West J G, Williams M J, Trunkey D D, Wolferth C C
Department of Surgery, St. Joseph Hospital, Orange, Calif.
JAMA. 1988 Jun 24;259(24):3597-600. doi: 10.1001/jama.259.24.3597.
The national status of regional trauma system development was evaluated by a survey sent to all state emergency medical services directors and state chairpersons of the American College of Surgeons Committee on Trauma. Eight essential components of a regional trauma system based on criteria set forth by the American College of Surgeons were listed. Only two states were found to have all components and statewide coverage. Nineteen states and the District of Columbia lacked one or more components of a regional trauma system. The remaining 29 states had yet to initiate the process of trauma center designation. In response to these shortcomings, an attempt was made to define the barriers to trauma system implementation and a step-by-step process was outlined for the development, management, and analysis of a comprehensive system of trauma care.
通过向所有州紧急医疗服务主任和美国外科医师学会创伤委员会的州主席发送调查问卷，评估了区域创伤系统发展的全国状况。列出了基于美国外科医师学会制定的标准的区域创伤系统的八个基本组成部分。仅发现两个州具备所有组成部分且覆盖全州。19个州和哥伦比亚特区缺少区域创伤系统的一个或多个组成部分。其余29个州尚未启动创伤中心指定程序。针对这些不足，试图确定创伤系统实施的障碍，并概述了一个全面创伤护理系统的开发、管理和分析的逐步过程。
