South East Scotland Major Trauma Guidelines
- Patients who have suffered significant trauma are assessed by the Scottish Ambulance Service (SAS) using the SAS Trauma Triage Tool (SASTTT).
- Patients with major trauma (injury severity score (ISS) >15) are notified to the receiving hospital (pre-alert).
- Patients who are triaged as requiring MTC care are taken directly to an MTC if they are within 45 minutes’ travel time.
- Patients with major trauma (ISS >15) that are taken to an MTC are received by a consultant led trauma team.
- Patients with major trauma (ISS >15) that 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 ≤ four hours from time of call (to arrange transfer) to SAS to departure.
- Patients who have sustained a head injury with a GCS <13 (or are intubated) have a computerised tomography (CT) scan within one 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 an open long bone fracture will receive intravenous (IV) antibiotics within 3 hours of first contact with emergency services.
- Trauma patients with severe haemorrhage should be given tranexamic acid (TXA) within 3 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 (MTS)
- Major trauma patients admitted to an MTC have a rehabilitation plan (RP) written.
- Major trauma patients admitted to an MTC, who have a RP, have it written within 3 days of admission.
- Patients who have survived major trauma have their functional outcomes assessed at specific timelines.
- Patients who have suffered significant trauma and are admitted to the MTC, are transferred for further specialist in-patient rehabilitation within two days of being assessed fit for transfer.
- Patients who have suffered significant trauma and are admitted to a major trauma centre (MTC) are transferred to an appropriate hospital to meet their needs, nearer home within 2 days of being assessed as fit for transfer.
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