The effect of regional trauma networks on paediatric trauma care in an integrated adult service

The system of trauma care has been revolutionised over the last decade with the introduction of major trauma networks across the United Kingdom and the development of subspecialist national training in pre-hospital emergency medicine. Pre-hospital care providers feed trauma patients into trauma units or major trauma centres depending upon the severity of their injuries and their stability for a potentially longer primary transfer to access specialist major trauma services. Trauma services are continually adapting and improving with the introduction of more advanced techniques into the pre-hospital arena are on the horizon, enabling trauma patients to receive more specialised treatment from medical professionals earlier after injury; this article will discuss some of the recent developments within pre-hospital emergency medicine, in-hospital trauma care and on into the intensive care unit, and how this has led to improved outcomes.

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Improving major trauma care outside tertiary centres: development and implementation of a statewide paediatric trauma education programme

Emergency Medicine Australasia ◽

10.1111/j.1742-6723.2008.01075.x ◽

2008 ◽

Vol 20 (2) ◽

pp. 185-186 ◽

Cited By ~ 1

Author(s):

Catherine Bevan ◽

Clara Officer ◽

Franz E Babl

Keyword(s):

Trauma Care ◽

Major Trauma ◽

Education Programme ◽

Paediatric Trauma ◽

Trauma Education

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Paediatric trauma and trauma care in Flanders (Belgium). Methodology and first descriptive results of the PENTA registry

European Journal of Pediatrics ◽

10.1007/s00431-007-0660-3 ◽

2008 ◽

Vol 167 (11) ◽

pp. 1239-1249 ◽

Cited By ~ 7

Author(s):

Patrick Van de Voorde ◽

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Marc Sabbe ◽

Paul Calle ◽

Emmanuel Lesaffre ◽

...

Keyword(s):

Trauma Care ◽

Paediatric Trauma

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The challenges of pre-hospital paediatric trauma care

Journal of Paramedic Practice ◽

10.12968/jpar.2014.6.1.18 ◽

2014 ◽

Vol 6 (1) ◽

pp. 18-20 ◽

Cited By ~ 1

Author(s):

Paul Reavley

Keyword(s):

Trauma Care ◽

Paediatric Trauma

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Damage control – trauma care in the first hour and beyond: a clinical review of relevant developments in the field of trauma care

Annals of The Royal College of Surgeons of England ◽

10.1308/003588413x13511609958253 ◽

2013 ◽

Vol 95 (3) ◽

pp. 177-183 ◽

Cited By ~ 18

Author(s):

AE Sharrock ◽

M Midwinter

Keyword(s):

Trauma Care ◽

Damage Control ◽

Damage Control Surgery ◽

Management Plan ◽

Ovid Medline ◽

Patient Will ◽

Trauma Networks ◽

Haemorrhage Control ◽

The Individual ◽

The Uk

Introduction Trauma provision in the UK is a topic of interest. Regional trauma networks and centres are evolving and research is blossoming, but what bearing does all this have on the care that is delivered to the individual patient? This article aims to provide an overview of key research concepts in the field of trauma care, to guide the clinician in decision making in the management of major trauma. Methods The Ovid MEDLINE®, EMBASE™ and PubMed databases were used to search for relevant articles on haemorrhage control, damage control resuscitation and its exceptions, massive transfusion protocols, prevention and correction of coagulopathy, acidosis and hypothermia, and damage-control surgery. Findings A wealth of research is available and a broad range has been reviewed to summarise significant developments in trauma care. Research has been categorised into disciplines and it is hoped that by considering each, a tailored management plan for the individual trauma patient will evolve, potentially improving patient outcome.

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