• Julian D Wijesuriya and Sean Keogh.
• Central London School of Anaesthesia and Intensive Care Medicine, Royal Free Hospital, London, UK.
• Emerg Med Australas. 2017 Aug 1; 29 (4): 470-475.

AbstractMajor haemorrhage is a leading cause of death in critically ill or injured patients requiring medical retrieval and presents significant clinical and logistic challenges irrespective of patient location, primary pathophysiology or mode of transport. It is essential that all care providers involved in the retrieval patient pathway, including referring hospitals, ambulance services, retrieval teams and tertiary receiving centres, adopt a common approach to the management of this complex patient group through the use of retrieval-specific, integrated protocols. These should incorporate the latest clinical evidence base, recognise the differences between primary and inter-facility missions and clearly define the roles and responsibilities of the retrieval clinical coordinator. By unifying the response across services, the aim is to facilitate seamless transition of care with ongoing damage control resuscitation from point of referral, during transfer and on arrival at the receiving centre.© 2017 Australasian College for Emergency Medicine and Australasian Society for Emergency Medicine.

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