Mark Hodkinson
Journal of Paramedic Practice, Vol. 8, Iss. 5, 06 May 2016, pp 231 - 237

Major trauma is a leading cause of death in the under 40 years age group, and has
a significant impact on morbidity, causing a financial burden to the National Health
Service (National Audit Office, 2010). A recent guideline published by the National
Institute for Health and Care Excellence (NICE, 2016a) seeks to address the
recommendations made by a National Confidential Enquiry into Patient Outcome
and Death (2007) and the National Audit Office (2010), therefore improving the
standards of trauma care delivery across England.

This article critically appraises the recommendations made by NICE (2016a), while
considering the available evidence and the implications on pre-hospital major
trauma care.

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