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Management of major trauma
Affiliation:1. The University of Sydney, Faculty of Medicine and Health, Susan Wakil School of Nursing and Midwifery, Australia;2. Royal Australasian College of Surgeons, Trauma Quality Improvement Sub-Committee;3. Australasian Trauma Society;4. Australian Trauma Quality Improvement Program (AusTQIP), Australia;5. Illawarra Shoalhaven Local Health District, NSW, Australia;6. University of Wollongong, Faculty of Science, Medicine and Health, Australia;7. Monash University, School of Public Health and Preventive Medicine, Australia;8. Marie Bashir Institute for Infectious Diseases and Biosecurity, University of Sydney, Camperdown, NSW, Australia;9. Centre for Infectious Diseases and Microbiology and the Directorate of Nursing, Midwifery and Clinical Governance, Western Sydney Local Health District, Westmead, NSW, Australia;10. Jamieson Trauma Institute, Royal Brisbane and Women''s Hospital, Metro North Hospital and Health Service, Queensland Health, Australia;11. Trauma Service, Alfred Hospital, Victoria, Australia;12. Waikato District Health Board, Hamilton, New Zealand;13. Waikato Clinical School, University of Auckland, New Zealand
Abstract:Trauma is one of the leading cause of deaths in those <35 years old in the UK. It also has a significant morbidity burden with a subsequent economic impact. There is also a realisation that trauma is having an increasing impact in the elderly population. In the last two decades there have been changes in both the structure of trauma care across the UK, and also in clinical aspects from pre-hospital care to rehabilitation. This article will review the changes that have occurred, including the reasons, and give a broad overview of the immediate management of the critically ill trauma patient.
Keywords:Major trauma  trauma management  trauma networks
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