Trauma Systems and Trauma Care – That was then and this is now

Andrea Herring RN

This presentation provides brief overview of the history of Trauma Systems in Australia as well as a lighthearted historical review of treatments and practices that have existed in trauma care over that last 25-30 years. This includes fluid resuscitation practice, immobilization techniques, hemorrhage control, investigations and trauma care. The presentation is broken up into sections titled, “things that came and went”, “things that came, went and came back again” and “things that came and stayed”. The presentation reflects on the importance of evidence informed trauma care and the importance of clinical assessment and reasoning.


Andrea Herring has been a Registered Nurse for 34 years, having graduated from the Western Metropolitan Group School of Nursing, Westmead in early 1985. Andrea has held a variety of clinical, educational and leadership roles at Hospital, District and State level in the NSW Health System and is currently the National clinical Operations Manager at CareFlight. Previous roles include Executive Director at the NSW Health Education and Training Institute and Manager of Nursing and Midwifery Education for Western Sydney Local Health District.  Andrea has been a member of the National Executive of the Australasian Trauma Society since 2003, including a term as President, only the second nurse to hold this position. Her clinical speciality areas of interest are trauma, critical care, aeromedical retrieval and disaster management and particularly systems, teams and human factors for patient safety. Andrea spent 2 years as the International Director at Large for the Society of Trauma Nurses (USA) has worked as a consultant to NSW Health for the Y2K Program and was instrumental in the establishment of the NSW Institute of Trauma and Injury Management in 2002. Andrea was previously the Clinical Nurse Consultant for Medical Education and Training and then National Clinical/Nurse Manager for CareFlight NSW and CareFlight International Air Ambulance. Andrea has published in international peer reviewed journals, was an original member of the Australian Emergency Nursing Journal Editorial Committee, has co-authored a book chapter on Trauma Systems and currently reviews papers for the International Journal “Injury”. Andrea has presented at and been an invited speaker at many local and national meetings on trauma systems/trauma management and education for clinicians, both in hospitals and within the aeromedical retrieval environment. Andrea was a Nursing Officer in the RAAF Specialist Reserve and has been part of the development and delivery of clinical simulation education for medics, nurses and doctors prior to deployment to the Middle East. Andrea has had a long standing interest in simulation based education, particularly team training, human factors and communication skills.

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