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Critical Decision-making and Timelines in the Emergency Department
  1. Surgeon Commander Jason E Smith, Royal Navy, Consultant in Emergency Medicine1,
  2. RJ Russell, Consultant in Emergency Medicine2 and
  3. S Horne, Consultant in Emergency Medicine3
  1. 1Derriford Hospital, Plymouth and Senior Lecturer, Academic Department of Military Emergency Medicine, Royal Centre for Defence Medicine, Birmingham;
  2. 2Peterborough City Hospital and Senior Lecturer, Academic Department of Military Emergency Medicine, Royal Centre for Defence Medicine, Birmingham
  3. 3Derriford Hospital, Plymouth
  1. Emergency Department, Derriford Hospital, Derriford Road, Plymouth PL6 8DH 01752 792516 01752 792513 jasonesmith{at}doctors.org.uk

Abstract

The resuscitation of severely injured patients has evolved during the last decade. Patients are now surviving injuries that previously were thought to be unsurvivable. Systems have been put in place, that reflect the intensity of workload and severity of injury of patients presenting to deployed medical treatment facilities. This paper aims to describe some of the elements that may differ from routine practice in the resuscitation room, and in particular the role of timelines in the management of such patients.

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