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April 2, 1997

Community Responsibility for Stabilizing Trauma Systems-Reply

Author Affiliations

National Public Health and Hospital Institute Washington, DC

JAMA. 1997;277(13):1037. doi:10.1001/jama.1997.03540370027025

In Reply.  —My article, which was based on the report by Cornwell et al1 on trauma care at Los Angeles County+University of Southern California, was intended to point out that the near-crisis situation was not limited to that provider or that community. I had also stressed that Dallas had pulled back from the brink of crisis and created opportunity. While in some areas the support system for these services remains fragile, my article and Dr Anderson's letter stress the tangible benefit of cooperation within the Dallas hospital community in creating a stable environment in which citizens can be guaranteed continued access to high-quality trauma care. To that end the real take-away message is not only what recognition of shared responsibility and support can accomplish, but also what consequences may befall communities without it.