“…The UK has been an exemplar in the development of internationally recognised trauma guidelines. These British Orthopaedic Standards for Trauma (BOASTs) have become a vital component in the drive to improve performance in specific aspects of trauma and the article by Griffiths [ 39 ] details the fascinating journey of how these came about and the impact they have had on UK trauma practice. Two other areas of orthopaedics where we probably give little thought are also considered in this special trauma edition: the use of a tourniquet and the use of ionising radiation.…”