The First Decade
The work of Howard Champion at the Washington Hospital Centre demonstrated that statistics could be a powerful replacement for clinical anecdote in the drive to provide an evidence-base for the development of effective trauma care systems. A group of UK emergency physicians began to collect data using the Washington methodology and submitted it for analysis to North America.
The scoring systems initially developed by the Association for the Advancement of Automotive Medicine and the method of comparing expected and observed outcomes in relation to mortality, termed the 'TRISS Methodology', became central to the success of the UK initiative. By 1992 33 hospitals in the UK had used these techniques to analyse the effectiveness of their trauma care systems and published the results in the British Medical Journal. Their findings brought trauma care to the attention of a wider audience.
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