1Instituto Ortopedica Galeazzi, Unità Operativa di Traumatologia, Via Riccardo Galeazzi 4, Milan I-20161, Italy. antonio.pace@ortopedia-traumi.net
The Italian Trauma System has been updated over the last decade to improve pre-hospital and in-hospital care. Key changes include the organization of the 118 operative exchange, health personnel training, and new emergency structures called DEA.
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