Module Details: Aintree University Hospital sees the largest volume of acute major trauma within the Merseyside Major Trauma Centre Collaborative. The Walton Centre neurosurgical unit is on our hospital site and we have a close working relationship with them to manage all major head injuries in the region. Aintree currently has 100 trauma team activations per month and this is likely to increase with the transition to a single receiving site. All trauma calls are attended by the senior anaesthetic trainee on-call, where you will become very experienced in the efficient and effective management of acute trauma. You will also gain experience of acute major trauma surgery in our dedicated major trauma theatre, which is available 24/7 and backed by resources such as near patient coagulation testing using RoTEM®, and full haematological service support with the use of shock packs and rapid infusion devices (including The Belmont Infusion Device). For the non-clinical curriculum, anaesthetists are involved in service delivery and improvement, morbidity and mortality review and training for major trauma. We have a comprehensive urgent orthopaedic trauma service. We manage all common orthopaedic injuries, plus specialist foot and ankle, upper limb, peri- prosthetic femoral and pelvic surgery. We are amongst the first centres nationally performing fractured rib-fixation. We are also seeing increasing repeat visits to theatre for staged procedures in those with complex major polytrauma. We have an active service improvement dialogue with orthopaedic surgeons and orthogeriatricians, our fractured neck of femur service having been noted nationally as having a short time to theatre. There is ample opportunity for audit and service improvement projects. We are the regional centre for maxillofacial trauma, one of the largest in the UK. You can gain experience and confidence managing all maxillofacial injuries from the large volume of fractured mandibles to more complex mid-face and periorbital trauma. Transfer medicine is increasingly important in view of Aintree’s Major Trauma Centre status. Many of the 100 trauma team activations per month require intra- hospital transfer to Radiology for urgent CT scanning, and a significant proportion of patients are transferred to the Walton Centre for ongoing management of head injuries.