 minutes travel time or the patient is major trauma negative, but a major trauma centre would still be desired as a triage destination, the crews will call the NCS Consultant to request bypass authority. The NCS Consultant is the only person who can authorise this.

Throughout July, we will be monitoring use of the triage tool, to establish where if any, improvements to the clinical pathway can be made. Communications as we know can at times be testing and so this is one area we will be focusing hard to improve.

In the build up to the trauma awareness month, can all crews ensure they are sighted and familiar with the tool and where possible have a copy of the pocket card on them. These can be sourced via your SLM or local training school.

A PDF version is available to download and print out and can be found on EAST24.

As part of the continuing improvement on trauma care, please also look through the TEMPO (Trauma East Manual of Procedures and Operations) Guidance on Regional trauma interventions and how this is being coordinated as a consistent regional approach to trauma care.

Published 15th June, 2017

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