Trauma System Agenda for the Future
 

Index

What is Trauma

What is Trauma Systems

The Vision

Executive Summary

Introduction

Comprehensive Trauma Care System: Fundamental Components of Trauma Care

Comprehensive Trauma Care System: Key Infrastructure Elements

Conclusion

Glossary

References

Appendices

Appendix C - Trauma Systems Chronology

1913

National Safety Council established.

1922

American College of Surgeons establishes Committee on Treatment of Fractures (later became Committee on Trauma).

1966

National Academy of Sciences, National Research Council publishes "Accidental Death and Disability: The Neglected Disease of Modern Society." Landmark document identifies injury as a national health care problem.

1966

Highway Safety Act establishes the EMS Program in the Dept. of Transportation. First national commitment to reducing injuries and deaths on highways.

1968

American Trauma Society established.

1973

Emergency Medical Services Systems (EMSS) Act provides federal guidelines and funding for development of regional EMS systems. Trauma systems identified as one of 15 essential components of EMS systems.

1976

American College of Surgeons Committee on Trauma publishes "Optimal Hospital Resources for Care of Injured Patient," which identifies three tiers of trauma center commitment.

1981

Omnibus Budget Reconciliation Act consolidates EMS funding into state preventive block grants; EMSS Act funding eliminated.

1984

Congress authorizes the EMS-C Program to address pediatric injury.

1985

National Research Council and Institute of Medicine publish "Injury in America: A Continuing Public Health Problem," which recognizes the field of injury control as linking prevention, acute care, and rehabilitation.

1986

Injury Prevention Act (followed by Injury Control Act of 1990) establishes Division of Injury Epidemiology and Control at Centers for Disease Control (elevated to National Center for Injury Prevention and Control in 1992) to provide leadership for a spectrum of injury-related public health activities.

1987

American College of Emergency Physicians publishes "Guidelines for Trauma Care Systems" that identifies essential criteria for trauma care systems, especially prehospital care components.

1988

National Highway Traffic Safety Administration establishes the Statewide EMS Technical Assessment program and Development of Trauma Systems course.

1990

Trauma Systems Planning and Development Act creates Division of Trauma and EMS (DTEMS) within the Department of Health and Human Services.

1990

American College of Surgeons Committee on Trauma publishes revised guidelines as " Resources for Optimal Care of the Injured Patient," changing focus from trauma centers to trauma systems.

1992

Position paper from Third National Injury Control Conference (CDC) first addresses concept of "inclusive" trauma systems.

1992

DTEMS publishes Model Trauma Care System Plan to aid states in development of inclusive regional trauma care systems.

1999

Institute of Medicine publishes "Reducing the Burden of Injury," which calls for greater national commitment to trauma care systems at all levels.

1999

American College of Surgeons publishes "Consultation for Trauma Systems" to facilitate objective evaluations of trauma systems.

2000

Trauma System Planning & Development Reauthorized and Funded.