Letters Blunt abdominal trauma

Trauma services must improve

BMJ 2008; 336 doi: https://doi.org/10.1136/bmj.a168 (Published 29 May 2008) Cite this as: BMJ 2008;336:1205
  1. David O Kessel, consultant vascular radiologist,
  2. Anthony A Nicholson, consultant vascular radiologist and clinical director
  1. 1Leeds Teaching Hospitals NHS Trust, St James’s University Hospital, Leeds LS9 7TF
  1. david.kessel{at}leedsth.nhs.uk

    The proposed algorithm in Jansen et al’s review reiterates old dogma1 2 and contributes to the UK having a higher trauma death rate than most developed countries. The authors failed to discuss why and how trauma services need to improve. The incidence of major trauma is relatively low in the UK and in the absence of coordinated trauma service provision the NHS response …

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