Trauma Survey

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Responder Details
Contact Details
  City / Town:  State: Pin:
  Phone: Email: Mobile:
Hospital Details
  Name of Hospital:
  City / Town: State:  Pin:
  Number of Beds:
  Available Trauma Specialties:
  Status of Hospital : Teaching   Non-teaching
  Public |  Private  |  Corporate  |  Trust  | Other 
  Hospital Website address (if any):

Please tick appropriate boxes as applicable in your region


1. Overall responsibility to react to a trauma situation lies with
Unified Command and Control Centre
Government Agencies
Fire Services
2. Pre-hospital transportation for trauma victims
Offered by Governmental Services
Offered by Police
Offered by Fire Services
Offered by Hospital Ambulance Services
Offered by Private Ambulance Services (not attached to hospital)
Other (Please specify):
3. Which of the following components of trauma system are in place in your area
Linkage between rural-urban and primary-referral hospitals
Dedicated Central Incident Report phone line (E.g. 100, 101, 911 etc.)
Hospital to Ambulance communication
Ambulance to Ambulance communication
4. Available modes of evacuation of a trauma victim
Ground transportation
Air transportation
Water transportation
5. Ambulance Resources
IV infusion facility
Immobilisation devices
Airway support (manual or mechanical)
Blood Pressure measuring device
ECG Monitoring / Recording
Pulse Oximetre
6. Capability / Training - of Paramedical Ambulance staff
Setting up IV infusion line
Neck, spine and extremity immobilisation
Airway management (intubation, ventilation)
All Trauma Life Support protocol skills (NTMC Trained)
7. Number of trained paramedics accompanying the ambulance
More than two
8. Constraints to patient Transportation in your area (please specify)
Geographic (terrain, distances, road condition etc.):  
Demographic (population, traffic etc.):  
9. Choice of destination hospital for severely injured (life threatening) patient by

Directive of Police / Fire / Government (Statutory Provisions)

Evacuation staff / paramedical staff

Guided by severity of the injury (Capability of a hospital)

Proximity of the hospital from incidence location


Patient or relative

10. Trauma Care facilities at your hospital
"Level - 1" (CT Scan, OT, ICU, Super specialty services, Blood Bank)
"Level - 2" (Operation Theatre, Ventilation support)
"Level - 3" (Primary care facilities)
11. Are there any set protocols for
Triage Yes:      No:
Inter-hospital transfer Yes:     No:  
12. Disaster management plan
Well defined and in place
Under development
13. Trauma guidelines for primary and definitive care
International Trauma Treatment Protocols used

Locally developed Trauma Treatment Protocols

Individual cases (Without set protocols)

14. Resuscitation initiated by
Dedicated Trauma Response Team
Composition of dedicated trauma response team (if any)
Casualty Medical Officer
Specialists participating in initial resuscitation

Gen. Surgeon Ortho. Surgeon
Anaesthetist  Others

15. Training level of receiving doctors
Emergency Medicine Specialist
Post-graduate with trauma management training
Graduate with trauma management training
Graduate (MBBS)
16. Overall in-charge of the patient for definitive care
Dedicated trauma surgeon
Orthopaedic Surgeon
General Surgeon
Not Fixed
17. Primary Funding for establishing trauma care facilities by
Non Governmental Organisation (Trust)
Combination of any of the above
Other (please specify):
18. Cost of treatment borne by
Patient / relatives (full paying, insured)
Fully by governmental organisations
Subsidised by governmental organisations
Subsidised by NGO (trust)
19. Percentage of trauma patients covered by medical insurance
Under 10%
10 - 20%
20 - 30%
More than 30%
20. Documentation (records) available in following areas (please mark all applicable)
Number of major incidences
Trauma admissions
Trauma outcome
Post mortem Repost
21. Rehabilitation facilities available for trauma patients
Occupational Therapy
Psychological Counseling
Social Rehabilitation
22. Suggestion and comments for further development and enhancement of trauma care systems under following headings. Attach separate pages if required.

Training and personnel

 Essential equipment and supplies

Organisation and administration

23. Specify strengths and weaknesses in trauma care in your area



Thank you for your time and effort in the endeavor of Academy of Traumatology (India) to better prepare India in dealing with trauma situations.