Abstract
be transported directly to a facility with the necessary resources to resuscitate, investigate, and initially manage multiple injuries. It is expected that all acute hospitals and all neuroscience units accepting patients directly from the incident will have these resources, and that these resources will be appropriate for the patient's age.* Local guidelines on the interhospital transfer of patients with head injuries should be drawn up between the refer ring hospital trusts, the neuroscience unit, and the local ambulance service. These should recognise the merit of transferring all patients with serious head injuries (GCS <8), irrespective of their need for neurosurgery. However, if transfer of those who do not require neurosur gery is not possible, ongoing liaison with the neuroscience unit regarding clinical management is essential.*
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