Letters

Prehospital care of trauma must be improved in UK

BMJ 2001; 323 doi: https://doi.org/10.1136/bmj.323.7320.1070 (Published 03 November 2001) Cite this as: BMJ 2001;323:1070
  1. Arpan Guha (arpan1@yahoo.com), consultant in neurointensive care
  1. Walton Centre for Neurology and Neurosurgery, Liverpool L9 7AL

    EDITOR—Lockey et al attempt to relate survival of patients with trauma given prehospital tracheal intubation without the aid of anaesthetic drugs.1 Their comment that “it was surprising that the outcome was almost always fatal” when a tracheal tube could be passed without anaesthetic drugs deserves further discussion, as this highlights the suboptimal prehospital management of severe trauma in the United Kingdom. Prehospital endotracheal intubation has been associated with improved survival in patients with blunt injury and a score on the Glasgow coma scale of …

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