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The management of severe trauma is 'time-critical', where prompt and appropriate intervention significantly mitigates mortality, complications, and lifelong disability among those afflicted by major trauma.


The initial assessment of trauma patients necessitates a collaborative team effort. Major trauma cases often demand the involvement of various specialty groups. While the trauma team typically oversees these cases, there may be occasions where input from neurosurgical, orthopaedic, maxillofacial, or plastic surgical teams is essential. It is imperative to promptly inform specialists about severely injured patients.


Encounters involving multiple major trauma patients concurrently are not uncommon and can strain the system significantly. Such scenarios may result in the oversight of patients with severe yet not immediately apparent injuries. In such instances, early summoning of assistance is crucial.


These guidelines have been meticulously crafted through extensive consultation and rigorous review processes. We aim to establish clear and consistent guidelines for the care and treatment of trauma patients. These guidelines are being used in our Level 1 Trauma Centers (Hospital Sultanah Aminah Johor Bahru and Hospital Tengku Ampuan Rahimah Klang). They can be a guide for other centers as well.

The guidelines are in two parts:

  • Part One - Explains the Trauma System, standards of a Trauma Center, and Trauma Service

  • Part Two - Outlines the standard approach to treatment of injuries and algorithms 

Part 1: Trauma System, Trauma Center & Trauma Service

Trauma System 1.jpg
Trauma Center 1.jpg
Trauma Service 1.jpg

Part 2: Standard approach to treatment of injuries

Click the tab to reveal the algorithm below

Primary Survey 1.jpg
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