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Abstract
In response to recent reports questioning the adequacy of management of major trauma
in the United Kingdom, the routine for handling such emergencies in one district general
hospital was examined. Deficiencies in the current system of management were identified
and are described. In order to improve the standard of care a protocol for the assessment
and resuscitation of the seriously injured was devised.
This protocol provided for the formation of a Trauma Team and laid down guidelines
as to the severity of injury that required the attendance of this team. In addition,
a new form of documentation was designed to facilitate the recording of injuries,
resuscitation measures required and physiological parameters. This documentation is
described in detail.
These measures have been favourably received by medical and nursing staff and have
stimulated interest in the management of major injuries.
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References
- The evolution of trauma care in the United Kingdom.Injury. 1989; 20: 317
- The Ruscoe Clarke Memorial Lecture.Injury. 1987; 18: 373
- Systems of trauma care.Arch. Surg. 1979; 114: 455
Article info
Publication history
Accepted:
July 6,
1990
Identification
Copyright
© 1991 Published by Elsevier Inc.
