Please use the the following guide for speedy decisions. The vast majority of orthopaedic injuries are managed in the non-urgent outpatient setting. Our Ortho reg gets upto 75 calls on a day shift, while at the same time assessing, treating and undertaking minor ops. Please be sympathetic and use the urgent option sparingly. For feedback or complaints of the on call service please contact Alwyn Abraham HoS or his PA Nafisa.A.Bhayat
The Trauma on call is like one big, massive relay team. 27 regs, 5 CTs and 26 consultants. To clarify and create a trail of who had the baton last, always document your discussion on Nervecentre and insist on an entry in Nervecentre so we can communicate reliably and remotely
cord compression
septic arthrtis
Cauda equina syndrome
open fractures
dislocations
Pelvic and acetabular fractures (not rami)
Hip, femoral and tibial fractures
Fractures with neurovascular compromise
Fracture and dislocation decision making tool to determine urgency
Found on InSite at Emergency department -guidance-injuries (image above) and link below
When confirmed as Non urgent review : use "green" form from Trauma Triage. Results in Senior case review with follow up arranged.
For Patients at LGH, advice can be obtained 0900-1700 Mon -Fri from the Consultant or registrar in Theatre 16
Includes cast checks
wound checks
Fracture clinic appointment issues.
Best to ring Trauma Triage on x15430 or speak to the desk in person and fill in appropriate form
For Patients at LGH, advice can be obtained 0900-1700 Mon -Fri from the Consultant or registrar in Theatre 16
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