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Mon Nov 19 13:26:40 GMT 2007

Allen,
It is based on all of the above!  The issue is going to be (1) trauma volume that is population bases and (2) availability of the appropriate resources, including the personnel and medical/surgical sub-specialists.  You might want to contact the ACS COT Trauma Systems Consultation office for their input, or give me a shout off-line and we can talk further.
Ron

>>> <gsuywy at pacific.net.sg> 11/19/2007 3:16 AM >>>
I would appreciate the list's opinion on the recommended number of  
trauma centres needed in a trauma system - is it based on population,  
volume of major trauma per institution or per surgeon. Is there such a  
thing as 'deskilling' the other bypassed tertiary hospitals that will  
impact their ability to handle the surge in trauma patients during  
disasters.

Thanks

Allen Yeo
Perth, WA

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