Emergency nurse : the journal of the RCN Accident and Emergency Nursing Association
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Trauma is a leading cause of death and disability worldwide, in civilian environments and on the battlefield. Trauma-induced haemorrhage is the principal cause of potentially preventable death, which is generally attributable to a combination of vascular injury and coagulopathy. Survival rates following severe traumatic injury have increased due to advanced trauma management initiatives and treatment protocols, influenced by lessons learned from recent conflicts in Iraq and Afghanistan. ⋯ All are quantified by trauma governance processes, including a robust trauma registry. Some of the lessons learned in combat are equally applicable to civilian environments, and this article describes several of the most important of these. It also gives an overview of advancements in UK military trauma management of severely injured combat casualties, honed over a decade of conflict.
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New figures from NHS England show that attendances at emergency departments (EDs) are greater than ever and performance has worsened in many areas this past year.
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We are all aware of the increase in emergency activity in the past six months. This, alongside failing social care resources, which significantly impacts the ability of organisations to have 'flow', has created the perfect storm.