Speakers
Mr Ross Davenport
Dr Krystyna Walton
Professor Elaine Cole
Dr Ed Denison Davies
Stream 2
This session will provide an update on the current state and future direction of major trauma care in the UK. It will begin with an overview of developments within national trauma systems and advances in trauma resuscitation with future research priorities. This will be followed by exploration of the management of severe chest injuries and rib fracture fixation, examining the clinical rationale, practical considerations, and new evidence base from recent trails on surgical fixation. The session will conclude with an overview of national rehabilitation provision for major trauma patients and a practical framework for developing high-quality rehabilitation services. This session is relevant to all critical care professionals involved in the acute and post-acute care of trauma patients.
Chairperson Elaine Cole/ Ed Denison-Davis
Elaine Cole - National Trauma System Update
Ross Davenport - Updates in trauma resuscitation and future directions
Ben Ollivere - Rebuilding trauma patients with thoracic injury
Krystyna Walton - Rehabilitation after major trauma – how can we improve outcomes?
Krystyna Walton is a Consultant in Rehabilitation Medicine specialising in Neurorehabilitation and major Trauma rehabilitation in the Manchester Centre for Clinical Neurosciences, Salford Royal Hospital, where she has been the clinical lead for Neurorehabilitation since 2001 and Clinical Director for Neurorehabilitation from 2020. She has been a consultant in the specialty since 1988, and has wide experience of rehabilitation provision in different environments, and at each stage of patients’ transition through rehabilitation – from very early / acute neurorehabilitation to longer term care.
At Salford Royal Dr Walton is responsible for a hyper-acute neurorehabilitation service and for Major Trauma rehabilitation. She was involved in the planning of the hyper-acute neurorehabilitation service which became operational in 2001, and of the Major Trauma rehabilitation service which became operational in 2012. These services manage patients in the early stages following acute neurological illness or injury such as head injury and intracerebral haemorrhage. Many patients with Prolonged Disorders of Consciousness start their rehabilitation journey there.
She was President of the British Society of Rehabilitation Medicine for 2 years, completing her term in November 2020.
She has been a member of the Clinical Reference Groups for Rehabilitation & Disability from 2012 and has been the Rehabilitation Medicine representative on the Major Trauma Clinical Reference Group since 2013
From September 2022 she has been the NHS England National Specialty Adviser for Rehabilitation, Disability & Spinal Cord Injury, & in this role chairs that Clinical Reference Group. She has been involved in writing the rehabilitation elements of the new Major Trauma Services service specification, and is leading the development of a new service specification for specialised rehabilitation.
Elaine Cole is the Director of Research and Innovation for the London Major Trauma System. Within this role she works with clinical and academic staff of the four major trauma networks and pre hospital providers within the London Major Trauma System to support the development of innovation, collaborative research and education across the system.
Her main research interests are investigating the predictors and phenotypes of contemporary multiple organ dysfunction (MODS) after major trauma, the impact of severe injury on older people and longer term outcome evaluation. She is the co-programme director for the MSc Trauma Sciences at Queen Mary University of London
Ed Denison Davies is a consultant in anaesthesia & intensive care medicine at Royal Preston Hospital, the Major Trauma Centre for Lancashire. He is also a HEMS consultant and training lead for North West Air Ambulance as well as the Clinical Director for Lancashire and South Cumbria Major Trauma Network. He did his training in London as well as Kent, Surrey, Sussex HEMS before moving to Lancashire in 2013. His interests include resuscitation, trauma care, neuro critical care and education.
Ben Ollivere is Professor of Orthopaedic Trauma Surgery at the University of Nottingham and Honorary Consultant Orthopaedic Trauma Surgeon and Major Trauma Surgeon at the Queens Medical Centre, Nottingham. He is currently Deputy Pro-Vice Chancellor – University Lead for Academic Performance, Associate Pro Vice Chancellor for Research and Knowledge Exchange in the Faculty of Medicine and Health Sciences, and is also head of the Department of Academic Orthopaedics, Trauma and Sports Medicine.
He trained in Oxford and London as a medical student, then Cambridge for his higher surgical training, moving to Nottingham for fellowship and then spending 4 years as a consultant prior to being appointed Clinical Associate Professor, followed by promotion to Professor 4 years later.
He has active grants and research interests in big data, clinical and basic science studies. Ongoing randomised controlled trials funded by Innovate UK, the NiHR HTA and RfPB programmes as chief investigator. He is Joint Lead Applicant of the ORiF (Operative Rib fixation) trial which he will discuss at SOA25.