CDU – Trauma (Significant mechanism but NO injury)

This pathway is for those patients who despite having a significant mechanism of injury, has survived relatively unscathed. Although they don’t require admission they could do with a period of observation.

This is not for patients that should be admitted but specialities are refusing. Escalate to your senior

Specific admission criteria

  • Significant Mechanism of injury
  • NO injury OR illness requiring admission
  • GCS over 13
  • Does NOT require spinal immobilisation

Tasks to complete during admission

  • Full Nursing observations (Including GCS and pupils)
    • 0-2 hours – Obs. Completed every 30mins
    • 2-6 hours – Obs. Completed every hour
    • beyond 6 hours – Obs. Completed every 2 hours
  • Senior review
  • Dementia screen
  • Paddington alcohol screen

Discharge Criteria

  • Social situation – Safe for discharge
  • Not requiring inpatient treatment
  • Actions explained to patient/carer
  • Advice given
  • Letter to GP

Hospital Admission Criteria

  • Deterioration (Must have review by ED team)
  • OT/Physio/Frailty Assessment – NOT safe for discharge
  • Unable to discharge by 72hrs

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