In stark contrast to the 'hot' off-load, you arrive in the trauma room with a cold patient. You yourself feel positively chilly as the ice cold stares of the trauma team bore into you.

You step outside for a breath of fresh air. 'Hey mister' - an 11 year old street urchin approaches you. 'Ventilated patients with multiple rib fractures are prone to developing a tension pneumothorax - which is almost impossible to detect clinically in the chopper. My mother always said to me - son, I've never regretted putting in a chest drain, but I sure have regretted not putting one in. She really was barking mad.'