​​​​​​​​Network and governance

• Operational Delivery Network Structure - Tri-Network
• Midlands Trauma ODN Supra Regional Escalation Framework - Tri-Network
• SOP for reporting issues & incidents to the network office - Tri-Network,or you can complete online at www.mcctn.org.uk/trid.html
• Peer Review Process SOP - Tri-Network
  

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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 MTC - Tri-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

• Blunt and Penetrating Abdominal Trauma - Tri-Network
  

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​

• 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 

Vascular

• Vascular Trauma Guidelines - Tri-Network​
• Vascular Injury Pathway - BBCH&W

Specialised

ECMO

• West Midlands protocol for severe hypothermia - Tri-Network

Paediatrics

• Non-accidental injuries - Tri-Network
  
• Paediatric trauma cardiac arrest algorithm - Tri-Network

Haematology​

• Blood to scene - Tri-Network 
• EMRTS Blood Product Information -NWM&NW (under review Aug24)
  

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

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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 prescription- Tri-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
  

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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.