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Wed Sep 17 13:22:53 BST 2008

Jeff,

Is that "broadly not true" as in "you lying sack"? I bow to your expertise
and experience. Perhaps I am speaking just of my state. Coordination would
be difficult in this case because there is no one at the state level
responsible for trauma and there is not currently a trauma program. I would
say that in conversations with people like Rick Frykberg and Ron Gross my
impression has been that there is a dramatically disproportionate Federal
response in "Preparedness" toward bioterrorism rather than trauma. Given
what I'd seen here, I'd assumed there was more silo building going on,
rather than building of local infrastructure and coordination.

Rob Smith

-----Original Message-----
From: trauma-list-bounces at trauma.org [mailto:trauma-list-bounces at trauma.org]
On Behalf Of Jeffery Hammond
Sent: Monday, September 15, 2008 5:01 PM
To: 'Trauma &amp; Critical Care mailing list'
Subject: RE: Federal Government Role for Ike

This is broadly not true. Perhaps the trauma system is not involved in your
states, but don't extrapolate this nationally. 

Health care, especially non-BT trauma care, can be an after thought if we
let it. State and county OEMs will tend to focus on police, fire and first
response issues. Public health may tend to forget about acute care
provisions, just assuming we'll be there because we're always there. 

However, I can say that we in NJ have a good realtionship between our Trauma
Center Council and state emergency planners. Not perfect, and a work in
progress, but good. You have to work at it.

Jeff Hammond 

Jeffrey Hammond MD, MPH
New Brunswick, NJ

-----Original Message-----
From: trauma-list-bounces at trauma.org [mailto:trauma-list-bounces at trauma.org]
On Behalf Of Robert F. Smith
Sent: Monday, September 15, 2008 3:36 PM
To: 'Trauma &amp; Critical Care mailing list'
Subject: RE: Federal Government Role for Ike

Exactly. And with all the money spent preparing for terrorist events, none
of the planning and/or organization seems to involve trauma centers.

Rob Smith

-----Original Message-----
From: trauma-list-bounces at trauma.org [mailto:trauma-list-bounces at trauma.org]
On Behalf Of KMATTOX at aol.com
Sent: Monday, September 15, 2008 1:59 PM
To: trauma-list at trauma.org
Subject: Re: Federal Government Role for Ike

In a message dated 9/15/2008 12:57:05 P.M. Central Daylight Time,
gflores911 at gmail.com writes:

Who is  the liaison between the trauma center and the state's emergency
operation's  center (EOC)?

It does NOT EXIST, despite multiple requests.   It is all  LOCAL, if at all.

k

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Federal Government Role for Ike