QED HIA · Road Trauma & TBI

THE BRAIN INJURY
A&E CANNOT
MEASURE

Every year, 1.5 million Europeans sustain road trauma TBI. Most are discharged from A&E within hours — without a neurological baseline, without objective measurement, and without a recovery pathway. QED HIA changes that.

1.5M
Road TBI cases in Europe annually
75%
Mild TBI patients discharged without neurological baseline
40%
Develop persistent post-concussion symptoms
90s
QED HIA assessment time at point of care
01 · The Clinical Gap

Four Types of Road TBI.
One Systemic Failure.

Current A&E protocols were designed to rule out structural damage. They were never designed to measure neurological function. QED HIA fills the gap.

01

Mild TBI (mTBI)

The Most Underdiagnosed Injury

Mild traumatic brain injury accounts for 80–90% of all TBI presentations. Patients are frequently discharged from A&E within hours with no neurological baseline established, no objective measurement taken, and no follow-up pathway. Symptoms — headache, cognitive fog, memory disruption, sleep disturbance — are dismissed as transient. For many, they are not.

HIGH VOLUME · LOW DETECTION
02

Moderate TBI

The Diagnostic Gap

Moderate TBI patients receive CT imaging to rule out structural damage. If the scan is clear, they are often discharged with no further neurological assessment. Yet functional impairment — processing speed, executive function, emotional regulation — can persist for months. Without a baseline, clinicians have no reference point against which to measure recovery.

STRUCTURAL CLEAR · FUNCTIONAL UNKNOWN
03

Blast & Whiplash TBI

The Invisible Injury

High-speed road collisions produce rapid deceleration forces that cause diffuse axonal injury — microscopic shearing of neural connections — without any visible structural damage on standard imaging. These injuries are invisible to CT and MRI yet produce profound cognitive and neurological consequences. QED HIA's bioelectric assessment detects functional disruption that imaging cannot.

INVISIBLE TO IMAGING · VISIBLE TO QED
04

Paediatric TBI

The Highest Stakes

Children and adolescents sustain disproportionate TBI from road trauma — as pedestrians, cyclists, and vehicle occupants. The developing brain is uniquely vulnerable to diffuse injury. Standard adult assessment tools are not validated for paediatric populations. QED HIA's baseline-referenced approach is age-agnostic, providing objective measurement regardless of the patient's developmental stage.

DEVELOPING BRAIN · MAXIMUM VULNERABILITY
02 · The A&E Gap

Current Protocol vs
QED HIA Protocol

Phase✗ Current A&E Protocol✓ QED HIA Protocol
ArrivalGCS score recorded. Structural imaging if indicated.QED Neuro Benchmark™ initiated within 90 seconds of arrival.
AssessmentSubjective symptom questionnaire. No objective neurological baseline.Bioelectric neuro-architecture mapping. Objective cognitive function data captured.
ImagingCT/MRI rules out structural damage. Functional status unknown.QED Body Mapping™ identifies physiological stress patterns CT cannot detect.
DischargePatient discharged with advice sheet. No follow-up pathway for mTBI.QED recovery pathway initiated. Baseline established for longitudinal tracking.
RecoveryGP follow-up if symptoms persist. No objective recovery measurement.NeuroScope monitoring tracks recovery against individual baseline. Data-driven return to activity.
Long-TermNo longitudinal neurological record. Degenerative risk undetected.Lifelong neurological record. Early detection of cognitive decline before symptoms appear.
03 · The QED Answer

Five Pillars of
Road Trauma Welfare

01

Neuro Benchmark™

Baseline Intelligence for the Brain

QED Neuro Benchmark™ establishes an individual's neurological baseline at the point of care — capturing cognitive function, reaction timing, neural patterns, and physiological readiness. In road trauma, this baseline is established immediately on arrival, creating the objective reference point that A&E currently lacks. Every subsequent assessment measures deviation from this individual standard, not from a population average.

