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1.  The Maurice Ellis lecture for 1986. The responsibility of emergency medicine towards the prevention of road accidents. 
Archives of Emergency Medicine  1986;3(3):163-176.
It is argued that doctors who work in accident and emergency departments should play their part in road accident prevention. It is suggested that this might be done in the field of research, by direct action, through education of the public and by influencing legislation. Examples are given of both small and simple, and major national research projects based in accident and emergency departments. The type of direct action envisaged is modelled on the work of Dr Hayle Hadeson in preventing accidents to children. Examples of the education of the public are drawn from publicity work in the seat-belt campaign, and experiences of lobbying members of parliament in relation to seat-belt legislation are described. The relative under-funding of trauma research compared with cancer of heart disease research is seen as a measure of society's lack of interest in accident prevention, and colleagues unchallenged to do more to alter this situation.
PMCID: PMC1285346  PMID: 3768120
2.  Wound infection following surgery in an accident and emergency theatre. 
Five hundred and six clean minor surgical procedures were carried out in an emergency theatre. One theatre was used for both clean and septic conditions; clean cases preceding the septic lesions. Sepsis rates were assessed prospectively and complete follow-up was obtained in 491 patients. Four hundred and fifty (91.6%) patients achieved primary healing. Thirty (6.1%) patients developed a mild serous discharge; three developed wound haematomas and eight (1.6%) patients had severely infected wounds with a purulent discharge. From the acceptably low incidence of severely infected wounds with a purulent discharge. From the acceptably low incidence of severely infected wounds we conclude that there is no need for separate clean and septic theatres in an emergency department provided the clean operations are comparatively short and simple procedures.
PMCID: PMC1285191  PMID: 6535583
4.  Bombs and hospitals. 
British Medical Journal  1979;1(6165):753.
PMCID: PMC1598809  PMID: 435774
5.  A study of the effect of legal settlement on post-concussion symptoms. 
Forty-four consecutive patients with concussion for whom a medico-legal report had been written were followed up for 3-4 years after their accidents. Three cases were still pending at the end of the study. Fifty-seven per cent complained of symptoms when the medico-legal reports were written (mean interval from accident 12.9 months), 39% had symptoms at the time of settlement (mean interval 22.1 months) and 34% had symptoms one year later. When these results were compared with a general series from the same department some years earlier, it was found that the symptoms at the time of writing the reports were not significantly different from symptoms at 6 weeks in the earlier series, but the symptoms one year after settlement were almost two-and-a-half times greater than the symptoms at 12 months in the general series. No evidence could be found to suggest any organic basis for the higher symptom rate in the litigation series. It is suggested that the litigation process itself is a factor in the persistence of symptoms and this effect continues after legal settlement has been reached. Early settlement of the cases might significantly reduce morbidity.
PMCID: PMC1285470  PMID: 3408521
9.  Seat belt legislation. 
British Medical Journal  1977;2(6101):1542-1543.
PMCID: PMC1632745  PMID: 589333
13.  Surgery of violence. II. Disaster procedures. 
British Medical Journal  1975;1(5955):443-445.
PMCID: PMC1672408  PMID: 1115964
14.  Casualties 
British Medical Journal  1971;4(5784):427.
PMCID: PMC1799488

Results 1-17 (17)