The evolution of trauma care in developed countries around the world has created new and exciting roles for all the personnel involved in the resuscitation and recovery of critically injured patients. The stress on strict roles for the nurse, doctor, paramedic and ancillary staff is now being replaced by a greater emphasis on the ‘team approach’. This acknowledges the interactive nature of the procedures undertaken by the trauma team and the need for close cooperation at all stages of the resuscitation. It is an approach at its most successful when based on a formally organized team structure whereby tasks and roles are allocated appropriately. This enables.