OBJECTIVES To use police STATS19 road casualty data and accident and emergency and in-patient information to estimate the impact of mobile safety cameras on the cost of treating individuals injured in road traffic collisions. DESIGN A data-matching and costing exercise to link casualty and clinical information in a 'before' and 'after' study of 56 mobile safety cameras. SETTING The Northumb...

The Prehospital Fluid Conference was sponsored by the US Army Institute of Surgical Research and Combat Casualty Care Research, US Army Medical Research and Materiel Command. Some 65 conferees were invited in January 2010 to review the contemporary guidelines on the use of fluid resuscitation in treating combat casualties, discuss the state of the art of fluid resuscitation for combat casualtie...

The Chemical Hazards Emergency Medical Management (CHEMM) website from the National Library of Medicine is designed for first responders and medical providers who are planning for and responding to chemical hazards events. It includes pages tailored to the individual interests of specific groups, including first responders, health care providers, mental health professionals, toxicologists, and ...

This Journal conference was the first to be held with a live audience. After the final faculty presentation, and in lieu of a conference summary from the guest editors, the conference faculty had a discussion session that addressed written questions from the audience. The moderators, Lewis Rubinson and Rich Branson, reviewed the questions and addressed them either to specific conference faculty...

The prevailing wisdom for the prehospital fluid resuscitation of trauma victims in hemorrhagic shock in 1992 was to administer 2 L of crystalloid solution as rapidly as possible. A review of the fluid resuscitation literature found that this recommendation was not well supported by the evidence at the time. Prehospital fluid resuscitation strategies were reevaluated in the 1993-1996 Tactical Co...

A mass casualty incident (MCI) is that which requires a response beyond standard deployment. These can result from natural or artificial events. Casualties can present in peacetime or be evacuated from battle fields. Mass casualty management in most military health facilities in developing countries is not optimal. There are challenges occasioned by dearth of trained, specialized manpower, lack...

When a sports medicine doctor provides coverage for a sporting event with a large number of athletes and spectators, he or she should always be aware that the potential for a large number of injuries exists. In the event of a mass casualty incident that overwhelms the available medical resources, he or she may be the most qualified professional present to triage and organise patient care. Certa...

BACKGROUND Concern has been raised about the capacity of trauma centers to absorb large numbers of additional patients from mass casualty events. Our objective was to examine the capacity of current centers to handle an increased load from a mass casualty disaster. METHODS This was a cross-sectional study of Level I and II trauma centers. They were contacted by mail and asked to respond to qu...

The inclusion of articles and a seminar series on emergency medicine in this issue of the Hong Kong Medical Journal illustrates that the specialty has matured well in Hong Kong. Medical colleagues might be forgiven for feeling confused about the exact definition of the specialty, which has changed its name at least twice during the second half of the 20th century. Many older doctors will rememb...