Major trauma is any injury that has the potential to cause prolonged disability or death. There are many causes of major trauma, including but not limited to blunt and penetrating injuries, falls, motor vehicle collisions, and gunshot wounds. Depending
on the severity of injury, quick management and transport to the appropriate Trauma Centre may be necessary to prevent loss of life or limb. The following should be followed in regards to patients with suspected major trauma:
Patients not suffering major trauma as defined in this guideline are to be transported to the hospital designated by the Ambulance Network Coordinator (ANC). Should the patient need specialised care as defined by the Clinical Services Matrix (Connect > Clinical Services > Clinical Services Matrix), the ANC should be contacted to inform them of the change of destination.
In accordance with the trauma services plan developed by the Department of Health, patients suffering major trauma should be taken to hospitals designated as Major Trauma Centres. Major Trauma should be considered in any one of the following criteria:
Director of Trauma Services Royal Perth Hospital / State Director of Trauma (WA).
European Resuscitation Council Guidelines for Resuscitation 2015, Section 4. Cardiac arrest in special circumstances.
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