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In a designated major trauma centre, the receiving trauma team should include an anaesthetist with appropriate airway and damage control resuscitation competencies to manage trauma patients.^48,49

The safe management of unstable patients depends on close liaison between emergency physicians, anaesthetists and intensivists.^50,51 Local collaboration and leadership through committee structure or working groups should ensure the following:

• clear guidelines are easily accessible to all staff regarding fixed contact points for anaesthetic support, channels of escalation, equipment availability, medication use and periprocedural care.⁵² Major...

Emergency airway management in the ED should follow the recommendations of the collaborative working framework of the Royal College of Emergency Medicine and the Faculty of Intensive Care Medicine.^53,54

There should be regular multidisciplinary in-situ simulation training to standardise clinical practice. Non-theatre anaesthesia requires collaborative working across many specialties. Non-technical skills are an important element of working across multiple teams and improve the performance and outcomes of non-theatre services.⁸⁰