№ files_lp_4_process_2_42290
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Freedom of Information response providing confirmation and accompanying documentation regarding major haemorrhage protocols and related clinical guidance used across trauma, obstetric, and surgical services associated with Morriston Hospital and the South Wales Trauma Network.
Reference:
25-J-054
Country:
Wales, United Kingdom
Region / City:
Morriston, South Wales
Institution:
Morriston Hospital
Network:
South Wales Trauma Network
Document Type:
Freedom of Information response
Legislation:
Freedom of Information Act 2000
Legal Framework:
General Data Protection Regulation (GDPR); Data Protection Act 2018
Subject:
Major haemorrhage protocols and clinical guidelines
Clinical Areas:
Trauma; Obstetrics; Surgery; Multispecialty hospital care
Attachments:
Four appendices containing protocol and guideline documents
Appendix 1 Scope:
Trauma cases within the South Wales Trauma Network
Appendix 2 Scope:
Obstetrics
Appendix 3 Scope:
Cross-specialty guidance on major bleeding management
Appendix 4 Scope:
Surgical settings
Information Limitations:
Staff names redacted under Section 40(2) of the Freedom of Information Act 2000
Audit Data:
Not available
Supporting Materials:
Clinical guidelines and standard operating procedures related to transfusion thresholds, blood products, coagulation factor concentrates, and escalation pathways
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Year:
2018
Location:
Morriston, Wales, UK
Topic:
Healthcare, Respiratory Medicine
Document type:
News article
Institution:
Morriston Hospital, Abertawe Bro Morgannwg University Health Board
Date of publication:
4 December 2018
Medical staff involved:
Dr Favas Thaivalappil, Linda Rees, Kate Jones, Dr Emrys Evans, Gareth Barbour, Rebecca Carlton
Target audience:
General public, patients, healthcare professionals
Year:
2013
Region:
North West England
Topic:
Healthcare, Emergency Medicine, Haemorrhage Management
Document Type:
Guideline
Organization:
North West Regional Transfusion Committee (NW RTC)
Authors:
Steering group of NW RTC Major Haemorrhage Guidelines Group
Target Audience:
Healthcare professionals involved in transfusion and emergency care
Effective Period:
Ongoing
Approval Date:
December 2013
Revision Date:
June 2013
Year:
2023
Region / City:
Canberra
Topic:
Health, Medical Procedures
Document Type:
Clinical Procedure
Organization / Institution:
Canberra Health Services
Author:
Unknown
Target Audience:
Medical Professionals, Nurses, Allied Health Professionals
Period of Validity:
Ongoing
Approval Date:
Unknown
Date of Changes:
Unknown
Year:
Not stated
Region:
Canberra, Australian Capital Territory
Thematic area:
Obstetric emergencies
Document type:
Clinical guideline
Issuing organisation:
Canberra Health Services
Clinical focus:
Postpartum haemorrhage (primary and secondary)
Definition of condition:
Blood loss ≥500 mL after childbirth
Target population:
Women during and after childbirth
Intended users:
Medical officers, registered midwives, nurses, midwifery students under supervision
Scope of application:
Antenatal, intrapartum and postpartum care
Care settings:
Vaginal birth and caesarean section
Related conditions:
Maternal morbidity and mortality
Includes sections:
Risk factors, prevention, management, resuscitation, postpartum care, evaluation, references
Year:
2025
Region / City:
UK
Topic:
Healthcare, Medication Guidelines
Document Type:
Medical Protocol
Organisation:
National Ambulance Service Medical Directors (NASMeD)
Author:
Dr. Elizabeth Miller, Dr. Dave Macklin, Mr. Andy Curran, Rosie England, Cathryn James, Dan Haworth, Tracy Rogers, Jo Jenkins, Rosie Furner
Target Audience:
Registered healthcare professionals, Paramedics, Nurses, Midwives
Effective Date:
May 2023
Review Date:
October 2025
Expiry Date:
April 2026
Approval Date:
May 2025
Change History:
Includes updates to drug administration protocols and clinical guidelines
Year:
2020
Region / city:
United Kingdom
Subject:
Haematology, Transfusion Medicine
Document type:
Guideline
Organization:
British Society for Haematology
Author:
Simon J Stanworth, Kerry Dowling, Nikki Curry, Heidi Doughty, Beverley J Hunt, Laura Fraser, Shruthi Narayan, Juliet Smith, Ian Sullivan, Laura Green
Target audience:
Haematology and transfusion professionals, medical practitioners in the UK
Effective period:
From 2020 onwards
Approval date:
Not specified
Amendment date:
Not specified
Year:
2016
Region / city:
Global
Topic:
Maternal health, Post-partum haemorrhage
Document type:
Research review
Organization / institution:
British Journal of Haematology, St Bartholomew’s Hospital, London School of Hygiene and Tropical Medicine
Author:
Stephen P Hibbs, Ian Roberts, Haleema Shakur-Still, Beverley J Hunt
Target audience:
Healthcare professionals, researchers, policymakers
Period of validity:
Ongoing
Approval date:
Not specified
Date of revisions:
Not specified
Descriptor:
Urgent and out-of-hours CT brain undertaken to identify subarachnoid haemorrhage (SAH) or contraindications to subsequent lumbar puncture (LP)
Background:
National guidance requires LP following a normal CT brain in suspected SAH cases
Standard:
