Performance improvement challenges for managing abdominal trauma at a New Major Trauma Centre

A number of reports spanning more than two decades have highlighted significant deficiencies in UK trauma care. 1–4 data suggest that seriously injured patients in england and wales endure in-hospital mortality rates that are 20% higher than their counterparts in the us. 5 more than 30 years ago, improved outcomes for major trauma patients were demonstrated by provision of an organised system of trauma care that included the resources of a trauma centre. 6 Trauma care throughout england and wales has recently been reorganised into regional trauma networks. 7