End product now in print. Thanks to @BJSurgery Worldwide effort. Link: doi.org/10.1002/bjs.12015 559 participants. 52 countries #collaborative. 13 questions. 5 key areas. @Augishealth @RCSnews @RCSEd @WSESurgery @SWexner @asgbi @asbun_hj @susanmoug @markataylor16 @shanu_kothari

This week @London_Trauma System is publishing our Palliative and End of Life Care in Older Trauma Patients best practice guidance. Please share widely! c4ts.qmul.ac.uk/downloads/lm… Key Principles: All healthcare professionals involved in the care of older trauma patients have a responsibility towards the identification and management of an individual’s palliative and end of life care needs. Palliative support for older trauma patients should be provided in conjunction with, and not separate to, best available curative/life-prolonging interventions All older trauma patients should be looked up on local health records to see if they have an advance care pathway Prognostication at the outset can be difficult. Where the appropriateness of clinical interventions is uncertain, ‘time limited trial of treatments’ should be considered, alongside patients wishes and preferences. Effective communication between TUs and MTCs is essential and palliative care referral pathways should be in place within trauma networks to facilitate individualised decision-making. Where specialist services at MTCs are requested to guide treatment options, senior TU clinicians managing the patient should factor in and convey relevant information about a patient’s medical background and personal values, to enable shared decision-making on prognosis, treatment intentions and the best location of ongoing care. Thank you to @TraumaEMC and everyone involved in producing this guidance.

Merry Christmas to all those working in the NHS today Many staff in the NHS are grossly underpaid (even on Christmas day👇) but none more so than Junior Doctors who frequently graduate with >£100k debt RT to support them & ask government to pay them ALL fairly #PayRestoration

Exciting times! I invite you to our next TUGS EGS event in collaboration with TUGS Hernia. This will focus on emergency hernia management, featuring well-experienced international speakers. To be held on 15/05 at 1.30PM GMT. To register go to tinyurl.com/yrn9uzw6

Don't miss our exciting TUGS EGS April event covering Lower GI bleeding on April 4th 2022, 19:00 London UK time.

Excited to announce this FREE multi-disciplinary in-person springboard event on 15th March 2022 to launch the next national collaborations in trauma research, and pitch new ideas! @CommsC4TS #trauma #research #collaboration Register here: eventbrite.co.uk/e/natric-me…

TUGS Audits are on steady progress with more than 1000 registrations for the 10 projects. Global collaboration at its best. Register here: tugsglobal.com/multinational

Teamwork makes the Dream work. @royalnavy Surgical team rehearsing Damage Control resuscitation and surgery on board the #NationsFlagship @HMSQNLZ Looking after our fellow sailors in the task group as they look after us. (No manikins were hurt in the staging of this PhotEx)