I entirely agree with Andrew. In Brighton we have been maneging trauma with
only the consultant in A&E or SpR as trauma team leaders with little
problem. The orthopaedic registrars and surgical registrars then contact
their bosses as and when is indicated. Apart from one orthopod that never
comes in. The other 4 will come or give advise as the case may be. The
surgeons also come in when requested.
As I have mentioned before "it is the system" that makes the trauma
management work and each hsopital should tailor it to the individual
circumstances .
Carlos
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