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Cover of Major Trauma: Assessment and Initial Management

Major Trauma: Assessment and Initial Management

NICE Guideline, No. 39



This guideline provides guidance on the assessment and management of major trauma, including resuscitation following major blood loss associated with trauma. For the purposes of this guideline, major trauma is defined as an injury or a combination of injuries that are life-threatening and could be life changing because it may result in long-term disability. This guideline covers both the pre-hospital and immediate hospital care of major trauma patients but does not include any management after definitive lifesaving intervention. It has been developed for health practitioners and professionals, patients and carers and commissioners of health services.

The key clinical areas are:

  • Airway management
  • Pre-hospital management of chest trauma
  • Hospital management of chest trauma
  • Management of haemorrhage
  • Management of shock
  • Heat loss
  • Pain management
  • Documentation and transfer of information
  • Information and support
  • Skills to be present in the multidisciplinary team.


Funding: National Institute for Health and Care Excellence

Disclaimer: Healthcare professionals are expected to take NICE clinical guidelines fully into account when exercising their clinical judgement. However, the guidance does not override the responsibility of healthcare professionals to make decisions appropriate to the circumstances of each patient, in consultation with the patient and/or their guardian or carer.

Copyright © National Clinical Guideline Centre, 2016.
Bookshelf ID: NBK344252PMID: 26913320


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