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There was an excellent paper published in Injury (Wyatt J et al) last year which clearly showed that mortality outcome in major trauma patients improved with the seniority of A&E staff attending them. This is one of the few pieces of good evidence on this and has proved to be a very powerful persuasive tool to support increasing senior involvement in A&E.
 
Phil Munro
A&E Consultant
Glasgow
 
ps Why was this article was not mentioned or referenced in the recent RCS report on trauma?