• For use in ED at Wexham Park Hospital only

• Major Trauma patients may self present

• Triage as normal unless the patient (>16 <65 years) has suffered significant trauma

• Concerning mechanism of injury

• Concerning serious potential injury

• Concerning Observations NEWS >4

If Major Haemorrhage suspected

2222 Adult Code Red Trauma Call + call ED consultant

If >20 weeks pregnant, 2222 Obstetric trauma call

Otherwise, 2222 Adult trauma call

Concerning Mechanism

• Fall > 3m or twice patients height

• Ejected/trapped under vehicle

• Motorcyclist, bicyclist, or pedestrian impact > 20 mph

• High speed Motor Vehicle Collision >40mph or prolonged extrication (entrapment) > 30 mins

• Death of a same vehicle occupant

• Bulls-eye windscreen

• Penetrating trauma

• Large animal incident: Fall, trampled, collision

• Hanging

• Drowning

• Blunt trauma to neck /chest/abdo with pain

• Burn >20% body surface area/inhalation/electrical/ chemical/enclosed with fire

Concerning Potential injuries

1. Airway injury, facial injury, penetrating neck injury, intubated

2. Respiratory failure, pneumothorax, multiple rib fractures, flail chest, haemothorax

3. Shock or clinical suspicion of bleeding

4. GCS motor score of 4 or less, traumatic seizures, pupil abnormalities, brain injury, open or depressed skull fracture

5. Crushed, degloved, mangled, amputated limb, 2 or more fractures of proximal limb, spinal injury

This is a controlled document. If you are using a printed copy, check it against the guidelines site to ensure you are using the latest edition.

Print copies must be destroyed after use.

This guideline has been registered with the Trust. However, clinical guidelines are guidelines only. The interpretation and application of clinical guidelines will remain the responsibility of the individual clinician. If in doubt, contact a senior colleague or expert. Caution is advised when using guidelines after the review date.

This guideline is for use in Frimley Health NHS Foundation Trust hospitals only. Any use outside this location will not be supported by the Trust and will be at the risk of the individual using it.

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Related Documents

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