| 04.c • | Pre-alerting the hospital |
| A | Age and sex |
| T | Time of incident |
| M | Mechanism |
| I | Injuries suspected |
| S | Signs (observations) |
| T | Treatment given |
| E | ETA |
| R | Requests -obstetric/cardiothoracic -massive blood loss -right turn resuscitation |
The pre-alert should be given by calling Trauma Network Co-ordination Service and using the ATMISTER mnemonic.
It should take only 30 seconds to give an ATMISTER.
It should be also used at handover to the trauma team in the ED unless:
- CPR is in progress
- immediate airway problem
- catastrophic haemorrhage
in which case clinical care must proceed immediately to address the problem.
References
Trauma: Who Cares? (NCEPOD, 2007)
Regional Networks for Major Trauma (NHS Clinical Advisory Groups Report, 2010)
UK Ambulance Service Clinical Practice Guidelines, (Joint Royal College Ambulance Liaison Committee, 2006)
Advanced Trauma Life Support (American College of Surgeons)