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 ...

Cohort, cross sectional, and case-control studies are collectively referred to as observational studies. Often these studies are the only practicable method of studying various problems, for example, ...

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 ...

Background Patient experience is positively associated with both clinical effectiveness and patient safety and should be a priority for emergency care providers. While both quantitative and ...

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 ...

Objectives: The aim of this study was to identify performance indicators thought to reflect the quality of patient care in the emergency department. Methods: A three round accelerated Expert Delphi ...

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 ...