Devising and implementing an education strategy for therapists working within the major trauma network

Introduction Fractures of the pelvis and acetabulum (PAFs) are challenging injuries, requiring specialist surgical input. Since implementation of the major trauma network in England in 2012, little has been published regarding the available services, workforce organisation and burden of PAF workload. The aim of this study was to assess the recent trends in volume of PAF workload, evaluate the provision of specialist care, and identify variation in available resources, staffing and training opportunity. Methods Data on PAF volume, operative caseload, route of admission and time to surgery were requested from the Trauma Audit and Research Network. In order to evaluate current workforce provision and services, an online survey was distributed to individuals known to provide PAF care at each of the 22 major trauma centres (MTCs). Results From 2013 to 2019, 23,823 patients with PAF were admitted to MTCs in England, of whom 12,480 (52%) underwent operative intervention. On average, there are 3,971 MTC PAF admissions and 2,080 operative fixations each year. There has been an increase in admissions and cases treated operatively since 2013. Three-quarters (78%) of patients present directly to the MTC while 22% are referred from regional trauma units. Annually, there are on average 37 operatively managed PAF injuries per million population. Notwithstanding regional differences in case volume, the average number of annual PAF operative cases per surgeon in England is 30. There is significant variation in frequency of surgeon availability. There is also variation in rota organisation regarding consistent specialist surgeon availability. Conclusions This article describes the provision of PAF services since the reorganisation of trauma services in England. Future service development should take into account the current distribution of activity, future trends for increased volume and casemix, and the need for a PAF registry.

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The impact of the Major Trauma Network: will trauma units continue to treat complex foot and ankle injuries?

Injury ◽

10.1016/j.injury.2014.07.005 ◽

2014 ◽

Vol 45 (12) ◽

pp. 2005-2008 ◽

Cited By ~ 1

Author(s):

A.G.C. Hay-David ◽

S.A. Clint ◽

R.R. Brown

Keyword(s):

Major Trauma ◽

Ankle Injuries ◽

Trauma Network ◽

Foot And Ankle ◽

The Impact

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What effect has the major trauma network had on perceptions of trauma care delivery amongst trauma teams in major trauma centres and neighbouring trauma units?

European Journal of Trauma and Emergency Surgery ◽

10.1007/s00068-019-01206-1 ◽

2019 ◽

Author(s):

Syed Bokhari ◽

Nayef Aslam-Pervez ◽

Osman Riaz ◽

Zain Sadozai ◽

Manjit Bhamra ◽

...

Keyword(s):

Trauma Care ◽

Major Trauma ◽

Care Delivery ◽

Trauma Network ◽

Trauma Centres ◽

Trauma Teams

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Bentley, Robert Paul, (born 16 Feb. 1963), Consultant Craniofacial Surgeon, since 2000, Clinical Director for Major Trauma, since 2007 and Clinical Director for Surgery, since 2013, King’s College Hospital; Clinical Director for South East London, Kent and Medway Major Trauma Network, since 2013

10.1093/ww/9780199540884.013.u283371 ◽

2015 ◽

Keyword(s):

Major Trauma ◽

Trauma Network ◽

College Hospital ◽

King's College ◽

Clinical Director

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Major trauma network could save up to 40 lives a year

Emergency Nurse ◽

10.7748/en2014.04.22.2.7.s7 ◽

2014 ◽

Vol 22 (2) ◽

pp. 7-7

Author(s):

Nick Lipley

Keyword(s):

Major Trauma ◽

Trauma Network

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The London Major Trauma Network System: A Literature Review

Cureus ◽

10.7759/cureus.12000 ◽

2020 ◽

Author(s):

Mohammad Waseem Beeharry ◽

Komal Moqeem

Keyword(s):

Literature Review ◽

Major Trauma ◽

Trauma Network ◽

Network System ◽

System A

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Letter to the Editor regarding the article: "identifying pre-hospital factors associated with outcome for major trauma patients in a regional trauma network: an exploratory study"

Scandinavian Journal of Trauma Resuscitation and Emergency Medicine ◽

10.1186/s13049-017-0454-1 ◽

2017 ◽

Vol 25 (1) ◽

Cited By ~ 1

Author(s):

Charlie A. Sewalt ◽

Eveline J. A. Wiegers ◽

Esmee Venema ◽

Hester F. Lingsma

Keyword(s):

Exploratory Study ◽

Major Trauma ◽

Trauma Network ◽

Trauma Patients ◽

Factors Associated ◽

Letter To The Editor ◽

Hospital Factors

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The sensitivity of pre-hospital and in-hospital tools for the identification of major trauma patients presenting to a major trauma centre.

Journal of The Royal Naval Medical Service ◽

10.1136/jrnms-99-16 ◽

2013 ◽

Vol 99 (1) ◽

pp. 16-19

Author(s):

D Potter ◽

A Kehoe ◽

JE Smith

Keyword(s):

Major Trauma ◽

Injury Severity ◽

Trauma Centre ◽

Research Network ◽

Trauma Network ◽

Trauma Patients ◽

Major Trauma Centre ◽

Injury Assessment ◽

Trauma Response ◽

Retrospective Database

AbstractThe identification of major trauma patients before arrival in hospital allows the activation of an appropriate trauma response. The Wessex triage tool (WTT) uses a combination of anatomical injury assessment and physiological criteria to identify patients with major trauma suitable for triage direct to a major trauma centre (MTC), and has been adopted by the South-West Peninsula Trauma Network (PTN). A retrospective database review, using the Trauma Audit Research Network (TARN) database, was undertaken to identify a population of patients presenting to Derriford Hospital with an injury severity score (ISS) > 15. The WTT was then applied to this population to identify the sensitivity of the tool. The sensitivity of the WTT at identifying patients with an ISS>15 was 53%. One of the reasons for this finding was that elderly patients who are defined as having major trauma due to the nature of their injuries, but who did not have a mechanism to suggest they had sustained major trauma (such as a fall from standing height), were not identified by these triage tools. The implications of this are discussed.

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