© 2005 BMJ Publishing Group Ltd, British Association for Accident & Emergency Medicine, & Faculty of Accident & Emergency Medicine
Primary survey
| The first 150 words of the full text of this article appear below. |
Welcome to 2005 and the first of the now monthly EMJ. We begin the year acknowledging that ATLS is 26 years old and is currently launching its seventh edition in the UK. This icon of postgraduate education is nevertheless at a cross roads in its evolution—should it remain a primarily US orientated course or become more international? An editorial and commentaries by Nolan, McKeown, and Davis explore the pros and cons of these options. Many readers will also have strong opinions and we would like to hear them (http://www.emjonline.com).
See pages 2, 3, 5, 6
The trauma theme continues through the rest of this edition. The review by Leigh-Smith et al shows how the classic description of a tension pneumothorax presentation applies mainly to those being positively ventilated. In contrast, spontaneously breathing patients have a more gradual onset of respiratory rather than cardiovascular signs.
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