Network Guidance

The network trauma guidelines, policies and standing operating procedures are split into relevant component headings, and will always be the most up-to-date versions.

For major trauma centre (MTC) guidance please refer to the Major Trauma Centre website.

      Network and governance

        Pre hospital

PTN Automatic Acceptance Secondary Transfer Guideline

• Pathway 1 - Open Fracture Process 2024 

• Trauma Patient Acceptance and Discussion Guide

• Pathway 2 - Isolated Chest Injury

• Pathway 3 - Isolated Pelvic Ring Injury

• Pathway 4 - Isolated brain injury & does not require intubation and ventilation - contact MTC TTL 01752 437 247

• SWASFT Clinical Guideline 05: ATMIST and Pre-Alerts 

• SWASFT Clinical guideline 17: Pelvic Injury 

• SWASFT Clinical Guideline 24: Accessing Trauma Services  (Revised tool in operation from 06/04/20 07:00am, secure login required)

• SWASFT HCP Guide to Requesting an Ambulance

• SWASFT Major Trauma Triage Tool (Revised tool in operation from 06/04/20 07:00am, secure login required)

• SWAST Patient Group Directive: Tranexamic Acid 

• SW Paediatric Major Trauma Networks Acceptance, Transfer & Repatriation Policy

      Emergency Department

• Emergency Anaesthesia in ED (PTN) V3 2024

• PTN Penetrating Chest Wall Injury Traumatic Cardiac Arrest and Resuscitative Thoracotomy Guidelines - V3 2022

• Trauma Team Activation Guideline v5.4

       Transfers

• Guidelines for the Inter and Intra-Hospital Transfer of Critically Ill Adult Patients 

• DAA Inter Hospital Transfer Policy

• Retrieve Adult Transfer Service                                                                            Retrieve Guidelines

• Wales & West Acute Transport for Children (WATCh)                                          WATCh Guidelines

• SCI Patient Transfer 

      Injury Specific

      Abdomen

• Blunt Abdominal Trauma Policy

       Head

• PTN Traumatic Brain Injury Guidelines v8

• Severe Head Injury in Children: Guideline for the Initial Management & Transfer

       Limbs

• PTN Compartment Syndrome Policy

• Open Fracture Guideline 

       Pelvis 

• PTN - Pelvic Injuries Guideline V5

• Pelvic Referral Form UHP 2023

       Spine

• Multiprofessional Spinal Cord Injury Care Plan

• Spinal Cord Injury Care Pathway

• Spinal Injury Standards

       Thoracic

• PTN Clinical Guidelines - Chest Wall Injuries V3.4 Finalised

• Paediatric Chest Injury Drainage Thoracotomy Guideline 

        Vascular

• PTN Vascular Guidelines V4

        Specialised

        Burns

• PTN Burns Policy V4 2023

• SW Burns Guideline for Managing Electrical Injury

• Small Paediatric Burns Referral Criteria                         (Please refer to South West UK Burns Network Website for full guidance)

       Care Closer to home

• Major Trauma Network to Network Repatriation National Agreement

• Kernow & Devon CCG Peninsula Repatriation Policy 2019 (Please log in to view)

        Emergency Planning

• Clinical Guidelines for use in a Major Incident v2 2020 (B0128) 

       Frailty

• PenFTC Standards V1.0
• PENFTC Frailty CT Guidelines V1.1

       Haematology

• PTN Massive Haemorrhage Policy v4.1

        Paediatrics

• Paediatric Major Trauma Patient Criteria 

• Paediatric Button Battery Ingestion Guideline 2021

• Paediatric Major Haemorrhage Guideline 

• Paediatric Chest Injury Drainage Thoracotomy Guideline 2021

• Paediatric Drowning Guidelines 2021

•  Major Paediatric Trauma Radiology Guidance - Royal College of Radiologists

• Paediatric Head Injury Guideline for initial Management and Transfer v4.2 2021

• Small Paediatric Burns Referral Criteria 

• Paediatric MajorTrauma Referral Acceptance Transfer And RepatriationPolicy

• SW Paediatric Major Trauma Network Radiology Policy V1.1 2021

• SW Paediatric Major Trauma Network Safeguarding Policy V1.1 2021

• Isolated Open Upper Limb Trauma in Children and Young People 16yrs

       Radiology

• Royal College of Radiologists: Trauma Standards of Practice and Guidance for Trauma Radiology in Severely Injured Patients-Adults

• Interventional Radiology SOP 

• Royal College of Radiologists - Paediatric Trauma Protocols

• SW Paediatric Major Trauma Network Radiology Policy

•  Adult Trauma CT SOP 

• TARN Friendly Radiology Reporting Crib Sheet for Radiologists

            Image Transfer SOPs (All Docx apart from RDUHN & UHP)

• North Devon District Hospital SOP for Transferring Images of Trauma Patients to Major Trauma Centres

• Royal Cornwall Hospital: Sharing Images OOH emergency and  Royal Cornwall Hospital IEP Transfer Out of Hours Guide

• Royal Devon & Exeter Hospital: PACS - Referring Images (Insignia 8.2)

• Torbay & South Devon Hospital: Trauma Image Sharing and Torbay & South Devon Hospital: Image Share Guide

• University Hospitals Bristol (for Bristol Childrens Hospital): PTN Image Sharing

• University Hospitals Plymouth - Trauma Image Sharing (Green Man Sharing) Procedure for Plymouth v4_3 May 2020

       Rehabilitation

• Rehabilitation Standards

     

      (All policies are in PDF format unless stated otherwise)                                                                  Last updated: 15th May 2023