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Cause of death in the ED of a major trauma centre in the UK
  1. Robert Hywel James1,2,
  2. Rhiannon Jones1,
  3. Felix Wood1,2
  1. 1 Emergency Department, Derriford Hospital, Plymouth, UK
  2. 2 Academic Department of Military Emergency Medicine, Royal Centre for Defence Medicine, Birmingham, UK
  1. Correspondence to Dr Robert Hywel James, Emergency Department, Derriford Hospital, Plymouth, UK; robertjames1{at}

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No body collects data on cause of death in UK EDs. While the literature contains some reports of causes of death in EDs, the methodology used does not lend itself to complete capture of causes of deaths. Also, the reports in the literature are from health systems not analogous to the UK’s.1 2 An accurate understanding of the cause of death in ED populations may highlight areas of care that need to be improved and inform appropriate targeting of resource. In this paper, we aim to describe mortality patterns in our ED.

This is a single-centre, retrospective, database review of all deaths occurring in our ED between 1 January 2015 and 31 December 2019. Our hospital is a major trauma centre in the Southwest of the UK. It sees the expected spectrum of emergency presentations in all ages. Patients who had no resuscitation in the ED were categorised as ‘Brought in Dead’ and excluded. Patients with incomplete data were also excluded. Included patients were classified …

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  • Handling editor Richard Body

  • Twitter @EmergencyDoc209

  • Contributors RHJ conceived the study, conducted data extraction and analysis, and wrote the article. RJ and FW conducted data extraction and reviewed and made changes to the article.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Disclaimer Registered with audit, assurance and effectiveness team at Derriford Hospital, Plymouth, UK, reference CA_2020-21-194.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.