1. The Trauma Centre Kelvin Wright, Consultant Critical Care & Emergency Medicine Frimley Park Hospital NHS Trust

2. Demographics District General Hospital 95 000 ED attendances per year 25 TARN cases per month 12 bedded General ICU 45 minutes by road from a MTC No helipad (yet!) No Neurosurgery, PICU, Cardiothoracics

3. The early days…… NCEPOD report Small working group Trauma Care Delivery Group Anaesthetics/ICU General Surgery Orthopaedics Emergency Medicine Radiology

4. Trauma Care Group - evolved Anaesthetics Intensive Care Emergency Medicine General Surgery Orthopaedics Radiology Medical Director ED nursing representative Rehabilitation team Ambulance service South East Coast South Central

5. Successful projects to date Spine clearance policy Spinal transfer policy (OOH) Massive transfusion policy TARN membership and data submission Network engagement Immediate future Audit Repatriation

6. The Role of the Trauma Centre Bypass protocols should minimize inappropriate cases but…. 0200 hrs – no helicopter Daylight hours – may be limited advanced airway skills in prehospital arena Long pre-hospital transport time to MTC Trauma will still arrive in the DGH

7. Trauma centre service Trauma centre still needs an active trauma receiving system ED should act as a staging post for those cases that require immediate/urgent transfer Some trauma will still be managed locally depending on services at DGH

8. Referral Pathway Single point of access

9. Repatriation Easy return of patients to local DGH

10. Thank you Kelvin D Wright Frimley Park Hospital