This paper examines some problems related to trauma care, and, at the same time, discusses some solutions, particularly stressing the need for a trauma system in Great Britain.

1 Department of Emergency Medicine, Royal Infirmary of Edinburgh, Edinburgh, UK; 2 Centre for Cardiovascular Sciences, Royal Infirmary of Edinburgh, Edinburgh, UK; 3 Department of Medicine of the ...

Background and aims: How far is too far? Recent government policy and demographic growth have led to role changes within the professions in emergency care. Healthcare professionals have extended and ...

Introduction The optimal management strategy for patients with head injury admitted to a non-specialist hospital is uncertain. The aim of this study was to evaluate the outcomes of victims of head ...

Objectives A major cause for concern about increasing ED visits is that ED care is expensive. Recent research suggests that ED resource consumption is affected by patients’ health status, varies ...

Introduction Occupational stress is a major modern health and safety challenges. While the ED is known to be a high-pressure environment, the specific organisational stressors which affect ED staff ...

Defining research priorities in a specialty as broad as emergency medicine is a significant challenge. In order to fund and complete the most important research projects, it is imperative that we ...

Introduction/background Accurate prehospital identification of patients who had an acute stroke enables rapid conveyance to specialist units for time-dependent ...

Background Haemorrhage is a major cause of mortality and morbidity following both military and civilian trauma. Haemostatic dressings may offer effective haemorrhage control as part of prehospital ...

Professor S Goodacre, Medical Care Research Unit, University of Sheffield, Regent Court, 30 Regent Street, Sheffield, S1 4DA, UK; s.goodacre{at}sheffield.ac.uk Objectives: To estimate the effect of ...

4 David A Tepper School of Business, Carnegie Mellon University, Pittsburgh, Pennsylvania, USA Correspondence to Dr P D Patterson, Department of Emergency Medicine, University of Pittsburgh, ...

2 Department of Medicine, Unit of Clinical Epidemiology, Karolinska Hospital, Stockholm, Sweden Correspondence to: Jean-Luc af Geijerstam Department of Medicine N4:01, Unit of Clinical Epidemiology, ...