Ebook Kep.Jiwa : Trauma : a comprehensive emergency medicine approach
With the development of trauma systems in the
1970s, the care of the injured trauma patient has
become more organized, specialized, evidence based,
and of improved quality. Organized trauma systems
have improved mortality by providing expert care to
trauma patients.1–3 The goal of trauma systems is to
match the severity of injury and resources required
for optimal care with the appropriate trauma facility
and personnel. On a theoretical basis, all patients with
significant traumatic injuries and mechanisms of
trauma would ideally be brought to a trauma center.
This is not possible in the United States, due to
funding, the geographic size of the country, the dis-
persal of the population, and the lack of a financial
means of supporting those physicians who would
confine their practice to trauma. Proficient trauma
care is accomplished by not only having appropriate
resources and specialists available in special trauma
centers, but by having practitioners well educated and
trained in the sophisticated care of the injured patient,
even in the institutions that rarely manage trauma.
A challenge is how to maintain trauma skills in the
physicians and nurses who practice in institutions
that rarely care for traumatic injuries, but may need
to during a disaster or other critical situation.
It is difficult to predict in advance what specific
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