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Appendix F Historical Development of Hospital-Based Emergency and Trauma Care
Pages 353-364

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From page 353...
... . But hospital-based emergency care was really spurred forward by developments in trauma care that resulted from America's wartime experiences.
From page 354...
...  HOSPITAL-BASED EMERGENCY CARE es in the treatment of acute coronary syndrome (ACS)
From page 355...
...  APPENDIX F Michigan, soon followed. Because of the advantages to hospitals of having a steady, full-time team covering the ED, hospitals began contracting for emergency services, and an increasing number of physicians decided to work in EDs full time.
From page 356...
... The development of trauma care mirrors the development of surgery in general and has been stimulated by wartime experiences. The seeds of the modern trauma system can be traced to the beginnings of the American College of Surgeons (ACS)
From page 357...
... This new program again provided national leadership for trauma care planning, infrastructure development, standards development, and coordination with other federal agencies until it, too, was zeroed out of the federal budget for fiscal year 2006. A trauma system is a coordinated approach to trauma care and injury prevention.
From page 358...
... Verification review is ACS COT's process of assessing the trauma care capabilities of a facility based on the criteria contained in Resources for Optimal Care of the Injured Patient. Through the verification review process, a facility is established as a level I, II, III, or IV trauma center based on a variety of factors, including the volume of severely injured patients, 24-hour availability of trauma surgeons and other specialists, whether these specialists are in house or on call, the surgical capabilities of the center, and the availability of specialized equipment.
From page 359...
...  APPENDIX F BOX F-1 Classification System for Trauma Center Levels of the American College of Surgeons Committee on Trauma Level I Provides comprehensive trauma care; serves as a regional resource; and provides leadership in education, research, and system planning. A level I center is required to have trauma surgeons, anesthesiologists, physician specialists, nurses, and resuscitation equipment immediately available.
From page 360...
... MILITARY EMERGENCY AND TRAUMA CARE Just as the U.S. civilian emergency care system benefited from advances made in military medicine during the Vietnam and Korean wars, the civilian system may benefit from further medical advances being made during the current U.S.
From page 361...
... . The military has also improved access to medical care so that wounded soldiers receive higher levels of care more quickly.
From page 362...
... . REFERENCES ACS COT (American College of Surgeons Committee on Trauma)
From page 363...
... 2000. History and development of trauma care in the United States.


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