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Wed Mar 25 12:16:16 GMT 2009

Karim,

A huge WOOT! and huge congratulations to you and all who have worked  
to bring you to this point. As Dr. Mattox said, if there is anything  
we can do to help further your work. I know the unbelievable amount of  
toil and hardship and frustration and pride that goes into such a  
venture. Great job and good luck on going.

Rob

On Mar 25, 2009, at 7:44 AM, Bjorn, Pret wrote:

> Congratulations to all who've brought (dragged?) you this far.  I'm  
> very
> familiar with what an important and historic milestone you've reached.
>
> Ken's correct of course that surgeons should be enlisted and  
> invested in
> the system to the strongest possible degree; but allow me to suggest
> that inclusive systems are unsustainable if you start thinking of them
> in terms of new, exogenous, top-down architecture.  Maine's inclusive
> trauma system was built by ratifying and amplifying existing processes
> and practices: identifying the long-beaten paths, then PAVING them.
>
> This approach is surely informed by the insights of surgeons at trauma
> centers; but trust me, those same surgeons have learned much from  
> rural
> EMTs and docs and EM nurses along the way.  Speaking for my region,
> northern and eastern Maine has increasingly come to behave like one  
> huge
> hospital, with REALLY long corridors.  It's an incredibly instructive
> paradigm with enormous returns in terms of overall process, and I'm
> convinced it would not have been achievable without making inclusivity
> the first mission of the system.
>
> Best of luck, Karim.  We'll all be watching and rooting for you.
>
> Pret Bjorn, RN
> Bangor, ME USA
>
>
> -----Original Message-----
> From: trauma-list-bounces at trauma.org
> [mailto:trauma-list-bounces at trauma.org] On Behalf Of KMATTOX at aol.com
> Sent: Tuesday, March 24, 2009 7:10 PM
> To: trauma-list at trauma.org
> Cc: jryan at agul.ac.uk
> Subject: Re: A Regional Trauma System for London
>
>
> Karim:   Is there any way we on this list can assist you and your
> colleagues
> in London in any way.   Assure that the planners fully  understand  
> what
> a
> trauma system is and that the involvement of surgeons in the  care of
> all trauma
> patients is essential from prevention, to planning, to EMS,  to the
> accident
> room, to the emergency room, to the OR, to the ICU, to the  Clinic, to
> outreach
> programs, to education, to research.      Congratulations.
>
> Kenneth L. Mattox, MD
> Houston
>
>
> In a message dated 3/24/2009 6:05:28 P.M. Central Daylight Time,
> karimbrohi at gmail.com writes:
>
> Oops -  wrong link to the  survey!
> http://surveys.globalepanel.com/wix/p317065442.aspx
>
> 2009/3/24  Karim Brohi <karimbrohi at gmail.com>:
>> Dear All
>>
>> London is on the brink of getting a regional inclusive trauma system
>> (finally!! - and England & Wales are likely to follow in the next  2
>> years or so).  The process is out to public consultation at the
> moment
>>
> (http://www.healthcareforlondon.nhs.uk/consultation-on-developing-new-hi
> gh-quality-major-trauma-and-stroke-services-in-london)
>>
>> If you live in London now is the time to have your say - and to tell
>> all your friends and families to have their say on whether they want
>> an inclusive trauma system or not - and how they would like it
>> configured.  Please use the link below to complete the  consultation
>> questionnaire (you can download the consultation document  from the
>> website)
>>
> http://www.healthcareforlondon.nhs.uk/consultation-on-developing-new-hig
> h-quality-major-trauma-and-stroke-services-in-london
>>
>> All being well we'll be up and running by April 2010 - but there are
>> still some significant hurdles to overcome, so this round is very
>> important.
>>
>> Many thanks
>>
>> Karim
>>
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A Regional Trauma System for London