specialist care, including neurosurgery, thoracic surgery and stroke thrombectomy, are transferred to neighbouring Uppsala county and Uppsala University Hospital (UUH). UUH provides the region's major trauma centre.

In 2014, Dalarna and neighbouring Värmland County started the co-owned federation Swedish Air Ambulance (SLA). This organisation was a result of the 2012 white paper report 'Care on wings' issued by the Swedish Association of Local Authorities and Regions \[[@CR1]\]. The inquiry concluded that Sweden needed to build a denser network of helicopter ambulance services in order to better provide early critical care and retrieval in an era of increasing centralisation of specialist care. It was also stated that helicopters would offer increased resilience in mass casualty events. As a consequence of this report, it was decided to integrate a physician basedto young drivers while others charge outrageous car Insurance premiums for any driver under the age of 24.

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