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The University of Southampton

HLTH6174 Major Trauma Practicum

Module Overview

Recent years have seen a revolution in both the clinical and system management of major trauma. Against this background thisis exciting and unique module provides an opportunity to study in depth, the trauma patient’s journey by means of a clinical practicum, from pre-hospital care to acute rehabilitation. You will follow the patient’s pathway though observation within relevant clinical areas, critically exploring the application of evidence and new knowledge to patient care. This module will include observation shifts on a rapid response car or pre-hospital vehicle, observation shifts in the emergency department and following the patient journey through specialist wards through to acute rehabilitation. You will also participate in simulated specialist trauma days through the full time degree. These experiences will enable you to analyse key aspects of trauma practice including systems, clinical assessment, diagnosis, decision making, interprofessional team working, leadership and human factors.

Aims and Objectives

Module Aims

This module will enable you to integrate the theoretical elements of the trauma modules into clinical practice through observation of patient care or simulations and analysis of recorded episodes of care.

Learning Outcomes

Learning Outcomes

Having successfully completed this module you will be able to:

  • Use critical reflection to analyse the key elements of a trauma patient pathway with regard to evidenced based care.
  • Critically evaluate the methods and systems employed for gathering and interpreting clinical data in diverse clinical presentations and situations.
  • Critically consider alternative problem solving and decision making strategies in resolving challenges identified in the patient pathway across the trauma care continuum.
  • Demonstrate an ability to critically evaluate the management of diverse trauma presentations from pre-hospital care to acute rehabilitation including: assessment, resuscitation, establishing homeostasis, diagnosis, interventional skills, interpretation of investigations, clinical diagnosis and decision-making and human factors.
  • Critically reflect on how the specialised individual knowledge and skills of the inter-professional team contributes to patient outcomes and service provision.


• Clinical exposure to patients in the pre-hospital and Major Trauma Centre and acute rehabilitation environments through observation • Safety • Simulation in trauma education • The role of case review, vignettes, rounding, and Morbidity and Mortality meetings in learning from practice • Pre-hospital Care: Dispatch, scene safety and discipline, triage and decision-making, interventions, transportation, communication, systems, multi-agency teamwork • Managing major trauma and transfer • Major Trauma Centre: Early phase: Communication and preparation, reception, assessment, interventions, investigations, diagnosis and treatment of Level 1 trauma • Critical and Acute phases: homeostasis, diagnostics, stabilisation, surgical interventions, physiological goals and parameters, monitoring, metabolism and nutrition • Acute care – ongoing stabilisation, nutrition and pharmacology management and motivation • Acute rehabilitation – initiation of the rehabilitation pathway • The patient/carer perspective: family, motivation and psychological support, key factors in recovery • The clinician perspective • Using information from clinical practice to inform prevention

Special Features

This module will include: • Clinical Supervision in relevant clinical environments such as: pre-hospital, emergency department, surgical ward, orthopaedic ward, plastics, general, rehabilitation wards. • Hearing about the patient experience from their families • Participation in complex trauma simulations

Learning and Teaching

Teaching and learning methods

Individual learning outcomes will be negotiated, depending on the student's area of focus but with the goals to enable them to experience all the elements of the trauma patient journey to restored health. This will include: • Supervised observation of care provision which will facilitate the integration of knowledge and practice • Simulation of trauma scenarios reflecting the pathway of care • Online video resources and case scenarios for analysis • Observe Morbidity and mortality meetings • Facilitated Serious Incidents Requiring Investigation reports and scenarios

Completion of assessment task50
Wider reading or practice15
Follow-up work10
External visits24
Preparation for scheduled sessions25
Total study time250

Resources & Reading list

The Journal of Trauma Practice. 

Skinner DV (2013). ABC of major trauma, Skinner DV and Driscoll PA (Eds). 

Dan E (2010). Cases in Pre-hospital and Retrieval Medicine. 

Journal of Emergency Medicine, Trauma and Acute Care. 

Bhangu AA (2010). Emergencies in trauma. Bhangu AA, Lee C and Porter K (Eds). 

Shah SS (2011). Tips and tricks in Trauma Management. 

The Journal of Literature and Trauma Studies. 

The Journal of Trauma. 

Kochar SK (2013). Principles and practice of trauma care. 

Smith J (2011). Oxford desk reference: major trauma, Smith J, Greaves I, Porter KM (Eds). 

Bailitz J (2011). Emergent management of trauma. 

Key Websites.

Key Websites.

Trauma Quarterly. 

Health and Safety Executive.

Key Websites.





MethodPercentage contribution
Portfolio 60%
Reflective essay 40%


MethodPercentage contribution
Portfolio %

Repeat Information

Repeat type: Internal & External


Costs associated with this module

Students are responsible for meeting the cost of essential textbooks, and of producing such essays, assignments, laboratory reports and dissertations as are required to fulfil the academic requirements for each programme of study.

In addition to this, students registered for this module typically also have to pay for:

Travel Costs for placements

Travel to and from other trauma service provider’s i.e: SCAS ambulance stations/ air ambulance response car base stations.

Please also ensure you read the section on additional costs in the University’s Fees, Charges and Expenses Regulations in the University Calendar available at

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