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Mon Nov 26 21:31:11 GMT 2007

Ken,

You are so right about the inception of trauma systems and centers here in the US.  Sadly, however, there are still those who have no clue about the reasons for, and value of a trauma center designation within a trauma system.  There are some on my own medical staff (including the fellow who was serving as the president of the medical staff!!) who, when the dollars got tight, wanted to know if we "really needed to be a trauma center".

So, as you said, and as Mike Sise said earlier, it will take a whole lot of dedication, even more dogged determination, and a lot of slogging through the mud by those who "truly believe" to get it done.  The folks in the UK can depend on us for whatever assistance they might need, for sure; but we here cannot think that our battle is over.  For some of our colleagues, the 60's are a thing of the present.....which is really funny, 'cause I always thought that if you remembered the 60's, you weren't really there!

Best to all,
Ron

>>> <KMATTOX at aol.com> 11/26/2007 1:02 PM >>>
I read the report.    I have read the many  responses.   I am encouraged.   

MUCH MORE passion and support exists among just the little bit that I have  
read here on trauma-org, than existed in the United States in the late 1960s 
and  early 1970s, when trauma system discussions began here.   I well  remember 
the many frustrations, even among our own surgical leaders regarding  just how 
we were to get this done.     

With the level of comment, enthusiasm, insight and existing literature, I  
would be willing to wager that a UK trauma system in just a few years will be  
the best in the world.    We will be talking about the post ATLS  era and the 
standards of trauma practice established by the visionaries in the  UK.    

Keep up the insight and vision

k

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