0
Invited Critique |

Trauma and Trauma Care Systems: In the Throes of an Identity Crisis—Invited Critique

Howard R. Champion, FRCS (Edin)
Arch Surg. 2000;135(6):719. doi:10.1001/archsurg.135.6.719.
Text Size: A A A
Published online

Extract

Hurrah for Dr Esposito for providing a much-needed articulation of the fact that for the greater part of the 1990s the trauma community has exhibited symptoms of progressive loosening of tenuous bonds to reality. Massive achievements were realized in the 1970s and 1980s as bona fide attempts were made to provide timely matching of patient need with available expertise and resources. The difficulties that have occurred since then in delineating and documenting these as statistically significant outcome improvements may be a testament to the fact that but a small fraction of those patients corralled into trauma centers truly benefit in terms of lifesaving. Another fraction may benefit from reduced morbidity and reduced cost, but at what expense for all those who do not need to be there? Many of those who die, will die anyway. Most of those who do not, will not anyway. The correct denominator on which to prove a trauma center's worth continues to be a challenging scientific exercise. Perhaps the greatest achievement of the trauma community has been the Advanced Trauma Life Support course,1 which may have saved more lives than anything else.

Sign In to Access Full Content

Don't have Access?

Register and get free email Table of Contents alerts, saved searches, PowerPoint downloads, CME quizzes, and more

Subscribe for full-text access to content from 1998 forward and a host of useful features

Activate your current subscription (AMA members and current subscribers)

Purchase Online Access to this article for 24 hours

First Page Preview

View Large
/>
First page PDF preview

Figures

Tables

References

Correspondence

CME
Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).
Submit a Comment

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Sign In to Access Full Content

Related Content

Customize your page view by dragging & repositioning the boxes below.

See Also...
Articles Related By Topic
Related Topics
Jobs
brightcove.createExperiences();