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Level I versus Level II

Andrew J Bowman sumieb at compuserve.com
Fri Oct 14 04:29:00 BST 2005

Does the article address having 2 similar ED's (non trauma designation) 
with only difference being one has cardiopulmonary bypass and the other 
does not (on call from home, not in house 24/7).  Any effect on outcomes 
with chest trauma?

Andrew Bowman

> Did everyone catch the article entitled "The Effect of Trauma Center
> Designation and Trauma Volume on Outcome in Specific Injuries" Annuals 
> Surgery, Volume 242, Number 4, October 2005, Pages 512-519.
> I think one of the boldest conclusions the primary author makes is " It
> might be appropriate that for certain types of trauma, such as 
> injuries to the chest or abdomen with hypotension, the paramedics 
bypass the
> Level II center in favor of the Level I center."
>  Jim<
> James Richardson, MBA, EMT-P
> Field Coordinator
> HealthONE, EMS
> 303-788-6468 Office
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