Northern Trauma System Regional Conference 2014

1. Northern Trauma System Regional Conference 2014 High quality trauma care from ‘Roadside to Recovery’

2. Map of region North of region Trauma Network MTC – RVI TU WGH - Wansbeck NTGH - North Tyneside STGH - South Tyneside QEH – Gateshead SRI – Sunderland UHND – Durham Cumberland infirmary South of region Trauma Network MTC – JCUH TU NTUH - North Tees DMH - Darlington RVI JCUH

3. NTS-CAG Trauma Triage ToolGo – Live date April 1st 2012

4. Change in Receiving Hospital Trauma Workload Pre and Post Trauma Triage April to September

5. Network Ws Score

6. 2014-15 • Network: hosting the Operational Delivery Network • Pre hospital/ hospital Care: • STOP the bleeding campaign; Management of Traumatic haemorrhagic Shock • Continue to develop protocols and checklists • Rehabilitation: Excellent review done April 2013 with recommendations. Its time for action!! • Education, education, education…………….

7. The multidisciplinary Task Force forAdvanced Bleeding Care in Trauma wasformed in 2005 • Search • Treat • Observe • Prevent The bleeding!! Recommendation 1 We recommend that the time elapsed between injury and operation be minimised for patients in need of urgent surgical bleeding control. (Grade 1A) Spahn et el: Management of bleeding and coagulopathy followingmajor trauma: an updated European guideline Critical Care 2013, 17:R76

9. Questions

10. Summary ‘train hard fight easy’

11. Tees Valley and North Yorkshire Major Trauma Network Clinical Director – Mr Andy Port Trauma Lead – Dr Phil Godfrey

12. NEAS NWAS YAS

13. TARN admissions 2013

14. Major Trauma Centre services • ISS>8 – approx. 550 admissions per year • ISS>15 – approx. 250 admissions per year • Adult and paediatric • Single site for acute surgical services • Neuro • Cardio • Plastics • Ortho P&A / LL recon • Max fax • Spinal • 24/7 ground level helipad at ED entrance • Daily MDT major trauma ward round • On-site regional spinal cord injury centre

16. Mechanism ISS>15

17. Monthly admissions ISS>8

19. Network strengths • MDT case reviews/M&M • Network meetings • Honorary contracts for ED cons at MTC • TU peer reviews - NTS executive team • Regional governance system • PHEM training • Senior clinical engagement at MTC • Daily MDT ward rounds • Multidisciplinary case review • Simulation, education and research • Strong military links • Spinal cord injury centre • TARN data

20. Northern Trauma system Karen Portas Northern Clinical Networks and Senate / March 2014

21. Northern Trauma System

22. Recent achievements • Peer Review of Trauma Units • Identified good practice • Areas needing support or further input • Focus work programme for next year • Rehabilitation • Working group • Recommendations from regional report • Working with other clinical networks NHS | Presentation to Northern Trauma Network Conference] | 28 March 2014

23. Plans for 2014 • Standardising… • Pathways, protocols, documentation e.g. ATMIST, MHP, Trauma document • Improving support for TARN • Co-ordinators meeting joint with CAG • Risk register • Rehabilitation • Website NHS | Presentation to Northern Trauma Network Conference] | 28 March 2014

24. How to get involved • Clinical Advisory Group • Education and awareness • Clinical consensus on regional issues • Case reviews – incidents • Data review/discussion NHS | Presentation to Northern Trauma Network Conference] | 28 March 2014