Skip to the content

Major Trauma Pathway

Major Trauma
Changes in the management of major trauma patients mean that primary bypass of the nearest Emergency Department is in place in North West London so major trauma patients will only arrive in Emergency Departments other than St Mary’s Hospital Major Trauma Centre if the

  • patient was under triaged
  • patient has a compromised airway/catastrophic haemorrhage and London Ambulance Service need immediate assistance from nearest Emergency Department
  • patient self presents at an Emergency Department

Transferring patients to the Major Trauma Centre
Once the decision to transfer the patient and contact has been made with the Major Trauma Centre, it remains the responsibility of the Trauma Unit to provide the transfer escorts and equipment. The escorts should have appropriate training and skills to manage the patient during the transfer, be familiar with the equipment and processes surrounding transferring critically ill or injured patients.

This video outlines the roles of the Major Trauma Centres and the Trauma Units in London and addresses some of the common questions asked.

This video addresses the "scoop and run" versus "stay and play" conundrum facing clinicians treating critically ill or injured patients.

This document provides guidance for transferring critically ill or injured patients to a Major Trauma Centre

Major trauma secondary transfer protocol

In North West London the inter hospital transfer form is used to support these patient transfers.

Network Inter hospital transfer form

please note that this is an example and not to be printed and used for transfers.Transfer forms are available in all Critical Care Units and Emergency Departments across North West London. If you want to order additional forms please contact your transfer lead for the Trust or email here .