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Wed Nov 21 16:11:41 GMT 2007

Trauma care in the UK, with a few exceptions, is similar to that in the
US in the 60's.  The injured patient is taken to the nearest facility
where chaos ensues in many situations.  

Basically, there is no standard ED triage training (this is a project
being brought in by a consulting firm from the US called Modeladvice,
inc.), and no trauma system.  Karen Dunwell at modeladvice.com is
working with a number of HCA's (see below) to bring their healthcare
system into the 21st Century.  They have a new website which I have not
seen but might be of interest to you.

The UK for the past year has been undergoing radical reorganization of
its Health Care Areas (HCA's) and bringing DRG's into their system.
They are also focusing on significant problems needing areas of
improvement such as waiting times for orthpaedic procedures, operations
that can be done on a outpatient basis (previously none), etc.   

You are correct that the UK needs an organized trauma system.  That in
the US is incomplete as well.  England, Scotland and Ireland also have
many other basic healthcare operational problems that may take
precedence over trauma (sound familiar?).  Simple training in our most
commonly accepted ED triage processes would be a great step for the UK.

This was an interesting topic for our Society.   

Connie Potter, Executive Director
National Foundation for Trauma Care
(505) 525-9511

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Trauma Care in the UK