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Anaesthesia for the emergency control of major traumatic haemorrhage, and other damage limiting interventions in the operating theatre or radiology intervention suite, should be consultant anaesthetist led. Where consultants are not resident, clear lines of communication and notification should be in place to allow early attendance to trauma calls.

MTC and TU anaesthetic departments should consider appointing anaesthetists with an interest in prehospital care. Anaesthetists who provide prehospital care in the field should be qualified to do so.⁵

A range of operating tables with attachments for spinal, thoracic, pelvic and limb trauma procedures should be available.

Tourniquets and inflation devices of suitable sizes should be available for upper and lower limb surgery requiring a bloodless field.

A cell salvage service should be available for cases where massive blood loss is anticipated.^{17, 18} Staff who operate this equipment should receive training in how to operate it, and use it with sufficient frequency to maintain their skills.

Warming devices for patients should be available for use in the anaesthetic room, operating theatre, recovery unit and ED.¹⁹

Facilities to allow access to online information, such as electronic patient records, local guidelines and clinical decision aids, in the theatre suite should be considered.

Elective orthopaedic and planned trauma cases should have their temperature checked preoperatively on the ward.¹⁹ Active warming devices should be available for patients prior to coming to theatre.

A rapid infuser allowing the infusion of warmed intravenous fluids and blood products should be available.²⁰

Equipment for portable monitoring and ventilation should be available in the resuscitation room.^21,22