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2014 260(1):13-21.Ĭarr B, Bowman A, Wolff C, Mullen MT, Holena D, Branas CC, et al. Increasing Trauma Deaths in the United States. Rhee P, Joseph B, Pandit V, Aziz H, Vercruysse G, Kulvatunyou N, et al. Journal of Trauma and Acute Care Surgery. Geographic Distribution of Trauma Centers and Injury Related Mortality in the United States. American College of Surgeons 2014.īrown JB, Rosengart MR, Billiar TR, Peitzman AB, Sperry JL. Resources for Optimal Care of the Injured Patient. Possible improvements to rural trauma care include bolstering the quality of care in Level III trauma centers, increasing Level II center efficiency through the involvement of orthopedic traumatologists, placing medical helicopter bases in more strategic locations that enable transport teams to reach other trauma centers faster, building more Level I and Level II trauma centers, and converting Level III centers into either Level I or Level II centers.Ĭommittee on Trauma - American College of Surgeons. Improvements in access to high-tier traumatic care must occur in order to reduce mortality due to traumatic injuries in underserved rural areas. Therefore, these areas tend to have a greater mortality rate in relation to traumatic injuries. Furthermore, trauma centers tend to be widely dispersed with respect to rural areas. Level III to Level V trauma centers tend to be dominantly situated in rural and underserved areas. However, there is a major inequity in access to trauma centers across the United States, especially amongst rural residents. Level V trauma centers are the least comprehensive, providing minimal 24-hour care and resuscitation, and Level I trauma centers are the most comprehensive, accepting the most severely injured patients and always delivering care through the use of an attending surgeon. These trauma centers are classified into five different levels: Level I to Level V. Trauma centers in the United States focus on providing care to patients who have suffered injuries and may require critical care. Trauma centers, rural access, disparities, orthopedics, traumatologists, surgeons Abstract