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

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

3. NTS-CAG Trauma Triage Tool Go – Live date April 1 st 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 Network: hosting the Operational Delivery Network Pre hospital/ hospital Care: 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!! Rehabilitation: Excellent review done April 2013 with recommendations. Its time for action!! Education, education, education……………. Education, education, education…………….

7. The multidisciplinary Task Force for Advanced Bleeding Care in Trauma was formed in 2005 S earch S earch T reat T reat O bserve O bserve P revent P revent 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. Clinical Director – Mr Andy Port Trauma Lead – Dr Phil Godfrey

12. NEAS YAS NWAS

13. TARN admissions 2013

14. ISS>8 – approx. 550 admissions per year ISS>8 – approx. 550 admissions per year ISS>15 – approx. 250 admissions per year ISS>15 – approx. 250 admissions per year Adult and paediatric Adult and paediatric Single site for acute surgical services 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 24/7 ground level helipad at ED entrance Daily MDT major trauma ward round Daily MDT major trauma ward round On-site regional spinal cord injury centre On-site regional spinal cord injury centre Major Trauma Centre services

15. MTC03 - Proportion of patients meeting NICE head injury guidelines that receive CT scan within 60 minutes of arrival at MTC MTC04 - MTCs deliver definitive cover of open fractures within BOAST 4 guidelines MTC 06 - MTCs deliver consultant led trauma teams ON ARRIVAL for patients with an ISS greater than 15 MTC 10 - Proportion of patients with GCS <9 with definitive airway management within 30 minutes of arrival in ED

16. Mechanism ISS>15

17. Monthly admissions ISS>8

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

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

21. NTS Exec Group MTC RVI Wansbeck Sunderland Carlisle Durham Gateshead N. Tyneside S. Tyneside MTC James Cook North Tees North tees Darlington NTS CAG Northern Trauma System

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

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

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