Goodbye TEMPO Android app

Please note our TEMPO Android app is no longer in use and not available for download anymore.

Due to Google policy changes we had to make a hard decision and let the app go.

But don't worry, we've got you covered. TEMPO is still available in hard copies, online pdf version and web app.

And good news - We are working hard to update the manual and a new version is on its way.

Who is in your trauma team?

The trauma team in the Emergency Department provides care to our most injured patients. TEMPO describes who should be in a trauma team and their roles, and the regional Trauma Team Essentials Course (TTEC) teaches more through simulation. Have you ever wondered who attends your trauma calls? Your Trauma Lead will know and Dr Amir Reyahi (EM Consultant and Trauma Lead) from Luton and Dunstable Hospital has been looking further into it.

Trauma Team Compliance

Data Collection & Review

Over the last 6 years I have been collecting data on a monthly basis from all of our Trauma Calls at the hospital. The data has been extremely useful in providing us with evidence required to improve our services and improve on trauma compliance which in turn translates to better patient experience and safer practice.

I collect monthly data on the following:

1. The seniority of the Trauma Team Leader.
2. The seniority of the doctor representing General Surgery.
3. The seniority of the doctor representing Orthopaedics.
4. The seniority of the doctor representing Intensive Care/Anaesthesia.
5. Administration of Tranexamic Acid.
6. Blood Transfusion.
7. How many patients were GCS <9 and were they Intubated & Ventilated appropriately?
8. CT scanning timings (including reporting times).

Trauma Team Attendance over the last 3 years:

If anyone is interested in trying to start a similar process of data collection at their hospital, I would be happy to provide help and assistance.

Meet Rob, our Regional Clinical Trauma Lead at EEAST

It is a pleasure and an honour to introduce myself to you all. My role in the East of England Ambulance Service NHS Trust (EEAST) is Regional Clinical Lead for Trauma and Critical Care, which functions to clinically oversee pre-hospital trauma and critical care provision within the East of England, engaging with all the air ambulance and BASICS charities who support EEAST in pre-hospital care delivery. I also provide sector clinical leadership to Suffolk and North East Essex. EEAST is an organisation with over 4000 staff and 1500 volunteers, we cover six counties and approximately 7,500 square miles. Our footprint includes 17 Acute Trusts, 15 CCG’s and 6 STP’s. We handle over 1.2 million calls annually. Prior to my current role, I have held several roles in EEAST including HEMS Paramedic, Patient Safety Officer and Education &Training Officer.

I am an advanced paramedic in critical care and undertake my clinical work EEAST and the East Anglian Air Ambulance. I also respond from home in a voluntary capacity with Suffolk Accident Rescue Service, BASICS Scheme. I originally graduated in Paramedic Science from the University of East Anglia and have completed a variety of post graduate studies, including at Cambridge University and Queen Mary University, London.  

We are very fortunate in the EoE to have such fantastic support from our charity HEMS and BASICS partners. Major trauma patients can be highly complex to care for in the pre-hospital phase, which is often further compounded by the austere environments they are found. For these reasons, the level of expertise provided by partner organisations is of huge benefit to patients and our front-line staff. EEAST staff are often first on scene and provide immediate care and stabilisation, which is then supplemented by solo and/or team responses provided by our charity partners. These additional resources bring extra knowledge, skills and interventions, as well as additional transport options (helicopters), which combined, are often pivotal to ensuring suitable patients make to the Major Trauma Centre directly in a stable state.

“A major trauma centre is a specialty hospital not a hospital of specialties” (1)

 Written by: Major Trauma Service Team
Cambridge University Hospitals - Addenbrookes Hospital

The East of England Major Trauma Centre (MTC) at Addenbrooke’s Hospital is currently the best performing adult MTC in England.(2) This is no small achievement given the scale of our geography and the volume of activity. It also requires effective multi-centre, multi-specialty and multi-disciplinary collaboration and teamwork. Trauma patients account for 10% of the hospital beds overall (approximately 80 inpatients at various stages in the trauma journey on any given day) and the oversight of patients’ progress along their journey is managed by the hospital’s Major Trauma Service (MTS - a team of medical, nursing, rehabilitation, administration and management professionals)

In this article we describe how the MTS operates.

On a daily basis, the MTS data analysts and administrators identify trauma patients as soon as possible after their arrival and flag them for the MTS worklist.

The MTS Nurse Practitioners, Nurse Coordinators and Rehabilitation Coordinators review each patient and contact the lead team. They support and educate patients and relatives, advise inpatient teams, support and facilitate specialist referrals, undertake discharge consultations and ensure that the timing of transfer to a rehabilitation facility or repatriation to a patient’s local hospital is optimised. Rehabilitation Prescriptions are created early and maintained for every patient. They detail each injury and its associated management, key inpatient events, pre-injury function, rehabilitation needs and goals, the home environment and any equipment required at discharge.

The medical staff of the MTS comprise Clinical Fellows and Consultants. The Consultants come from the backgrounds of Emergency Medicine, Orthopaedics, Paediatrics and Geriatrics. The MTS medical team provide support to inpatient teams with completion of Secondary and Tertiary Surveys, and Comprehensive Geriatric Assessments. The Secondary Survey seeks out more subtle injuries in body regions that have not yet been imaged, which may compromise a patient’s recovery.

New edition of Rehabilitation Directory of Services

We are pleased to let you know that a new edition of our Rehabilitation DoS is now available on our website.

It's been extended with many new services to help you to find the best possible rehabilitation care near you.

We are continuously looking for services to  include, therefore if you wish to list yours, please don't hesitate to get in touch with us.

How to get involved?

From injury prevention to rehabilitation, trauma care covers all interests. Get involved with your local Trauma Committee or send us in your ideas. We will be developing more ways for you to get involved with our Specialist Advisory Groups and with your patients through Trauma East Voices.