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This report presents independent research supported 16. Ringdal KG, Skaga NO, Hestnes M, et al. Abbreviated Injury
in part by the National Institute for Health Research Scale: not a reliable basis for summation of injury severity in
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(Fremantle). 2003;15:38–41.
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those of the author(s) and not necessarily those of the 19. Smith IM. Coagulopathy after military trauma: the impact
UK Ministry of Defence, US Department of Defense, of a pre-hospital major haemorrhage protocol [dissertation].
the NHS, the NIHR, or the UK Department of Health. Swansea, Wales: Swansea University; 2012.
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The authors have no financial relationships relevant to 21. Kottner J, Audigé L, Brorson S, et al. Guidelines for Report-
ing Reliability and Agreement Studies (GRRAS) were pro-
this article to disclose. posed. J Clin Epidemiol. 2011;64:96–106.
22. Bland JM, Altman DG. Statistical methods for assessing
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ity score is a better predictor of extended hospitalization and Maj Smith is a general surgical resident in the UK Army
intensive care unit admission than the injury severity score in Reserve, with deployed surgical experience in both Iraq and
patients with multiple orthopaedic injuries. J Orthop Trauma. Afghanistan. He was previously a prehospital squadron sec-
2003;17:508–512. ond-in-command. He is currently a Clinical Research Fellow
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Study Group of the German Trauma Society. Which AIS based Field Hospital in Glasgow, UK. He may be contacted c/o
scoring system is the best predictor of outcome in orthopaedic NIHR SRMRC, Office 4.36, East Block, 4th Floor, Research
blunt trauma patients? J Trauma. 2006;60:334–340.
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92 Journal of Special Operations Medicine Volume 15, Edition 2/Summer 2015