SEND & CALL - ADULT & PAEDIATRIC
If you believe your patient needs life or limb saving treatment that can only be provided at Leeds General Infirmary then:

• First priority is to organise 999 transfer while stabilising the patient as best you can
• Don't forget simple measures: tranexamic acid if indicated, splinting of limbs / pelvis etc
• If the patient is bleeding significantly then use EARLY blood product resuscitation following a massive transfusion approach
• Reverse warfarin with vit K and octaplex / beriplex.
• Antibiotics for open fractures
• First call to the MTC should be to the ED consultant in charge.
• If time allows please contact relevant specialties.
• REMEMBER: YOU are making the decision to SEND the patient. Acceptance by the MTC will be AUTOMATIC 

THIS GUIDANCE COVERS ADULTS & CHILDREN

Typical examples would include:

Extradural haematoma with reduced GCS
Aortic injuries
Acutely ischaemic limbs despite reduction of fractures
Spinal fracture with new neurological impairment
Ongoing bleeding that can't be managed at the Trauma Unit

KEY CONTACT NUMBERS
Can be found by following this link from an NHS network computer

Not sure if your patient is an immediate or secondary transfer?