Training Fellow - Acute Rehabilitation and Trauma Unit
ACUTE REHABILITATION AND TRAUMA UNIT (ARTU) – TRAINING FELLOW
The Royal Stoke University Hospital (RSUH) serves as the major trauma centre for the North West Midlands and North Wales (NWM&NW) Major Trauma Network, covering a population of nearly 2½ million.
RSUH receives over 1000 patients per year (45% of which are over 65 years of age) who are eligible for the national major trauma registry, hosted by the Trauma Audit and Research Network (TARN). Over half of these are severely injured, defined by an Injury Severity Score (ISS) over 15.The mortality results in RSUH following severe injury are excellent with 2 more survivors than predicted for every 100 patients submitted to TARN. This is achieved through embracing key principles:
Concentrated experience to promote expertise
Dedicated responsibility Continuity of care along entire pathway Focus on rehabilitation Partnership between specialties Partnership between Trusts Adequate network size to support trauma culture Real-time data, feedback and governance The Acute Rehabilitation and Trauma Unit (ARTU) is an on-site, 27 bedded acute specialist rehabilitation facility and trauma unit, pulling patients from intensive care or direct from theatres/ A&E resus. It provides specialised rehabilitation for patients with severe head injuries and other neurological conditions, and acute multidisciplinary surgical care for patients with spinal, complex and multiple trauma, focusing on severely injured patients within a rehabilitation environment.
ARTU provides coordinated care through cohorting complex patients in an area adjacent to the key surgical specialty wards and shared with the rehabilitation team. Focusing on multidisciplinary care it will enable intensive physiotherapy, occupational therapy, speech therapy and psychology to take place in parallel to acute care, supporting patients to achieve their maximum potential for physical, cognitive, social and psychological function. The identification of individual rehabilitation needs and where these are best met closer to home will be an integral part of the discharge planning process, with the aim of reducing length of stay.
ARTU is one of the first hyper-acute specialised rehabilitation units to be developed within a Major Trauma Centre.