• Joanna M Shepherd, Paul Vulliamy, MarsdenMax E RMERAssociation of Surgeons of Great Britain and Ireland, London, UK; Centre for Trauma Sciences, Blizard Institute, Queen Mary University of London, London, UK; Royal Centre for Defence Medicine, Academic Department of Military Surgery and T, Kate Hancorn, and Association of Surgeons of Great Britain and Ireland Trauma Committee.
• Association of Surgeons of Great Britain and Ireland, London, UK; Centre for Trauma Sciences, Blizard Institute, Queen Mary University of London, London, UK. Electronic address: joanna.shepherd1@nhs.net.
• Br J Anaesth. 2024 May 1; 132 (5): 849850849-850.

AbstractPatients who undergo laparotomy for major trauma are amongst the most critically unwell patients, and they have high morbidity and mortality rates. Despite 20 yr of improvements in resuscitation practices, those who present with hypotension continue to have mortality rates of up to 50%. Currently there is no mechanism for capturing national audit data on these patients, leading to their exclusion from potential quality improvement initiatives. We argue that there is an unmet need for quality assurance in this patient cohort and outline possible mechanisms to address this.Copyright © 2024 British Journal of Anaesthesia. Published by Elsevier Ltd. All rights reserved.

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