FOR REGISTERED CLINICIANS ONLY — decision support, not a substitute for clinical judgement or local protocol.
Decision support for the parts of trauma care that are decided at the bedside under time pressure — built on current UK guidance, with the criteria shown in full so you can check the tool against its source.
The NICE NG232 imaging criteria as a working pathway — which scan, within which time window, and why. Adults and under-16s handled as the genuinely different rules they are.
Which drug, which bleed, which reversal — with the PCC dose calculated from the INR. Covers the two cases that most often go wrong: a high INR after trauma with nothing bleeding, and a GI bleed where the trauma reflexes are the wrong ones.
The same engine whatever is bleeding: activate on physiology not a score, transfuse in ratio, hit the fibrinogen and platelet targets, and give tranexamic acid where it helps — trauma and PPH yes, GI bleeding no. Then stand it down.
Is this a laparotomy now, or a candidate for non-operative management? The haemodynamic response decides who goes to theatre, who goes to the scanner, and whose spleen or liver can be watched — plus the seatbelt-sign hollow-viscus injury the first CT can miss.
A suspected pelvic fracture after high-energy blunt trauma is a bleeding problem first. The binder over the trochanters, restrictive resuscitation and the 1:1 ratio, imaging by whether they respond, and interventional radiology versus pelvic packing.
Decompress on the physiology, not the X-ray, and with a thoracostomy not a needle. The open pneumothorax, imaging by severity and age, and the UK-derived STUMBL score for the stable rib-fracture patient you were about to send home.
An older person falling from standing is now the commonest type of major trauma in the national database, and the triage tools were not built for it. The Pan-London screening tool, the physiology thresholds that differ, and the injuries found late.
The platysma test, hard and soft signs, and the no-zone approach that replaced fifty years of zonal algorithms. Includes the airway traps specific to this injury, Foley balloon tamponade, and why the collar is usually wrong.
When to keep or remove immobilisation, the neck and the back cleared as the separate rules they are, thoracolumbar imaging, and the first hours of a cord injury — including the places where NG41 is silent.
Half of patients have no mark on the neck. The red flags that mean imaging within the hour, why under-16s no longer get a CT angiogram, and the safeguarding every branch ends in.
The four sight-threatening eye emergencies where minutes decide the vision: chemical injury and immediate irrigation, the open globe, orbital compartment syndrome and lateral canthotomy, and traumatic hyphaema — with the traps where one injury changes what you may do for another.
A teaching module, no decision tool: how to recognise the injury that does not fit the child, the story or the stage of development (NICE CG89), the evidence behind bruising, fractures and abusive head trauma, and the safeguarding law across all four UK nations.
Each tool implements a named UK guideline and shows the underlying criteria in full alongside the interactive pathway, so you can audit the logic rather than trust it. Where a guideline is internally inconsistent or genuinely uncertain, the tool says so and leaves the judgement with you — it does not quietly pick a reading and present it as settled.
These are educational decision-support tools for registered clinicians. They do not replace clinical judgement, your local trauma protocol, or discussion with the trauma team.