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  1. Malcolm Woollard, Associate Editor

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A path to effective emergency medicine research

In this commentary an experienced investigator highlights the increasing costs, challenges and bureaucracy associated with undertaking ‘traditional’ models of research in emergency medicine-related topics (see page 1004). He argues that because emergency physicians (and this editor adds, prehospital clinicians) are generalists with respect to their clinical interests they might instead choose to become methodological specialists.

New outcome measures for trauma

Regional trauma networks continue to be rolled out across the UK but evaluation of their effectiveness could arguably be enhanced beyond currently available mortality data (see page 1008). In this issue Sleat et al describe a literature and database review to determine what data are collected in international systems. Surprisingly, they discovered that morbidity data were only routinely collected by one state-level monitoring system and indicate the opportunities this presents for the UK trauma networks.

Predicting repeated self-harm

This study of patients admitted to a large Scandinavian emergency department following deliberate self-harm over 2 years reports a re-admission …

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