Abstract
Improvements in the Management of Trauma Patients With the Introduction of a Lower Limb Trauma Coordinator
Highlights
Mortality and morbidity from trauma continues to be a serious, ubiquitous public health problem
Implication for health policy/practice/research/medical education: This study suggests that use of a qualified nurse with an orthopedic background as a coordinator improves the overall treatment course of the lower limb trauma patient in the English National Health Service
In consideration of these findings, we report on the benefits of a dedicated lower limb trauma coordinator (LLTC) to the trauma service of a busy inner-London plastic surgery unit
Summary
Mortality and morbidity from trauma continues to be a serious, ubiquitous public health problem. The multidisciplinary approach to trauma involving multiple specialities, with differing standards of care prompted the publication of ‘Better Care for the Severely Injured’ (2000, revised 2003); a collaborative report by the Royal College of Surgeons and the British Orthopedic Association. This decisive report emphasises the importance of the standardisation of care, audit, and the development of a National Trauma Service with integrated systems and opportunities to facilitate a coordinated approach to injury (1). Most of the surveyed hospitals did not have plastic surgery available on site and the majority of delays were associated with organisational constraints (2)
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