This guideline covers the rapid identification and early management of major trauma in pre‑hospital and hospital settings, including ambulance services, emergency departments, major trauma centres and trauma units. It aims to reduce deaths and disabilities in people with serious injuries by improving the quality of their immediate care. It does not cover care for people with burns.

The guideline should be read alongside the NICE guidelines on major trauma: service deliveryspinal injurycomplex fractures and fractures.

Who is it for?

  • Healthcare professionals and practitioners who provide care for people with major trauma in pre-hospital and hospital settings

  • People with major trauma, their families and carers

  • National Institute for Health and Care Excellence (NICE)