Trauma Systems: Current Status—Future Challenges

John G. West, Michael J. Williams, Donald D. Trunkey, Charles C. Wolferth

Research output: Contribution to journalArticlepeer-review

134 Scopus citations


The national status of regional trauma system development was evaluated by a survey sent to all state emergency medical services directors and state chairpersons of the American College of Surgeons Committee on Trauma. Eight essential components of a regional trauma system based on criteria set forth by the American College of Surgeons were listed. Only two states were found to have all components and statewide coverage. Nineteen states and the District of Columbia lacked one or more components of a regional trauma system. The remaining 29 states had yet to initiate the process of trauma center designation. In response to these shortcomings, an attempt was made to define the barriers to trauma system implementation and a step-by-step process was outlined for the development, management, and analysis of a comprehensive system of trauma care.

Original languageEnglish (US)
Pages (from-to)3597-3600
Number of pages4
JournalJAMA: The Journal of the American Medical Association
Issue number24
StatePublished - Jun 24 1988
Externally publishedYes

ASJC Scopus subject areas

  • Medicine(all)


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