The workload of any trauma service varies considerably over short time periods. This is as true for hand trauma as it is for any other trauma specialty. however, the resources to manage the trauma caseload are relatively fixed. The aim of our study was to investigate the optimum way to manage hand trauma given its unpredictable workload. This information could be used to improve the efficiency of our local service and construct guidelines for other services to supplement the current guidance in circulation.
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