Posters for 2026 Major Trauma in Older People

Introduction Rib fractures in older adults are associated with significant morbidity and mortality, mainly due to inadequate pain control and subsequent respiratory complications. Baseline audit demonstrated fragmented care, with admission across multiple specialties and wards and delayed access to specialist input and analgesia. Aims To improve pain management, coordination of care and clinical outcomes for older adults with rib fractures through the implementation of a multidisciplinary care pathway. Methods A multidisciplinary pathway was developed involving emergency medicine, radiology

Introduction Frailty is increasingly recognised as a stronger predictor of adverse outcomes following major trauma than chronological age alone. The Nottingham Trauma Frailty Index (NTFI) conceptualises frailty as a multidimensional construct incorporating functional dependence, cognitive impairment, and physiological vulnerability. However, several original NTFI variables are not routinely available at emergency department (ED) presentation. We aimed to develop and evaluate a proxy-based adaptation of the NTFI using routinely collected trauma registry data in Saudi Arabia. Methods We analysed

Introduction: The Care of the Elderly/Frailty team at UHCW sought to improve practice in the application of the Recommended Summary Plan for Emergency Care and Treatment plan (ReSPECT A rapid review of the evidence was undertaken, focusing on a broad review question: what are the educational needs of healthcare professionals regarding the optimal communication and understanding of ReSPECT needs with patients and other healthcare colleagues? Methods: A multi-professional Critically Appraised Topic group (CAT) with 6 clinicians from the frailty team at UHCW was established engaging appropriate

Introduction The Battle score is a validated risk stratification model for traumatic rib fracture presentations to secondary care. When combined with the Clinical Frailty Score (CFS), it aids identification of older patients living with frailty with increased risk of rib fracture complications. Multimodal analgesia is central to rib fracture management. NICE guidance states Non-Steroidal Anti-Inflammatory Drugs (NSAIDs) should not be prescribed for these patients. The audit aimed to determine whether Rib Fracture Risk Stratification Scores (RFRSS) were used, if appropriate analgesia was