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.
Eastman AB. Inclusive Trauma Systems Must Embody Appropriate Triage GuidelinesComment on “Assessing the Feasibility of the American College of Surgeons' Benchmarks for the Triage of Trauma Patients”. Arch Surg. 2011;146(7):792–793. doi:10.1001/archsurg.2011.44
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