91Ó°ÊÓ

Sunday 17 August 2025
91Ó°ÊÓ Foundation Trust

FOI_8728

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.


• 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:
• 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:
• 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:
• 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:
• 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:
• 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:
• 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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