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Lt Col Ross Moy talks about the recent developments in pre-hospital emergency medicine and gives his top tips for the first on scene. Lt Col Moy is a Consultant in Emergency Medicine in the British Army and the John Radcliffe Hospital. He also works with the Thames Valley Air Ambulance as a Pre-Hospital Care Physician. The Surgical Grand Rounds lecture series, hosted by the Nuffield Department of Surgical Sciences at Oxford University, is the key educational meeting for consultants, juniors and medical students. Presentations revolve around clinical cases. This video was brought to you by the Oxford University Medical Education Fellows. Learn more: Surgical Grand Rounds (www.nds.ox.ac.uk/events) Nuffield Department of Surgical Sciences (www.nds.ox.ac.uk) Oxford University Medical Education Fellows (www.oumef.org)