Table 11.14London Model: Proportion of patients receiving critical/definitive interventions within target time, by bypass strategy

Current timingsTimings improved at LAS* & hospitals
Bypass strategynone1520none1520
critical intervention (within 60 minutes)91%88%84%98%97%96%
head injury (within 4hs)23%60%74%63%81%90%
head and chest injury (within 2hs)0%0%0%2%4%5%
head, chest and orthopaedic injury (within 2hs)0%0%0%0%0%0%
chest injury (within 2hs)0%0%1%3%6%8%
orthopaedic injury (within 2hs)30%27%25%84%82%79%
head and orthopaedic injury (within 4hs)0%1%1%3%8%10%
chest and orthopaedic injury (within 2hs)0%0%0%0%0%0%
head, chest and abdominal injury (within 2hs)0%0%0%0%0%0%
chest and abdominal injury (within 2hs)0%0%0%0%0%0%
orthopaedic and abdominal injury (within 2hs)1%0%0%9%8%7%
abdominal injury (within 2hs)1%0%0%9%8%7%
facial injury (within 3hs)23%22%27%49%50%63%
head and facial injury (within 3hs)9%22%27%19%50%63%
spinal injury (within 6hs)62%79%88%93%96%97%
head and spinal injury (within 4hs)21%55%70%61%78%88%
head, orthopaedic and abdominal injury (within 2hs)0%0%0%0%0%0%
orthopaedic and vascular injury (within 4hs)0%1%1%3%7%9%
traumatic amputation (within 4 hs)30%55%70%66%78%87%
*

LAS=London Ambulance Service

From: 11, Economic evaluation

Cover of Head Injury
Head Injury: Triage, Assessment, Investigation and Early Management of Head Injury in Infants, Children and Adults.
NICE Clinical Guidelines, No. 56.
National Collaborating Centre for Acute Care (UK).
Copyright © 2007, National Collaborating Centre for Acute Care.

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