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
  • Ambulance criteria for diverting specialist trauma to MTC's - Tri-Network
  • Standard operating procedure for on‐call advice to regional pre‐hospital trauma service - Tri-Network
  • North West Ambulance Service Adult Pathfinder - NWM&NW
  • North West Ambulance Service Paediatric Pathfinder - NWM&NW
  • North West Ambulance Service Burns Pathfinder - NWM&NW
  • East Midlands Triage Tool - CETN
  • Main pre‐hospital flow of paediatric patients - Tri-Network
  • SaTH specific pre-hospital flow of non-MTC patients - NWM&NW
  • EMAS Pain Management SOP V1.0 - CETN
  • OSOP MTC Bypass EMRTS v4 - NWM&NW
  • Pre hospita triage criteria for burn patient destinations - Tri-Network

Emergency Department


  • TU / LEH to MTC hyperacute (delayed primary) transfer policy (Feb '17) - 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
  • MERIT Inter‐hospital transfers - Tri-Network
  • Network transfer policy - Tri-Network (exc Wales),  Wales

Injury Specific



  • Head Injury NICE guidelines - Tri-Network
  • Adult head injury pathway for Worcester Royal and Alexander Hospital - BBCH&W,  CETN


  • 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
  • Limb compartment pressure measurement - BBCH&W


  • RISCI Weaning guidelines for spinal cord injured patients in critical care units - Tri-Network
  • Adult Traumatic Spinal Cord Injury Pathway v2.4 - CETN
  • Spinal referral poster - NWM&NW
  • 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


  • Management of rib fractures - CETN



  • Central England Trauma Unit burns poster v3.1 - CETN
  • Midland Burn Network Website - 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 Blood Borne Viruses - Tri-Network


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

Care closer to home

The trauma handbook has now been split into it's component documents, so that you will always have access to the most up-to-date version.  If a document exists, it will be hyperlinked to the relevant network, or tri-network if all 3.