• Optimal available expertise should be utilised to fill each role within the team.
• Team members should be sourced from throughout the hospital to ensure the most skilled clinicians available participate in trauma reception and resuscitation, for example from ED, ICU , anaesthetics.
• Specific composition of the team will vary according to local staffing levels.
• Rural and regional ambulance and MICA paramedics are important team members and should be appropriately qualified to meet such role expectations.
• Trauma team members must be available for response within five minutes of a trauma team call
• Trauma team members should be present to receive the patient. The presence of a surgeon on patient arrival complements the function of the trauma team and is essential shortly thereafter (see Appendices 4 and 5)
• Timely team assembly is contingent on early notification by prehospital providers and early subsequent trauma team activation.

Role	Core Competencies/Skills
Team Leader	Competencies: Competent and experienced in assessment and management of the trauma patient according to EMST principles. Skills: Assesses priorities and makes team aware of these. Prioritises treatment and investigation procedures. Directs the performance of a range of invasive procedures, including: ndotrachael intubation and mechanical ventilation prescribe and administer anaesthesia and analgesia ntercostal catheter insertion ntravenous cannulation and fluid resuscitation rterial blood gas sampling diagnostic peritoneal lavage. Makes appropriate referrals early in the treatment of the patient. Arranges for the transfer of patient to a place of definitive care.
Procedures	Competencies: Competent and experienced in the invasive procedures to be performed. Skills: Performs a range of invasive procedures, not limited to: ntercostal catheter insertion ntravenous cannulation and fluid resuscitation rterial blood gas sampling iagnostic peritoneal lavage rinary catheterisation xternal cardiac massage. Attaches monitoring equipment (ECG, NIBP, SaO2). Performs 12 lead ECG. Performs procedures as directed by the team leader.
Airway	Competencies: Competent nd experienced in airway management. Skills: Performs endotrachael intubation and mechanical ventilation. Administers anaesthesia and analgesia as necessary. Manages C-spine.
Scribe	Skills: Records and documents vital signs at frequent intervals. Documents the time of performance of procedures. Documents the time of administration of drugs. In conjunction with the team leader, controls the access of personnel to resuscitation bay.