Those who experience major trauma have serious and often multiple injuries associated with a strong possibility of death or disability. Nationally there are around 20000 cases of major trauma per year in England, and over a quarter of these result in deaths.1 Trauma care is a developing field, and recent civilian and military research has led to changes in the assessment and management of severely injured patients. This article summarises the most recent recommendations from the National Institute for Health and Care Excellence (NICE) on the assessment and initial management of major trauma.
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