Major haemorrhage is a leadingcau se of de ath in critically ill orinj ured patients requiring medicalretrieval and presents signiﬁcant clini-cal and logistic cha llenges irrespectiveof pat ient location, primary patho-physiology or mode of transport. It isessential that all care providersinvolved in the retrieval patient path-way, including referring hospitals,ambulance services, retrieval teamsand tertiary receiving centres, adopt acommon approach to the manage-ment of this complex patient groupthr ough the use of retrieva l-speciﬁc,integrated protocols. These shouldinc orporate the latest clini cal evid enc ebase, recognise the differences betweenpr imary and inter-facility mi ssionsand clearly deﬁne the roles andre spon sibilities of the ret ri eval clinicalcoo rdinator. By unifying the respo nseac ross services, the aim is to f acilitateseamless transition of care with ongo-ing damage control resuscitation frompoint of referral, during transfer andon arrival at the receiving centre.
Emergency Medicine Australasia / Vol. Article in press