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Major trauma: service delivery [NG40]

Measuring the use of this guidance

Recommendation: 1.1.1

Provide a pre‑hospital major trauma triage tool to differentiate between patients who should be taken to a major trauma centre and those who should be taken to a trauma unit for definitive management.

What was measured: Proportion of people aged 16-59 with major trauma who “triage positive” (trigger a primary transfer from the site of injury to a Major Trauma Centre based on the ambulance service tool to identify major trauma patients).
Data collection end: December 2014
40%
Area covered: England and Wales
Source: The Trauma Audit and Research Network. Major Trauma In Older People.

What was measured: Proportion of people aged 60-69 with major trauma who “triage positive” (trigger a primary transfer from the site of injury to a Major Trauma Centre based on the ambulance service tool to identify major trauma patients).
Data collection end: December 2014
27%
Area covered: England and Wales
Source: The Trauma Audit and Research Network. Major Trauma In Older People.

What was measured: Proportion of people aged 70-79 with major trauma who “triage positive” (trigger a primary transfer from the site of injury to a Major Trauma Centre based on the ambulance service tool to identify major trauma patients).
Data collection end: December 2014
19%
Area covered: England and Wales
Source: The Trauma Audit and Research Network. Major Trauma In Older People.

What was measured: Proportion of people aged 80-89 with major trauma who “triage positive” (trigger a primary transfer from the site of injury to a Major Trauma Centre based on the ambulance service tool to identify major trauma patients).
Data collection end: December 2014
12%
Area covered: England and Wales
Source: The Trauma Audit and Research Network. Major Trauma In Older People.

What was measured: Proportion of people aged 90+ with major trauma who “triage positive” (trigger a primary transfer from the site of injury to a Major Trauma Centre based on the ambulance service tool to identify major trauma patients).
Data collection end: December 2014
8%
Area covered: England and Wales
Source: The Trauma Audit and Research Network. Major Trauma In Older People.


Recommendation: 1.3.3

Ensure that a senior nurse or trauma team leader receives the pre‑alert information and determines the level of trauma team response according to agreed and written local guidelines.

What was measured: Proportion of people aged 16-59 “triage positive” where the trauma centre was pre alerted.
Data collection end: December 2014
62%
Area covered: England and Wales
Source: The Trauma Audit and Research Network. Major Trauma In Older People.

What was measured: Proportion of people aged 60-69 “triage positive” where the trauma centre was pre alerted.
Data collection end: December 2014
49%
Area covered: England and Wales
Source: The Trauma Audit and Research Network. Major Trauma In Older People.

What was measured: Proportion of people aged 70-79 “triage positive” where the trauma centre was pre alerted.
Data collection end: December 2014
38%
Area covered: England and Wales
Source: The Trauma Audit and Research Network. Major Trauma In Older People.

What was measured: Proportion of people aged 80-89 “triage positive” where the trauma centre was pre alerted.
Data collection end: December 2014
25%
Area covered: England and Wales
Source: The Trauma Audit and Research Network. Major Trauma In Older People.

What was measured: Proportion of people aged 90+ “triage positive” where the trauma centre was pre alerted.
Data collection end: December 2014
19%
Area covered: England and Wales
Source: The Trauma Audit and Research Network. Major Trauma In Older People.



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