Clinical governance is concerned with the application and enforcement of good clinical
practice [1-4] and the management of military trauma patients is no exception. To this end, a
framework of governance has been implemented to facilitate best practice, and to ensure
that Service personnel who are seriously injured on deployed operations receive exemplary
care.

Hardly a day goes by without media criticism or comment in relation to the care of injured
British military personnel whether this be in relation to one of the two theatres of operation,
the Royal Centre for Defence Medicine (RCDM) or during subsequent aftercare. Exactly how
good is the care given to British military casualties? How many unexpected deaths or
survivors are there and how does outcome compare with civilian and military counterparts?
Staff at the Academic Department of Military Emergency Medicine (ADMEM) have created a …