South East Scotland Major Trauma Guidelines
- 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.
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