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After major trauma

What is a Major Trauma Centre?

Sheffield Children’s Hospital is the only Major Trauma Centre (MTC) for children in the South Yorkshire and Humber region.

A Major Trauma Centre is a specialised hospital which has the best available skills and equipment to treat patients who have the most serious injuries.

Children with suspected serious injuries are usually brought directly to the Major Trauma Centre which may mean this is not your nearest hospital. The centres have a range of doctors, nurses and therapists who provide specialist treatment for patients with multiple, serious injuries.

Being involved in an accident and having to come into hospital can be frightening. This resource aims to give you and your family as much information as possible about what will happen when your child is admitted to hospital.

Photograph of the outside entrance to the Sheffield Children's Hospital Emergency Department

Arriving at the Emergency Department

Upon arrival at the Major Trauma Centre, each child has their injuries assessed. In order to do this quickly, there may be doctors for different specialties and people performing many tasks at the same time.

This may be very frightening and disorientating for children and their family but it is necessary to make sure that they are given the best treatment. The doctors and nursing team will keep you updated on your child’s care.

If the police are involved with the incident they will keep you updated with the progress of the case. They will take statements and may retain property for forensic evidence.

Ongoing care

Your child will be admitted to a ward best suited to their injuries and the level of care they need. They may be transferred more than once during their hospital stay. This is normal and is done to make sure they are receiving care appropriate to their needs at that moment in time.

Who will I meet?

Nurses

The nurse plays an important role in caring for your child and liaising with all members of the team.

Doctors

The consultant is responsible for your child’s care and leads a team of other doctors, who will review your child’s treatment plans as appropriate. They will explain your child’s injuries and treatment plans with you. You may be seen by a number of doctors from different specialties.

If you have any queries about your child’s stay in hospital, please speak to any member of their medical team who will be happy to answer any questions you may have.

Photograph of child laid on bed with leg in a cast, with doctors and hospital staff and parent around them

Trauma and Rehabilitation Coordinators

The Trauma and Rehabilitation Coordinators work closely with families and the multidisciplinary rehabilitation team to coordinate the care which your child receives from them.

They aim to act as a key worker for you and your child. This means supporting you during your stay at Sheffield Children’s Hospital, and providing you with relevant information and advice about your child’s rehabilitation when they go home.

Trauma Nurse Coordinator

The Major Trauma Nurse works alongside the Trauma and Rehabilitation Coordinators and the Emergency Department. They will try and visit you on the ward or unit and will speak to staff about your ongoing care.

 Other people you may meet

Your child may be assessed and seen by a number of other staff which may include:

  • Clinical Nurse Specialist
  • Occupational Therapist
  • Speech and Language Therapist
  • Advanced Nurse Practitioner
  • Hospital Teaching Team
  • Physiotherapist
  • Dietitian
  • Orthotist
  • Pharmacist
  • Support Worker
  • Psychologist
  • Play Team

How long will my child have to stay in hospital?

Every patient is different and will need different lengths of stay dependent on their injuries and the need for surgery, recovery and rehabilitation.

Psychological impact of major trauma

Coping with a frightening event can be difficult for children, young people and their families. They may have flashbacks of the incident, or nightmares. Your child may be more clingy and have trouble sleeping. These reactions are normal and usually reduce over time. Support from the psychology team is available to help with these reactions if needed.

Rehabilitation

Following any major traumatic injury your child may benefit from a range of rehabilitation or therapy treatments. Your child will be assessed by the rehabilitation team, which includes occupational therapists, physiotherapists, speech and language therapists, psychologists and hospital teachers. They will discuss any rehabilitation plan with you and keep you informed of your child’s treatment.

Photograph of young girl walking with a frame with the help of two therapists

Please discuss any queries regarding your child’s rehabilitation with the team, or with the Trauma and Rehabilitation Coordinators.

Some people require ongoing rehabilitation when they leave hospital. In this case, we will refer them to services local to your home.

Equipment

If your child requires specialist equipment upon discharge, the physiotherapists and occupational therapists will discuss with you and make the needed arrangements.

Photograph of young girl walking with crutches with the help of a therapist

Rehabilitation Prescription

When your child is discharged home you will be provided with a Rehabilitation Prescription. This document will give you a record of your child’s hospital stay, as well as outline any ongoing rehabilitation needs they may have.

Discharge planning meetings

If your child needs to stay in hospital for a prolonged time a discharge planning meeting may be arranged. This meeting is when everyone involved in your child’s care meets to discuss their current rehabilitation needs and to plan what support they require at home.

Going home

Follow-up care and discharge planning will be discussed with you and your child, and any referrals to local services will be made before you go home.

