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HOME > J Korean Soc Traumatol > Volume 18(1); 2005 > Article
General Scheme for the Level I Trauma Center in South Korea
Journal of Trauma and Injury 2005;18(1):1-16
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Department of Emergency Medicine, Ajou University School of Medicine, Suwon, Korea, Korean Health Insurance Review Agency, Seoul, Korea*, Department of Emergency Medicine, Yonsei University Wonju College of Medicine, Wonju, Korea**, Department of Emergency Medicine, Seoul National University College of Medicine, Seoul, Korea***, Department of Surgery, Seoul National University College of Medicine, Seoul, Korea****

An ideal trauma care system would include all the components identified with optimal trauma care, such as prevention, access, acute hospital care, rehabilitation, and research activities. Central to an ideal system is a large resource-rich trauma center. The need for resources is primarily based on the concept of being able to provide immediate medical care for unlimited numbers of injured patients at any time. Optimal resources at such a trauma center would include inhouse board-certified emergency medicine physicians, general surgeons, anesthesiologists, neurosurgeons, and orthopedic surgeons. Other board-certified specialists would be available, within a short time frame, to all patients who require their expertise. This center would require a certainvolume of injured patients to be admitted each year, and these patients would include the most severely injured patients within the system. Additionally, certain injuries that are infrequently seen would be concentrated in this special center to ensure that these patients could be properly treated and studied, providing the opportunity to improve the care of these patients. These research activities are necessary to enhance our knowledge of the care of the injured. Basic science research in areas such as shock, brain edema, organ failure, and rehabilitation would also be present in the ideal center. This trauma center would have an integrated concurrent performance improvement program to ensure optimal care and continuous improvement in care. This center would not only be responsible for assessing care delivered within its trauma program, but for helping to organize the assessment of care within the entire trauma system. This ideal trauma center would serve as a total resource for all organizations dealing with the injured patient in the regional area.

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