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Accident and emergency doctors lack proper training in trauma

BMJ 1995; 311 doi: (Published 16 December 1995) Cite this as: BMJ 1995;311:1644
  1. A J Price,
  2. G Hughes
  1. Senior house officer, general surgery Consultant in accident and emergency Bristol Royal Infirmary, Bristol BS2 8HW

    EDITOR,--Since the Royal College of Surgeons reported on 1000 deaths from trauma in 19881 the upgrading of trauma care in Britain has been widely debated. Training in advanced trauma life support (ATLS) is seen by many people as a vital part of this upgrading process.2 3 Skinner, writing on behalf of the Royal College of Surgeons in 1993, stated that “all doctors involved in the initial resuscitation and subsequent management of patients with major injuries should possess a current ATLS provider certificate from the RCS.”4 Senior house officers form the majority of the workforce staffing accident and emergency departments. They should be trained in advanced trauma life support in accordance with the college's guidelines.

    Thirteen major accident and emergency departments provide trauma care for the several million people who live in the Southwest region. An audit was conducted in June 1994 to establish the proportion of senior house officers working in accident and emergency in the region who had a certificate in …

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