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An estimated 1.4 million people per year attend Emergency Departments in the UK following head trauma.1 Approximately 10% of these patients have a moderate or severe Traumatic Brain Injury (TBI) with a Glasgow Coma Score (GCS) <12 or <9 respectively. TBI results in more than 3600 Intensive Care admissions per year2 and remains the leading cause of mortality in patients aged under 25 with 6–10 brain injury deaths per 100 000 of population per annum.1