I was heartened by the courageous but constructive critique of the Advanced Trauma Life Support (ATLS) course by Driscoll and Wardrope.¹ It promises an end to my lonely position as ATLS sceptic, which began in 1999 when I suggested that, although ATLS was “the greatest reformation in trauma care” in the late twentieth century,² it was “an American solution in a British context” (your readers may have noticed the subsequent regrettable trend in which car occupants who are …