​​​​​​​​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
  • Standard operating procedure for on‐call advice to regional pre‐hospital trauma service - Tri-Network
  • Pre‐hospital flow of paediatric patients - Tri-Network
  • Pre hospital triage criteria for burn patient destinations - Tri-Network
  • Musculoskeletal trauma 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
  • North West Ambulance Service Burns Pathway adult & paeds - NWM&NW
  • ​EMAS Pain Management SOP V2.0 - CETN
  • EMAS Triage Tool - CETN

Emergency Department


  • TU / LEH to MTC hyperacute (delayed primary) transfer policy (Aug 18) - Tri-Network (exc Wales)
  • NORSE guide to making non-hyperacute referrals - BBCH&W
  • TAAS assistance in TU/LEH to MTC transfers - CETN
  • 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
  • EMAS Major Trauma SOP for Primary patient transfers - CETN
  • CETN Major Trauma Secondary Transfer Referral to UHCW - CETN
  • MERIT 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
  • BOAST 4 - Management of severe lower limb fractures - Tri-Network
  • BOAST 10 - Compartment syndrome - Tri-Network


  • Traumatic Spinal Cord Injury Best Practice Guide Tri-Network
  • RISCI Weaning guidelines for spinal cord injured patients in critical care units - Tri-Network
  • Adult Traumatic Spinal Cord Injury Pathway - CETN
  • Weaning guidelines for spinal cord injured patients in North Wales Critical Care Units - NWM&NW
  • National Spinal Cord Injury Strategy Board protocols for the initial management of adults with SCI's - Tri-Network
  • BOAST 8 - Management of traumatic spinal cord injury - Tri-Network


  • 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 




  • Central England Trauma Unit burns poster v4 - CETN


  • West Midlands protocol for severe hypothermia - Tri-Network



  • All Wales policy and procedure for transfer of blood and blood components between hospitals - NWM&NW
  • Blood to scene - Tri-Network
  • Anticoagulant drugs (NOAC's) - Tri-Network
  • EMRTS Blood Product Information -NWM&NW



  • Tetanus prophylaxis for adults and paediatrics - Tri-Network
  • Thromboprophylaxis Guidelines - BBCH&W
  • Management of Bloodborne Virus risk in bomb blast victims - Tri-Network
  • Antimicrobial prophylaxis guidance for bomb blast victims - Tri-Network


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

Care closer to home

  • Generic Pathway Principles - Tri-Network
  • Central England specific & CCTH checklist -CETN, 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.