Elderly Trauma

For the first time there are 11.5 million people aged 65 or over living in the UK, which equates to 18% of the population (Figure: Office For National Statistics 2015).

Nationally this is the fastest growing age group in the UK and the Office for National Statistics estimate that by 2040 one in four people in the UK will be aged 65 or over.

The Trauma Audit Research Network (TARN) reported that major trauma patients in England and Wales are becoming more elderly, and low level falls are now a leading cause of severe injury. However there are currently few clinical guidelines which specifically focus on the needs of injured elderly patients admitted to major trauma networks.

The pan London elderly trauma group comprises multi-disciplinary professionals with expertise and interest in managing older injured patients. This group have produced clinical guidance for the management of elderly trauma patients within Major Trauma Centres and Trauma Units. Clinical commissioning standards for the care of this group of patients have been proposed within the guidelines, for discussion with the National Clinical Reference group and other key stakeholders.

Download the guidelines for management of elderly trauma patients

Definition of 'elderly'

Published reports on the care of the older trauma patient lack consensus for the definition of which age may be considered ‘elderly’. For the purposes of our work, elderly is defined as a patient aged 70 years or over. We acknowledge that this may be 60 or 65 in some trauma settings.


Group Membership

Adam Woodgate, Consultant EM, Royal London Hospital (Group lead)

Raj Ahliwalia, Consultant Geriatrician Kings College Hospital

Duncan Bew, Consultant Trauma Surgeon, Kings College Hospital

Gareth Boyden Trauma and Orthopaedics Physiotherapist, St Marys Hospital

Clarence Chikusu, Consultant Geriatrician, St Peters Hospital

Elaine Cole, Director of Research and Innovation, Pan London Major Trauma System

Joseph Davies, NWL network manager, NWL/St Marys Hospital

Lorna Donegan Operational Delivery Networks Lead, Pan London Major Trauma System

Russell Durkin, Consultant Geriatrician, Royal Free Hospital

Michael Fertleman, Consultant Geriatrician, St Marys Hospital

Paul Hartnett, Consultant Orthopaedic Surgeon, Kings College Hospital

Derek Hicks, Consultant EM/Network Director NELETN

Luke Hounsom Consultant Trauma Medicine, Basildon Hospital

Fraser Ingham, Consultant Radiologist, Royal Free and Barnet Hospitals

Dawn James Trauma and Orthopaedics Nurse Coordinator, Kings College Hospital

Ari Johar, Consultant Geriatrician Royal Free Hospital

Chooi Lee, Consultant Geriatrician/Orthogeriatrician, Kingston Hospital

Natalie Marroney, Major Trauma Physiotherapist, St Marys Hospital

Sabeena Oloray, Consultant EM, Royal London Hospital

Victoria Osborne-Smith SELKAM network manager, SELKAM/ Kings College Hospital

Rachel Parrott, Trauma and Orthopaedics Physiotherapy Team Leader, St Peters Hospital

Roisin Purcell, Consultant Geriatrician, Whipps Cross Hospital

Nicola Radford, Consultant EM, Homerton Hospital

Ines Reichert Consultant Trauma and Orthopaedics, Kings College Hospital

Davina Richardson, Clinical service lead therapist Major Trauma, St Marys Hospital

Jane Tippett Consultant Nurse ED, Kings College Hospital

James Uprichard, Consultant Haematologist, St Georges Hospital

Julie Vowles, Consultant Geriatrician, Hillingdon Hospital

Anita West, Trauma Nurse Coordinator, Royal London Hospital

Mark Wilson, Consultant Neurosurgeon, St Marys Hospital


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