![]() Aboriginal and Torres Strait Islander considerations Compliance with this guideline is not mandatory, but sound reasoning must exist for departing from the recommended principles within this guideline. Clinicians are responsible for providing care within the context of locally available resources, expertise, and scope of practice. Paediatric trauma patients aged under 16 years are not within the scope of this guideline, however, should always be discussed with the relevant surgical consultant at Queensland Children’s Hospital (QCH) to determine the most appropriate major trauma centre for definitive care while patients aged 16 years and over are within scope of this guideline.ĭetails contained within this guideline do not substitute clinical judgement, knowledge and expertise or medical advice. It is acknowledged that the ISS may be unknown, inaccurate, or incomplete in the early stages after injury. The Queensland definition of major trauma is an Injury Severity Score (ISS) over 12, however any significant multi-system traumatic injuries according to mechanism, injuries and physiology may follow the referral pathways contained in the guideline. It may be used for patients suffering major trauma where the injury occurs in Queensland or the Northern NSW Local Health District (NNSW LHD). This guideline applies to all employees, contractors and consultants within the Department of Health divisions, Hospital and Health Services (HHSs), prehospital care providers and clinical services involved directly or indirectly in the provision of trauma care from injury scene through to definitive care. (1) Appendix 1 outlines background information on the Queensland trauma system that supports this guideline. This guideline provides recommendations regarding best practice to support referral pathways for major trauma patients across Queensland and Northern New South Wales and is intended to be used as a supplement to the Patient Access to Care Health Service Directive. Clear, defined referral pathways support access to appropriate specialist care. Patient retrievals and transfers following major traumatic incidents are of a highly complex and urgent nature. Queensland Health is committed to provide timely, equitable and high-quality care for patients who suffer traumatic injuries in Queensland and Northern New South Wales. Referral pathways guideline: major trauma (adult).Aboriginal and Torres Strait Islander Considerations.
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