In summary, I have examined the questions of why have a trauma care system and whether trauma care systems improve trauma care. I believe the evidence is overwhelming that trauma care systems are worthwhile and that they improve trauma care. They have other important values, including the training of surgeons, other specialists, and nurses in the care of the injured patient. Trauma care systems should also be integral to the regional disaster plans and to the education of the public and should be a focus for research activities in trauma care. All trauma centers should provide access to rehabilitation services so that the patient who recovers from acute injuries can return to a productive life.
