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Lack of change in trauma care in England and Wales since 1994
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  • Published on:
    Senior Cover in the ED
    • Fiona E Lecky, Senior Lecturer/Hon Consultant Emergency Medicine
    • Other Contributors:
      • Trauma Audit and Research Network

    Dear Editor

    I read the response from Wallis et al. with interest. From the study they describe it is clearly possible that the level of senior doctor involvement is underestimated on the TARN database due to a failure of notekeeping. However there is no reason to suspect that failing to record senior doctor involvement would be more prevalent in 2000 than in 1989 therefore there should be no systematic b...

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    Conflict of Interest:
    None declared.
  • Published on:
    Re: Lack of change in trauma care in England and Wales since 1994
    • Lee A Wallis, Specialist Registrar
    • Other Contributors:
      • Henry Guly, Consultant

    Dear Editor

    We read with interest the article and accompanying editorial by Lecky et al. in this month's Emergency Medicine Journal.[1] Of note, between 1989 and 1994 there was an increase in the proportion of trauma patients (ISS>15) in whom a consultant was involved in their care: at the same time, trauma related mortality fell. Since then, both the level of documented consultant involvement and the mortali...

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    Conflict of Interest:
    None declared.