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Severe traumatic brain injury is still the leading numeric cause associated with death, but new categories for the mechanism

of trauma show that proportionately asphyxia and drowning have high relative risks for mortality. Again, a public health

policy aimed at reducing these mechanisms could be conceived with any effects being monitored in future TARN


Common themes in the first and this report on trauma are that more males are severely injured, non-accidental injury still

makes up about 10% of the causes for severe injury (under the age of 2 years) –

further work may be undertaken to drill down

into this important and possibly reducible cause of morbidity


. The other peak for severe trauma lies between 6 to 13 years

(Page 7), when looking at both reports.

Road traffic incidents are high on the list for causing severe injury too, accounting for about 40% consistently across the

years. About half of the children are involved as pedestrians, and cyclists are recorded as being 20% of these road traffic

incident figures.

Time to surgery is related to outcome therefore an efficient transport and transfer system that minimises delays is

important for those children who have not been brought to a centre where the appropriate management can be conducted.


A profile of suspected child abuse as a subgroup of major trauma patients

Ffion C Davies,Timothy J Coats, Ross Fisher,Thomas Lawrence, Fiona E Lecky

Emerg Med J 2015;32:921-925 doi:10.1136/emermed-2015-205285