The University of Southampton
Courses

HLTH6176 Major Trauma Systems: Evidence Base and Delivery

Module Overview

The last four years have seen a revolution in the clinical and system management of major trauma. Against this background this module provides you with an overview of major trauma systems, their design, delivery and quality assurance. The module content explores how major trauma care delivery changed as a result of recent innovations, strategies and key policy drivers. This module will focus on the trauma pathway and chain of survival, from point of injury through to acute rehabilitation, emphasising the importance and interdependency of each link of the chain.

Aims and Objectives

Module Aims

Having successfully completed this module, you will be able to: - Critically consider and evaluate the development of trauma pathways and the rationale for the recent innovations and radical changes in clinical practice, policy and systems in major trauma care. - Critically analyse and evaluate the essential contribution of each element of the chain of survival, and of the interfaces between them in the patient’s journey from injury to acute rehabilitation. - Identify and apply key epidemiological principles in the design of trauma systems and in trauma in prevention strategies - Demonstrate a critical understanding of the contribution of quality improvement, monitoring and governance mechanisms in the dynamics of continuous system and outcome improvement.

Learning Outcomes

Learning Outcomes

Having successfully completed this module you will be able to:

  • Critically consider and evaluate the development of trauma pathways and the rationale for the recent innovations and radical changes in clinical practice, policy and systems in major trauma care.
  • Critically analyse and evaluate the essential contribution of each element of the chain of survival, and of the interfaces between them in the patient’s journey from injury to acute rehabilitation.
  • Identify and apply key epidemiological principles in the design of trauma systems and in trauma in prevention strategies
  • Demonstrate a critical understanding of the contribution of quality improvement, monitoring and governance mechanisms in the dynamics of continuous system and outcome improvement.

Syllabus

• Introduction to major trauma services their design and delivery • What has changed in recent years and why? • Epidemiology of trauma and prevention strategies • Chain of survival • Pre-hospital • ED • Critical care • Definitive care • Acute rehabilitation • Physiological impact of major trauma • Quality, audit, morbidity and mortality, evidence, monitoring, transparency, improving and learning from practice, clinical governance

Learning and Teaching

Teaching and learning methods

The focus will be on considering the evidence base and delivery of major trauma systems. Methods will include consideration of previous practice, filmed practice, simulations and reflections on episodes of care.

TypeHours
Project supervision5
Follow-up work20
Completion of assessment task90
Lecture20
Preparation for scheduled sessions100
Seminar5
Wider reading or practice10
Tutorial5
Total study time255

Resources & Reading list

Major Trauma Services.

Online journals.  • The Journal of Trauma • The Journal of Trauma Practice • Trauma Quarterly • Journal of Emergency Medicine, Trauma and Acute Care • The Journal of Literature and Trauma Studies

D15/S/a NHS STANDARD CONTRACT FOR MAJOR TRAUMA SERVICE (ALL AGES) SCHEDULE 2- THE SERVICES A. SERVICE SPECIFICATIONS.

Key Websites.

NHS Choices.

Headway: the brain injury association.

Crosskerry P, Cosby K, Schenkel S, Wears R (2009). Patient Safety in Emergency Medicine. 

Hetherington A (2001). The Use Of Counselling Skills In The Emergency Services: Working with Trauma. 

Key Websites.

Mattox K L, Moore E E, Feliciano D V (2012). Trauma. 

Reconfiguring trauma services.

Gender and Road Traffic Injuries.

McQuillan K A, Nakin M B F, Whalen E (2008). Trauma Nursing: From Resuscitation Through Rehabilitation. 

Key Websites.

Epidemiology of Polytrauma (Chapter 2).

Assessment

Formative

Presentation

Summative

MethodPercentage contribution
Exam  (2 hours) 100%

Referral

MethodPercentage contribution
Exam 100%

Repeat Information

Repeat type: Internal & External

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