Internal Reference Number: FOI_8728
Date Request Received: 27/06/2025 00:00:00
Date Request Replied To: 15/07/2025 00:00:00
This response was sent via: By Email
Request Summary: trauma in elderly patients
Request Category: Health
| Question Number 1: PLease can you assist with this Freedom of Information request regarding the management pathway of elderly patients (>65 years old) presenting with trauma in the Emergency Department. I am emailing you to a make freedom of information request with regard to trauma protocols for silver trauma patients. 鈥� Does your hospital have a guideline for silver trauma patients (>65 years old) attending ED? | |
| Answer To Question 1: Guidance (recognised in SWAS Trauma Bypass Tool, TU Trauma Call Activation Criteria Tool & TILS course for Nurses) but no formal SOP yet (in progress). | |
| Question Number 2: 鈥� What are the ED's indications for initiating a silver trauma call and requesting a trauma CT for elderly patients at your hospital? | |
| Answer To Question 2: As per NICE guidelines, WTN TU Trauma Call Activation Criteria Tool. (Including: MOI, physiology/anatomy, medication, co-morbidities. CTB & CT spine performed together). | |
| Question Number 3: 鈥� Which specialties are called for silver trauma in ED? Does it include General surgery, Orthopaedics, Anaesthetics and Medicine of the elderly? | |
| Answer To Question 3: Yes as per Trauma Call (medicine of the elderly - NO). | |
| Question Number 4: 鈥� Does your hospital have a guideline for assessing delirium in silver trauma patients (>65 years old)? | |
| Answer To Question 4: Hospital guideline for delirium (Acute Delirium Care Pathway - see box 2 regarding predisposing factors) | |
| Question Number 5: 鈥� Do all the silver trauma patients get reviewed by medicine of the elderly on the ward if admitted? | |
| Answer To Question 5: No | |
| Question Number 6: 鈥� Do you have a guideline for assessment of the silver trauma patients on the ward by medicine of the elderly? | |
| Answer To Question 6: No | |
| Question Number 7: 鈥� Can you please attach your hospital's guidelines for silver trauma patients in your reply? | |
| Answer To Question 7: N/A as Silver Trauma SOP in progress of developing. Please let me know if you would like to be sent the SWAS Trauma Bypass Tool & TU Trauma Call Activation Criteria Tool. | |
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