Abstract
Major trauma is a leading cause of death in the under 40 years age group, and has a significant impact on morbidity, causing a financial burden to the National Health Service ( National Audit Office, 2010 ). A recent guideline published by the National Institute for Health and Care Excellence ( NICE, 2016a ) seeks to address the recommendations made by a National Confidential Enquiry into Patient Outcome and Death (2007) and the National Audit Office (2010) , therefore improving the standards of trauma care delivery across England. This article critically appraises the recommendations made by NICE (2016a) , while considering the available evidence and the implications on pre-hospital major trauma care.
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