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Re: Is direct transport to a trauma centre best for patients with severe traumatic brain injury?
  1. Andrew Inglis1,
  2. Richard Price2,
  3. Gary Rutherford3
  1. 1Intensive Care, Southern General Hospital, Glasgow, UK
  2. 2ICU, Royal Alexandra Hospital, Paisley, UK
  3. 3Air Ambulance, Scottish Ambulance Service, Glasgow, UK
  1. Correspondence to Dr Andrew Inglis, Clinical lead, Intensive Care, c/o Department of Anaesthesia, Southern General Hospital, 1345 Govan Road, Glasgow G51 4TF, UK; andrew.inglis{at}nhs.net

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The study by Hsiao et al1 concludes ‘No differences in outcome were found between patients with isolated severe TBI [traumatic brain injury] who were directly transported and those transferred (from other hospitals)’. The study reveals major differences from UK practice that should be considered.

First, the standard of prehospital care is …

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