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Invited Critique
July 2011

Inclusive Trauma Systems Must Embody Appropriate Triage Guidelines: Comment on “Assessing the Feasibility of the American College of Surgeons' Benchmarks for the Triage of Trauma Patients”

Author Affiliations

Author Affiliation: Scripps Memorial Hospital La Jolla, Scripps Health, San Diego, California.

Arch Surg. 2011;146(7):792-793. doi:10.1001/archsurg.2011.44

The premise that the American College of Surgeons' advocacy for the development of trauma systems may not be feasible is both provocative and, I would argue, possibly self-defeating. However, feasibility is realized only when issues such as those raised here are addressed and there is the surgical leadership and political will to create such a system.

Such trauma systems must be inclusive, meaning that the resources of all committed facilities are used. Only the most seriously injured patients require the resources of level I and II TCs.