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Department of Surgery, Mary Imogene Bassett Hospital, Cooperstown, NY 13326.
We sought to evaluate the ability of a small rural hospital with level 2 trauma capability to provide adequate care to the patient with multiple trauma. Using the TRISS method, we reviewed 163 patients with trauma admitted to our institution over 2 years. An outcome equivalent to those level 1 centers that contributed to the Major Trauma Outcome Study is documented. The clinical commitment and institutional resources necessary are discussed.
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