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Trauma is the leading cause of death in the first four decades of life in western countries. A national prospective study was conducted in the UK to examine the process and quality of care of severely injured patients. We present a previously unpublished analysis of the severity of injury, place of treatment, quality of care and survival amongst patients with thoracic injuries.

The management of trauma victims in England and Wales: a study by the National Confidential Enquiry into Patient Outcome and Death☆☆☆