Patients with serious abdominopelvic injuries frequently undergo laparotomy as a part of damage control resuscitation. Improved prehospital care, earlier damage control resuscitation, and improved transfusion practices have been widely perceived as advances in the care that these patients receive. Despite this, the literature from major trauma centres, both in the UK and the US, show that mortality in these patients has not improved over the past 20 years. The reasons for this are unclear due to heterogenous and incomplete data capture, and the National Emergency Laparotomy Audit (NELA) excludes trauma patients.

The Trauma Emergency Laparotomy Audit (TELA) aims to address this gap in data collection. We have collected relevant data on all trauma patients who underwent laparotomy within 24 hours of admission, which provides a contemporaneous account of damage control resuscitation and laparotomy in the UK. The findings of this audit have identified areas for further research and innovation that we hope can ultimately improve patient outcomes.

You can read more about the study here.  And download the study protocol here

Please get in contact with us at to find out more.


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