Lack of Change in Trauma Care. Lecky FE. et al, EMJ Nov 2002 19 (6): 520-
523
Interesting paper for discussion. Leaving aside the lack of change in
mortality, since 1994 there has been an increase in the proportion of
patients with major trauma (ISS > 15) for whom the most senior doctor
involved in their care was a SHO), with a slight decline in the proportion
dealt with by a middle grade and a fairly large decline in the proportion
dealt with by a consultant. Against a background of massive consultant
expansion (and increase in hours with a consultant present in the
department). This would seem counterintuitive and kind of begs the question
of why are we expanding consultants if they are not getting involved in the
sickest patients. I think this is a controversial paper (in the sense of the
issues it raises, not of its quality).
Matt Dunn
Warwick
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