“The swinging pendulum” - the evolution of (Orthopaedic) trauma care. (An explanation of the controversies & analysis of the evidence.)

The introduction of major trauma networks in England in 2012, each with a major trauma centre, has seen a new multidisciplinary approach to trauma management. The result of which has been an improvement in complication profiles, reduced hospital stays with reduced use of resources, and an overall reduction in mortality rates by between 15 and 20%.