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Background London’s ‘Major Trauma Network’ was established in April 2010, and comprises four ‘Major Trauma Centres’ (MTCs) – each offering all trauma-related specialties under one roof. Healthcare for London produced an algorithmic ‘Major Trauma Decision Tree’ to help emergency healthcare professionals decide where to convey patients, in order to offer the most suitable care for their needs. The tree states that trauma patients who meet certain clinical criteria are to be conveyed to the nearest MTC.

scandinavian journal of trauma, resuscitation and emergency medicine

Does a physician-led Helicopter Emergency Medical Service (HEMS) favour its base hospital and interfere with agreed local trauma network ‘Trauma Decision Trees’?