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Major Military Trauma: Decision Making in the ICU
  1. Lt Col James McNicholas, Consultant in Critical Care and Anaesthetics1 and
  2. JD Henning, Consultant in Anaesthetics and Intensive Care2
  1. 1MDHU Portsmouth, Queen Alexandra Hospital, Cosham, Portsmouth
  2. 2James Cook University Hospital, Middlesborough
  1. Department of Critical Care, Queen Alexandra Hospital, Cosham, Portsmouth PO6 3LY 02392 286000 ext 5756 02392 286844 james.mcnicholas{at}


The management of trauma in the field intensive care unit has evolved in recent years. Key issues in current practice and organisation are discussed, with particular attention to areas where civilian and military practice differs. Possible future improvements are explored.

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