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Ed's reply to Danny McGeehan's message about Asthma mortality is: How many deaths outside hospital as opposed to within hospitals? And how many of the latter were in A&E departments? Just a thought. Original Reply Follows: >Dear Colleagues >I have just reviewed the reports from the Royal College of Surgeons and the >British Orthopaedic Association recommending the setting up of 30 trauma >centre type systems in the UK. If my memory serves me correct we have just >over 2000 trauma deaths in the UK. With increased car ownership and >traffic congestion it is likely that automobiles will be able to generate >sufficient speed to inflict serious injury. After the effects of Mrs. >Thatcher in the last decade the UK has very little heavy industry. Apart >from a few serious incidents GSW's are fortunately relatively rare. >Therefore major trauma in the UK is likely to diminish. If the concept is >introduced the trauma surgeons are going to spend a lot of time twiddling >their thumbs. >However I understand that last year the deaths from asthma overtook those >from trauma in the UK. This is an area that is not properly resourced. >Should we not be concentrating a lot more in this area and perhaps >diverting some of the resources from major trauma into this region >Danny McGeehan MB FRCS FFAEM >Consultant in A & E >Stafford >Deep in the Heart of Rural England >E-mail [log in to unmask] >Home +441782 712488 >Work +441785 257731 Ex 4567 >Fax +441785 230111 -- Dr. Ed Walker West Yorkshire, UK. %%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%