STAG

South East Scotland Major Trauma Guidelines
NHS Lothian

Contribution to STAG is a fundamental component of trauma care.  STAG data will be reviewed regularly by the STAG consultant lead and fed into the Major Trauma governance process.  This data includes:

  • Survival & outcome.
  • Patient related outcome measures.
  • Key Performance indicators (KPIs).

Please also refer to the Scottish Trauma Audit Group (STAG) website for more information on Governance and KPIs.

 

KPIs

  • Patients who have suffered significant trauma are assessed by the SAS using the SASTTT.
  • Patients who are triaged as requiring MTC care are notified to the receiving hospital (pre-alert).
  • Patients who are triaged as requiring MTC care are taken directly to a MTC if they are within 45 minutes travel time.
  • Patients who are triaged and taken to MTC care are received by a consultant led trauma team.
  • Patients who are triaged to MTC care and are taken to a TU should be seen by a consultant within 60 minutes of arrival.
  • Major Trauma patients who are not taken directly to a MTC and are later transferred to a MTC are transferred within 24 hours.
  • Time to secondary transfer to a MTC for patients who have suffered major trauma (ISS > 15) is minimised to <4 hours from the time of call to SAS departure.
  • Patients who have sustained a head injury with a GCS < 13 (or are intubated) have a CT scan within 1 hour of arrival in first hospital with an ED.
  • Patients who have sustained a head injury with a GCS < 13 have a CT scan written report available within one hour of the CT scan.
  • Patients who have sustained a head injury with a GCS 13-14 have a CT scan within 1 hour of arrival in first hospital with an ED or within 3 hours of injury.
  • Patients who have sustained a head injury with a GCS 13-14 have a CT scan written report available within one hour of the CT scan.
  • Patients who have suffered a severe head injury are managed in a MTC.
  • Patients with a severe open long bone fracture will receive intravenous antibiotics within 3 hours of arrival.
  • Trauma patients with severe haemorrhage should be given Tranexamic Acid within three hours of first contact with emergency services.
  • Patients who have suffered major trauma and are taken to a MTC, are admitted under the care of a Major Trauma Service.
  • Major trauma patients admitted to a MTC have a rehabilitation plan written.
  • Major trauma patients admitted to a MTC, who have a rehabilitation plan, have it written within 3 days of admission.
  • Patients who have survived major trauma have their functional outcomes assessed as specified time intervals.

Paediatrics

Some key performance indicators differ for paediatric services. Read more about paediatric KPIs.

 

Editorial Information

Last reviewed: 01/09/2021

Next review date: 01/09/2024

Version: 1.0