Shut up and sit down.

Welcome back to the podcast. I'm Simon Lang.

So this podcast is just a brief little summary of the new nice guidelines that come out today on major trauma.

Now Foamed is a brilliant way of documenting your learning and this is pretty much what this podcast is for me. So there have been some key take-home messages from the document which have summarised in a blog on the website

and also just jotting down here in the form of a podcast.

But it would be much more valuable for you to take your

time and go and have a look at the nice document itself. There are 10 different areas of major

trauma practice that the guideline runs through. And from each of these 10 sections, I'm just

going to mention some things which you might want to consider in your practice and have been

a note to me

and will be shaping my practice from here on out. What's quite nice about this guideline to a lot

of us that indulge in a lot of foam is that most of the concepts won't be a complete shock

and it's probably things we'll have talked about recently on the podcast. Anyway without further

ado let's start off with number one.

So, they talk about the immediate destination after injury.

There's no major shocks here, but they state that the optimal destination for patients with

major trauma is, of course, a major trauma centre.

Only under exceptional circumstances or locations should they first

go to a trauma unit for urgent treatment and then on to a major trauma centre afterwards. I suppose

a reasonable example of this would be if there was inadequate airway management. And by that I mean

an inability to actually maintain the airway without popping into a trauma

unit, getting a definitive airway placed if that wasn't possible pre-hospitaly and then getting

...