Children will have a follow-up appointment with their lead consultant at Sheffield Children’s Hospital a few weeks after they have been discharged home. If you have not received an appointment, please contact 0114 305 3691.

If your child has longer term needs following their injury, they may be referred to the Outreach Rehabilitation Coordinator who will continue to support you once your child is discharged from hospital.

Legal advice

If your child has been involved in an accident and you would like to obtain legal advice, we recommend you contact the following organisations who will be able to assist you:

When will my child be able to go back to nursery or school?

The timing and your child’s ability to go back to nursery or school will depend on how well they recover following their injury. Some things you may want to consider about returning to nursery or school include:

 

  • keeping your child’s nursery or school up to date whilst they are in hospital and during their rehabilitation
  • discussing with your child’s therapists any reasonable adjustments they may need at nursery or school
  • asking your child’s consultant about when they can re-start P.E. or physical activity

 

Photograph of young boy standing with frame at home

If your child is unable to return to school at first, referral to the home tuition team may be possible in some cases.

If you are needing any help or advice about your child’s return to school, please contact Hannah Keable, Outreach Rehabilitation Coordinator on 0114 226 0548 or 07785 655 134.

Contact us

If you have any questions or concerns, please contact us on:

Trauma and Rehabilitation Coordinators Hannah Keable and Claire Tripathi on 0114 226 0548.

Major Trauma Nurse Coordinator Nichola Anderson on: 0114 271 7383 or email scn-tr.tnc@nhs.net

Outreach Rehabilitation Coordinator Hannah Keable on 0114 226 0548 0r 07785 655 134.

Orthopaedic and Burns Therapy Team on 0114 271 7148.
Neurorehabilitation Therapy Team on 0114 226 0646.

Ward 1 (General Surgery) on 0114 271 7398.
Ward 2 (Orthopaedics and Burns) on 0114 271 7394.
Ward 5 (Neurosciences) on 0114 271 7784.

Further information and support

The Children’s Trust
Provides rehabilitation, education & community services following acquired brain injury.
Telephone: 01737 365 000
Email: enquiries@thechildrenstrust.org.uk

Child Brain Injury Trust (CBIT)
Supports children and their families affected by an acquired brain injury.
Telephone: 0303 303 2248
Email: info@cbituk.org

Headway
Support groups, & information for people who have suffered a brain injury.
Telephone: 0808 800 2244
Email: helpline@headway.org.uk

Brain and Spine Foundation
Provides tailored information and specialist support for anyone affected by a neurological problem.
Telephone: 0808 808 1000
Email: info@brainandspine.org.uk

Back Up Trust
Charity providing information, mentorship and skills training for people with a spinal cord injury.
Telephone: 020 8875 1805
Email: admin@backuptrust.org.uk

Spinal Injuries Association
Supporting those affected by spinal cord injury.
Email: sia@spinal.co.uk

Limb Power
A charity which aims to engage amputees and those with limb impairments in sport and physical activity.
Telephone: 07502 276 858
Email: info@limbpower.com

BRAKE
Information and advice following serious injury in a road accident.
Telephone: 0808 8000 401

Day One Trauma Support
Supporting people affected by Major Trauma.
Telephone: 0300 303 5648
Email: dayone@dayonetrauma.org

After Trauma
Supports and connects survivors of traumatic injury and their families.

Red Cross
Can loan wheelchairs for short-term use.
Telephone: 01709 870190
Telephone: 0300 333 3330 (national)

Young Minds
Charity providing support and information about mental health.
Parents helpline: 0808 802 5544

Changing Faces
Provide support and advice to people with a visible difference on their face or body.
Telephone: 0300 012 0275
Email: info@changingfaces.org.uk

Disabled Living Foundation (DLF)
Give advice and information on disability equipment.
Telephone: 0300 999 0004
Email: info@dlf.org.uk

Is something missing from this resource that you think should be included? Please let us know

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Disclaimer

Please note: this is a generic information sheet relating to care at Sheffield Children’s NHS FT. These details may not reflect treatment at other hospitals. This information is not intended as a substitute for professional medical care. Always follow your healthcare professionals’ instructions. If this resource relates to medicines, please read it alongside the medicine manufacturer’s patient information leaflet. If this information has been translated into another language from English, efforts have been made to maintain accuracy, but there may still be some translation errors. If you are unsure about any of the guidance in this resource or have specific questions about how it relates to your child, always ask your healthcare professional for further advice.

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NHS

Western Bank
Sheffield
S10 2TH

United Kingdom

Switchboard: 0114 271 7000

Interesting Facts


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