​​​​​​​​Network and governance

Pre hospital

  • West Midlands Ambulance Service Major Trauma triage tool (updated Oct 2021)- Tri-Network
  • West Midlands Ambulance Service Regional Trauma Desk contact numbers - Tri-Network
  • Silver Trauma Safety Net Tool - Tri-Network
  • Standard operating procedure for on‐call advice to regional pre‐hospital trauma service - Tri-Network
  • Pre‐hospital flow of paediatric patients - Tri-Network
  • WMAS only triage criteria for burn patient destinations - Tri-Network  (for East & West Midlands referral pathway go to Burns Section on 'Home' page)
  • Open fractures / musculoskeletal trauma injury diverts to MTCTri-Network
  • Hand trauma diverts to MTCTri-Network
  • Eye trauma diverts to MTCTri-Network
  • North West Ambulance Service Adult Pathfinder - NWM&NW
  • North West Ambulance Service Paediatric Pathfinder -NWM&NW​​​
  • EMAS Triage Tool - CETN
  • Pre-Hospital Tourniquet Use - Tri-Network

Emergency Department


  • TU & LEH TO MTC: Life + Limb Threatening Transfer policy for Adults & Paeds - Tri-Network (exc Wales)
  • NORSE guide to making non-hyperacute referrals - BBCH&W
  • TAAS assistance in TU/LEH to MTC transfers - CETN & transfer request formCETN
  • EMAS Major Trauma SOP For Secondary Transfers - CETN
  • EMAS Major Trauma Care Pathway for secondary transfers - CETN
  • Regional Transfers into Neurosurgery at QEHB - BBCH&W 
  • Referral and Transfer of Trauma Patients into RSUH Major Trauma Centre SOP v1 - NWM&NW
  • EMAS Major Trauma SOP for Primary patient transfers - CETN
  • CETN Major Trauma Secondary Transfer Referral to UHCW - CETN
  • WMAS SOP for Inter‐hospital transfers - Tri-Network
  • Network Critical Care transfer policy (exc Wales) currently under review,  Wales

Injury Specific



  • BOAST 3 - Pelvic and acetabular fracture management - Tri-Network (online version)
  • BOAST 4 - Management of open fractures - Tri-Network (online version)
  • BOAST 10 - Compartment syndrome - Tri-Network (online version)
  • Open fractures / musculoskeletal trauma injury diverts to MTC - Tri-Network
  • Hand trauma diverts to MTC - Tri-Network


  • Adult & Paediatric Traumatic Spinal Cord Injury Best Practice Guide Tri-Network
  • RISCI Weaning guidelines for spinal cord injured patients in critical care units - Tri-Network (online version)
  • Adult Traumatic Spinal Cord Injury Pathway - CETN
  • Nat. Spinal Cord Injury Strategy Board protocols for the initial management of adults with SCI's - Tri-Network (online version)
  • BOAST 8 - Management of traumatic spinal cord injury - Tri-Network (online version)​


  • Blunt Chest Trauma - Rib Fracture Management  - Tri-Network

  • Penetrating Cardiac Injury - Tri-Network
  • Guidelines for aftercare following a successful resuscitative thoracotomy in a trauma unit - NWM&NW 
  • Stoke-on-Trent Thoracic Assessment Referral & Transfer Pathway - TU/LEH version - NWM&NW




  • West Midlands protocol for severe hypothermia - Tri-Network



  • All Wales policy and procedure for transfer of blood and blood components between hospitals - NWM&NW - still latest version Apr21
  • Blood to scene - Tri-Network 
  • EMRTS Blood Product Information -NWM&NW


  • Radiology Reporting Standards 2nd edition - Tri-Network  (online version)
  • Paediatric Radiology Protocols RCR Publication - Tri-Network (online version)
  • Interventional Radiology in Trauma -Tri-Network


  • Tetanus Guidance - Tri-Network (online version)
  • Thromboprophylaxis Guidelines - BBCH&W
  • Management of Bloodborne Virus risk in bomb blast victims - Tri-Network (online version)
  • Antimicrobial prophylaxis guidance for bomb blast victims - Tri-Network (online version)


  • Rehabilitation teams & pathways - BBCH&W,  CETN,  NWM&NW
  • Birmingham Children's Hospital rehabilitation pathway - Tri-Network
  • National adult rehabilitation prescription - Tri-Network (national document)
  • National paediatric rehabilitation prescriptionTri-Network  (national document)
  • National Rehabilitation Prescription FAQ - Tri Network (national document)
  • BSRM core standards for specialist rehabilitation following major trauma - Tri-Network (national document)


  • Network Repatriation/Reverse Transfer Principles & Escalation Policy -Tri-Network
  • Central England checklist -CETN

The trauma guidelines, polices etc are split into relevant component headings, and will always be the most up-to-date versions.  If a document exists, it will be hyperlinked to the relevant network, or tri-network if all 3.