In the United Kingdom, trauma kills approximately 16,000 people per year1 and is the leading cause of death in those aged under 40.2 NHS choice defines major trauma as multiple, serious injuries that could result in disability or death. Seriously injured patients (SIPs) describe patients who have suffered from a major trauma (multiple traumatic injuries). This is measured on a scale known as the Injury Severity Score (ISS) which scores injuries from 1 to 75, the latter being the most serious. Patients who have an...

Standards The standards are taken from Royal College of Radiology, Standards of practice and guidance for trauma radiology in the severly injured patients 9. Fig. 1 100% compliance with all standards. This is the expectation for all departments whether MTC or TU. Methods The RCR sent a survey to all Radiology Departments in the United Kingdom and Northern Ireland in a hospital with an Emergency Department. The audit was divided into 2 sections: Section 1 asked about the configuration of radiology department, number of patients...

Formalised Major Trauma Networks (MTN) are a relatively new service configuration in England and Wales and are still being formalised in Scotland and Norther Ireland. Currently we are not meeting the standards set out by the RCR guidelines. This is for a combination of infrastructure and human factors. Our recommendations are for changes that do not require major building or service changes and should therefore, be possible to implement. The configuration and services available in departments does not meet the standards. Many ED and Radiology...

Dr Rebecca Greenhalgh MBBS FRCR. Consultant Radiologist. North West London Healthcare Universities NHS Trust, London, UK. Member of Royal College of Radiologists Clinical Radiology Audit Committee Mr Karl Drinkwater. Audit andQuality ImprovementOfficer. Royal College of Radiologists, London, UK Prof David Howlett MBBS PhD FAcadMEd FRCP FRCR. Consultant Radiologist. East Sussex Healthcare NHS Trust, Eastbourne, UK. Honary Clinical Professor Radiology, Brighton and Sussex Medial School, Brighton, UK.Chairman of Royal College of Radiologists Clinical Radiology Audit Committee

Office for National Statistics. Mortality statistics. Injury and poisoning. Review of the Registrar General on deaths attributed to injury and poisoning in England and Wales, 2004. London: HMSO; 2006. NCEPOD. Trauma: Who cares? London: National Confidential Enquiry into Patient Outcome and Death, 2007. Injury, Volume 36, Issue 6, Pages 691-709. Pathophysiology of polytrauma - Keel, M. & Trentz O. http://www.boa.ac.uk/wp-content/uploads/2016/09/Major-Trauma-Centres-what-they-mean-for-patients-and-next-of-kin-Sept-2016.pdf. http://www.traumacare.scot/. http://www.airambulanceni.org/. Ann Surg. 2016 Jul;264(1):188-94. The Impact of a Pan-regional Inclusive Trauma System on Quality of Care. Cole E, Lecky F, West A, Smith...