People needing hospital admission for a neurosurgical or neurological emergency are to be assessed and treated in a timely manner by teams with the appropriate neurological and resuscitation skills and facilities.
The Eastern Head Injury Group Study (EHIS) was set up in 2000 to assess the current provision of HI services in the Eastern Region, and to facilitate strategic planning and development of high quality acute and rehabilitation services in line with national guidance. They have developed a number of useful resources including Head Injury Standards for Acute Hospitals, a set of rehabilitation codes which map patient pathways through the rehabilitation stages, and a template for HI coordination.
In the A&E Department at North Tyneside and Northumbria NHS Trust, implementing the NICE Head Injury Guidelines has virtually eliminated the use of skull x-rays in patients presenting with head injuries. Use of CT scans has greatly increased.
See pages 30-31 and 50 of the Action on Neurology report for information on this example of a care pathway for people admitted to A&E with acquired brain injury.
The Unit has developed an accredited Specialist Awareness and Clinical Skills Development course to educate key workers for spinal cord injury (SCI).
The NHS Modernisation Agency has produced The Neuroscience Critical Care Report, which includes examples of good practice in the field of emergency care.
How the examples were chosen and evaluated, and how to submit an example.