​​​​​​​​Network and governance


Pre hospital

  • West Midlands Ambulance Service Major Trauma triage tool - Tri-Network
  • West Midlands Ambulance Service Regional Trauma Desk contact numbers - Tri-Network
  • Silver Trauma Safety Net Tool - 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)
  • Hand trauma diverts to MTCTri-Network​​​
  • EMAS Triage Tool - CETN 
  • Pre-Hospital Tourniquet Use - Tri-Network
  • Criteria for diverting specialist trauma to MTCs - Tri-Network


Emergency Department

  • Trauma Team Activation - Tri-Network
  • Adult & Paediatric Major Haemorrhage in Trauma Guidelines & Flowcharts- Tri-Network
  • Traumatic Cardiac Arrest - Tri-Network 
  • ED Resuscitative thoracotomy - Tri-Network
  • Emergency Anaesthesia in the Emergency Department - Tri-Network
  • Emergency Surgical Airway - Tri-Network
  • TXA IV infusion for Paediatrics - Tri-Network 
  • Chest drain insertion - Tri-Network 
  • Blood to Scene - "New policy pending"
  • Vascular emergencies in an LEH / TU - CETN 
  • QEHB "Code Red" Activation - BBCH&W 
  • Major Trauma in Pregnancy - Tri-Network 
  • ​Bariatric Trauma Patient - Reception to Discharge + Equipment List - Tri-Network


Transfers

  • 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 (under review Aug24)
  • TAAS assistance in TU/LEH to MTC transfers - CETN 
  • Regional Transfers into Neurosurgery at QEHB - BBCH&W  (under review Aug24)
  • Referral and Transfer of Trauma Patients into RSUH Major Trauma Centre SOP v2 - NWM&NW 
  • CETN Major Trauma Secondary Transfer Referral to UHCW - CETN
  • WMAS SOP for Inter‐hospital transfers - Tri-Network


Injury Specific
Abdomen


Head

  • Severe Traumatic Brain Injury - Tri-Network 
  • Head Injury NICE guidelines - Tri-Network (online version)
  • Adult Isolated head injury pathway for trauma patients in Worcester Acute Hospitals - under review May 2024
  • CETN Neurosurgery - CETN


Limbs

  • 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 referral guideline for CETN units - CETN
  • Open fractures referral pathway for NWM&NW units - NWM&NW


Spine

  • 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)​


Thoracic

  • 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 


Vascular


Specialised

ECMO

  • West Midlands protocol for severe hypothermia - Tri-Network


Paediatrics


Haematology


Radiology

  • Major adult trauma radiology guidance RCR - Tri-Network (online version)
  • Paediatric trauma protocols RCR - Tri-Network (online version)
  • Interventional Radiology in Trauma -Tri-Network

​​
Drugs

  • Tetanus Guidance - Tri-Network (online version)
  • 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

  • Rehabilitation teams & pathways - BBCH&W,  CETN, (under review Aug24)  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)


Repatriation

  • 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.