FOR REGISTERED CLINICIANS ONLY — decision support, not a substitute for clinical judgement or local protocol.

Trauma

Trauma decisions, made in the room.

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.

CT head & C-spine rules

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.

NICE NG23216+ and under-161 h · 8 h

Bleeding & anticoagulation reversal

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.

NG39 · NG24 · CG141PCC calculatorTXA windows

Silver trauma

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.

LMTS 2021TARN · RCEMScreening tool

Penetrating neck injury

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.

Under reviewAnn R Coll Surg EnglNoS · EASTNo-zone · CTA

How these are built

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.