Dramatic management of trauma may be counter productive

BMJ 1995; 311 doi: https://doi.org/10.1136/bmj.311.7013.1165c (Published 28 October 1995) Cite this as: BMJ 1995;311:1165
  1. John Bache
  1. Consultant in accident and emergency Leighton Hospital, Crewe CW1 4QJ

    EDITOR,--J P Nicholl and colleagues report that analysis of trauma and injury severity scores showed that 16% more deaths than predicted occurred in patients with trauma attended by helicopter but only 2% more in patients attended by land ambulances crewed by paramedics.1 On average the helicopter patients arrived in hospital 10-20 minutes later than the ambulance patients. They were managed more intensively at the scene and spent an average of …

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