Outcome: An objective neurological starting point established within 90 seconds of arrival — the foundation for every clinical decision that follows.
02

QED Body Mapping™

Pre-Injury Detection Through Physiological Insight

QED Body Mapping™ uses advanced thermal and physiological pattern recognition to identify asymmetry, inflammation, and stress across the body. In road trauma, it detects the physiological signature of diffuse axonal injury and whiplash-associated neurological stress — patterns that are invisible to CT and MRI but measurable through bioelectric assessment. It highlights risk patterns associated with overload, compensation, and pre-symptomatic conditions.

Outcome: Detection of physiological injury patterns that standard imaging cannot identify, enabling intervention before symptoms escalate.
03

Neuro Architecture™

Understanding the Individual's Cognitive Blueprint

QED Neuro Architecture™ defines how an individual's brain processes information, stress, decision-making, and recovery response. In road trauma, this is critical — two patients with identical GCS scores and identical CT results may have profoundly different neurological profiles. Neuro Architecture™ maps individual cognitive resilience, reaction behaviour under stress, and recovery variability, enabling personalised clinical management rather than protocol-driven discharge.

Outcome: Personalised neurological profiling that moves road trauma care from population-based protocols to individual-centred precision medicine.
04

Pitch-Side Intervention

Immediate Action at the Point of Impact

In road trauma, the equivalent of pitch-side intervention is scene-side and A&E-side care. QED HIA introduces real-time neurological intervention using bioelectric technology (AcuScope) at the earliest possible point — supporting neurological stabilisation rather than waiting passively for symptoms to evolve. This integrates seamlessly alongside existing triage and imaging protocols without replacing them.

Outcome: Faster neurological stabilisation, reduced symptom escalation, and immediate patient support at the critical window of intervention.
05

Recovery & Return

Measured Recovery, Not Assumed Readiness

QED HIA extends beyond the A&E discharge into a structured recovery pathway using NeuroScope and ongoing monitoring. Road trauma patients transition from acute care to community recovery with continuous tracking of neurological improvement against their individual baseline. Return-to-driving, return-to-work, and return-to-activity decisions are supported by measurable data — not subjective timelines or symptom self-report.

Outcome: Safer, faster, and more reliable return to daily life with reduced long-term neurological risk and a lifelong neurological record.
Observation is not a measurement.
Measurement is not a recovery.
QED HIA delivers both.

In road trauma, as in sport, the window between injury and intervention is measured in minutes. QED HIA exists to make every one of those minutes count.

04 · Partner Sectors

QED HIA Road Trauma Compatibility

NHS
United Kingdom
Pilot Opportunity
HSE Ireland
Republic of Ireland
Pilot Opportunity
Emergency Medicine Depts
All Regions
Integration Ready
Ambulance Services
Pre-Hospital Care
Scene-Side Protocol
Insurance Industry
Claims Assessment
Objective Evidence
Medico-Legal
Personal Injury
Baseline Documentation
Rehabilitation Centres
Post-Acute Care
Recovery Pathway
Military Medical
MOD / DoD
Blast TBI Protocol
05 · Book a Demo

Bring QED HIA to Your Organisation

Whether you are an NHS Trust, ambulance service, rehabilitation centre, or medico-legal practice — QED HIA has a pilot pathway designed for your setting.

A&E Department Demo

A 90-minute demonstration of QED HIA integrated into an A&E triage workflow. Covers assessment protocol, data capture, and discharge pathway.

Book This Demo →

Ambulance Service Demo

Scene-side and pre-hospital QED HIA protocol demonstration. Covers rapid assessment, data transmission, and A&E handover documentation.

Book This Demo →

Insurance & Legal Briefing

A focused briefing on QED HIA as an objective neurological evidence tool for personal injury claims, medico-legal assessment, and rehabilitation tracking.

Book This Demo →
Ken Little
Founder · QED HIA · ABTGlobal.Tech

Ken leads all clinical partnerships, A&E integration discussions, and road trauma pilot programmes. Contact directly to arrange a demonstration.

The long-term neurological risk does not end at discharge.

Read the Evidence: CTE, MND & Alzheimer's in Contact Sport →