Major Incident
Surgical Training & Teams

The MISTT Trauma Course

The definitive Major Incident & Emergency Preparedness Course - incorporating two days of lectures, debate & discussions and a two day damage control cadaveric course.

NEXT MEETING:  12th - 14th November 2018
Keele Anatomy and Surgical Training Centre (KASTC)

Lecture day 12th  |  CAD days 13th & 14th (limited to 24 places)

David Weatherall Building, KASTC
Ambulance and casulaties 

The course is aimed at Consultants, post exam or post CCT Trainees who have a specific interest in major trauma or are involved in delivering frontline care in the event of a Major Incident. Delegates will benefit from a two day cadaveric course, focusing on damage control of all cavities and extremities in Trauma, together with two days of discussion, lively debate and case studies. This course will be held at the Keele Anatomy and Surgical Training Centre (KASTC), Keele University, Staffordshire, ST5 5BG.

See the May 2018 meeting overview below:

Key Cadaveric procedures for damage control include:

  • Resuscitative Thoracotomy (Left anterolateral thoracotomy and clamshell thoracotomy) & Midline sternotomy
  • Repair of atrial and ventricular injuries
  • Proximal vascular control manoeuvres in the neck, chest, abdo and groin
  • Splenectomy, Pringle manoeuvre, liver mobilisation/packing, Kocherisation, pancreatic injury repairs
  • Repairs to small and large bowel
  • Temporary abdominal closure
  • Open fractures principles Debride and Stabilise – Ex-Fix application
  • Compartment fasciotomy – LL & UL + Ex-Fix and considerations
  • Head wounds and open cranial fractures
  • Facial & Eye injuries – Immediate management

Key discussion topics:

  • Major Incident Planning and current concepts
  • The New National Major Incident Clinical Guidelines - HOT OFF THE PRESS!
  • Team scenarios in mass casualty major trauma and human factor considerations
  • Transfusion considerations – NHSBT
  • After the first 24 hours? – How to manage the Aftermath
  • Subsequent planning and management of ongoing care at hospitals, implications for staff in theatre, ward, ICU & Radiology
  • MRI scanning guidelines for Shrapnel injuries
  • Ongoing care of ballistic trauma – lessons of war

Days 1 & 2 - Cadaveric (24 places)

Trauma room

Day 3 - Major Incident

Bus crash

Day 4 - Aftermath

Aftermath of war

November course fee

Will be announced soon

Course convenors

Ansar Mahmood

Mr Ansar Mahmood

Consultant Trauma & Orthopaedic Surgeon
Research Lead for Orthopaedic Trauma & The Major Trauma Service - UHB
Co-ordinating Trauma Consultant - Major Trauma Service


Justine Lee

Miss Justine Lee

Speciality Doctor in Major Trauma
Major Trauma Service Research Fellow
RCDM - Military Trauma Registrar

Inside KASTC