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Am J Surg. 2012 Apr;203(4):454-60. doi: 10.1016/j.amjsurg.2011.04.006. Epub 2011 Sep 9.

Two hospitals with 1 trauma system: a joint approach to the care of the injured patient.

Author information

  • 1Department of Surgery, University of Nebraska Medical Center, Omaha, NE 68198-3280, USA. rjawa@unmc.edu

Abstract

BACKGROUND:

Trauma centers are closing at an alarming rate, but the need for trauma care persists. This article shows the sustainability and feasibility of a joint trauma system whereby 2 university-affiliated hospitals function as a single trauma center system in a moderate-sized city.

METHODS:

Since 1994, 3 days per week, trauma patients are transported by emergency medical services (EMS) to hospital A. The other 4 days they are transported to hospital B. Trauma registry data from 1994 to 2008 were analyzed. Cost data were also examined.

RESULTS:

The joint system admitted 28,338 trauma patients. On each center's nontrauma days, trauma team activation was required infrequently. The 2 centers share costs; they perform joint outreach, educational training, and quality control. The joint trauma system has been sustained since 1994.

CONCLUSIONS:

Two hospitals functioning as a single trauma center system is a viable model of care for injured patients in a moderate-sized city with mostly blunt trauma.

Copyright © 2012 Elsevier Inc. All rights reserved.

PMID:
21906718
[PubMed - indexed for MEDLINE]
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