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Hi John For the past five years++ we've had poloroids in Sussex. They have been there specifically or mechanism photos and not gore gallery type photos. I'm not sure if there is 'evidence'to support its use but direct experiance indicates that they make a differance. When we used to enter A&E with a non multi system trauma patient with a high index of suspiscion on an MOI we were often ignored. We have found that the pictures do affect the the A&E treatment. enerally we take a long shot of the incident and a close up of any important damage - compartment intrusion etc. It is up to the A&E dept if they keep the photos. Some do some dont... the important thng is that they see them on handover. No studies or data has been done in Sussex for tech/para diagnosis vs poloroid photos, poloroid vs doctor interaction etc, etc. Mike Bjarkoy Paramedic Sussex %%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%