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Injury is the leading cause of death between the ages of 1 and 44 years. Unintentional injury cost this country $407 billion in 1993 alone. Despite this enormous economic toll, we spend relatively little on the prevention and care of trauma as compared with cancer or heart disease. Technical expertise aside, an important attribute of those who care for injured patients is good judgment. The care of these patients, or any patient, "consists largely in balancing probabilities," to quote Osler, which means that complications will occur despite excellent judgment. As Donald Trunkey states in the foreword to Complications in Trauma
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