LP performed no sooner than 12 hours from symptom onset when CT does not reveal SAH or contraindication
Target:
100%
Indicators:
Percentage of eligible patients undergoing LP ≥12 hours after headache onset
Data Items:
Clinical details in request; time of CT; CT findings; contraindications; timing and result of LP; report timing
Suggested Number:
40 consecutive requests
Resources:
Review of request forms, patient notes, laboratory log books; radiologist time (8 hours)
References:
SIGN Guidelines 107 (2008); NICE CG68 (2008); RCP Stroke Guideline (2012); BMJ, Stroke, Neurologia and other cited journals
Submitted By:
Taken from Clinical Audit in Radiology 100+ recipes RCR 1996, updated by B Morrissey & L Narayanan
Published Date:
Monday 7 January 2008
Last Reviewed:
Thursday 9 January 2020
Year:
2026
Region / city:
International multicenter
Topic:
Cardiology, Hematology
Document type:
Supplementary tables and figures
Institution:
GARFIELD-AF and ORBIT-AF study groups
Authors:
Multi-center registry investigators
Target audience:
Clinicians, researchers
Study period:
2 years follow-up
Data collection:
Patient registries
Patient population:
Adults with atrial fibrillation receiving oral anticoagulants
Measured outcomes:
Incidence of intracranial hemorrhage, baseline characteristics, treatment type, comorbidities, vital signs
Data analysis:
Risk factor association with intracranial hemorrhage
Treatment types:
NOAC, VKA, concomitant antiplatelet therapy
Note:
Year
Region / City:
Canberra, ACT
Topic:
Indigenous Cultural Protocols
Document Type:
Procedure
Organization:
Canberra Health Services
Target Audience:
CHS Network staff
Year:
2021
Region / city:
Canberra
Theme:
Women’s Health, Clinical Treatment Protocols
Document type:
Guideline
Organization:
Canberra Health Services
Author:
Women’s Health Service
Period of validity:
Not specified
Approval date:
Not specified
Date of last modification:
Not specified
Year:
2025
Region / City:
Commonwealth of Australia
Subject:
Data Exchange Protocols, Commonwealth Home Support Program
Document Type:
Protocols
Agency / Institution:
Department of Health, Disability and Ageing (DHDA)
Author:
Not specified
Target Audience:
Organisations delivering the Commonwealth Home Support Program
Period of Effectiveness:
July 2025
Approval Date:
July 2025
Revision Date:
Not specified
Year:
2025
Jurisdiction:
Los Angeles County, California
Issuing body:
Los Angeles County Department of Public Health
Program:
Comprehensive Perinatal Services Program (CPSP)
Document type:
Program protocols
Date issued:
April 14, 2025
Addressing population:
Prenatal and postpartum clients
Intended users:
CPSP providers and practitioners
Subject areas:
Prenatal care, postpartum care, nutrition, psychosocial assessment, health education
Related references:
CPSP Provider Handbook (2018 Edition); CPSP Steps to Take Guidelines (2019 Edition)
Geographic scope:
Los Angeles County
Year:
Not specified
Region / City:
Not specified
Theme:
Trauma-Informed Education, Parent and Family Engagement
Document Type:
Review Tool
Organization / Institution:
Not specified
Author:
Not specified
Target Audience:
Educators, School Administrators, Parents
Effective Period:
Not specified
Approval Date:
Not specified
Modification Date:
Not specified
Note:
Year
Document Type:
BIM Execution Plan
Articles Included:
Project Information, Designated Delivery Milestones, Software Requirements, Data Security, Modeling Protocols, Model Management, Levels of Development, Reliance Authorization, Model Identification, Other BIM Provisions, Exhibits and Attachments
Note:
Year
Subject:
Building Information Modeling (BIM)
Document Type:
Agreement Exhibit
Target Audience:
Design Team, Consultants, Project Participants
Year:
[insert date ranch plan created here]
Ranch Name:
[Insert ranch name here]
Address:
[insert address here]
Phone:
[insert phone number here]
Email/Website:
[insert email/website here]
Type of Document:
Ranch management plan
Author/Creator:
[insert author or responsible person here]
Created:
[insert date ranch plan created here]
Updated:
[insert date ranch plan updated created here]
Contents Included:
Ranch Overview, Animal Inventory, Breeding and Market Cattle, Ranch Programs, Health and Husbandry, Feeding and Watering Plans, Emergency Procedures
Target Audience:
Ranch managers and staff
Animal Categories:
Cows, Bulls, Replacement Heifers, Replacement Bulls, Calves, Backgrounders, Finishers
Protocols:
Animal Identification, Segregation, Health and Husbandry, Feeding, Breeding, Handling, Environmental Management
Emergency Contacts:
Veterinarian and Important Contacts
Note:
Year
Topic:
Emergency Fire Dispatch Protocols
Document Type:
Standards
Organization / Institution:
Maine Public Utilities Commission
Target Audience:
Public Safety Answering Points, Emergency Fire Dispatchers, Emergency Fire Dispatch Agencies
Year:
2023
Region / City:
Washington, D.C.
Subject:
Cable Royalty Funds Distribution, Virtual Hearing Protocols
Document Type:
Order
Organization / Institution:
Copyright Royalty Judges
Author:
Copyright Royalty Judges
Target Audience:
Parties involved in the proceeding
Period of Validity:
From the date of the proposed order
Approval Date:
December 9, 2022
Date of Last Amendment:
January 26, 2023