Over the last 30 years, trauma system development in the United States has evolved dramatically. Regionalized trauma care is generally believed to confer benefits to the injured, although evidence supporting such is scant. The advent of pediatric emergency medicine and emergency medical services for children has led to the development of coordinated systems of care for critically ill and injured children in many parts of the country. Incorporation of organized pediatric emergency and trauma care into regionalized trauma systems is the focus of this review. The history of regionalized trauma system development is discussed, and published evidence regarding efficacy is examined. Finally, optimal system components are summarized, and an example of a statewide pediatric trauma system is described.
ASJC Scopus subject areas
- Pediatrics, Perinatology, and Child Health
- Emergency Medicine