It is possible that as electronic ambulance patient care records are utilised further within UK ambulance services that the functionality contained in the app becomes part of an integrated system of monitoring, recording and transmitting data relating to patient condition. This would allow enhanced pre-alerting of hospitals, in order that they can ensure appropriate specialists are available to manage severely injured patients as soon as they arrive in hospital. There are additional possibilities to enhance further versions of the Major Trauma Triage Tool app, such as data collection. This has been utilised successfully by other apps, in order to build a database that can provide information to assist inunderstanding epidemiology of disease (Michael and Geleta, 2013). There are potentialapplications in injury prevention and pre- hospital resourcing that could benefit from accurate information on location and severity of trauma incidents such as road traffic collisions and assaults. The issue of information governance is critical in order to ensure compliance with requirements for patient confidentiality. Novel means of achieving this, such as automatic deletion of images after a set time period, have been described by other clinical application developers (Takao et al., 2012).