Rethinking the definition of major trauma: The need for trauma intervention outperforms Injury Severity Score and...

Jacob Watkin Roden-Foreman¹, Nakia R Rapier, Michael L Foreman+31

• ¹From the Division of Trauma, Critical Care, & Acute Care Surgery (J.W.R.-F., N.R.R., M.L.F.), Baylor University Medical Center at Dallas, Dallas, Texas; Children's Minnesota Research Institute (A.L.Z.), Children's Minnesota, Minneapolis, Minnesota; Division of Acute Care Surgery (K.W.S., W.C.B.), University of Arkansas for Medical Sciences, Little Rock, Arkansas; Centura Health Trauma System (C.M., R.A.C.), Colorado Springs, Colorado; St. Anthony Hospital (A.R.B.), Lakewood, Colorado; Center for Trauma and Critical Care (J.H., B.S.B.S.), George Washington University, Washington, District of Columbia; Penn State Hershey Children's Hospital (J.C.H.), Hershey. Pennsylvania; Trauma Department, Children's Hospital of Dallas (C.G.), Dallas, Texas; Rhode Island Hospital (C.A.A., S.N.L.); Warren Alpert Medical School of Brown University (C.A.A., S.N.L.), Providence, Rhode Island; Division of Trauma (M.W.), Cook Children's Medical Center, Forth Worth, Texas Clinical Research Institute, Methodist Health System (V.A.); Associates of Surgical Acute Care (J.D.A.), Methodist Dallas Medical Center, Dallas, Texas; University of North Carolina HealthCare (C.F.W.), Chapel Hill, North Carolina; Division of Trauma and Acute Care Surgery (D.J.M.), Medical College of Wisconsin; Froedtert Memorial Luthern Hospital (A.B.), Milwaukee, Wisconsin; University of Colorado Health Medical Center of the Rockies (W.D., M.J.W.), Loveland, Colorado; Department of Surgery (J.C.), Greenville Health System, Greenville, South Carolina; Trauma & Acute Care Services (C.A.L.), John Peter Smith Health Network, Forth Worth, Texas; Division of Trauma & Acute Care Surgery (J.L.R.), Baylor Scott & White Medical Center, Temple, Grapevine, Texas; Regions Hospital (M.D.M.), St. Paul, Minnesota, Pediatric Trauma (S.D.F.), Helen Devos Children's Hospital, Grand Rapids, Michigan; Aspirus Wausau Hospital (S.S.), Wausau, Wisconsin; Children's Hospital of Philadelphia (M.L.N., M.C.), Philadelphia, Pennsylvania; Division of Trauma (B.P., D.S.), Baylor Scott & White Medical Center at Grapevine, Grapevine, Texas; and Department of Surgery (T.J.S.), University of Colorado School of Medicine; Division of Trauma (T.J.S.), University of Colorado Health-Memorial Hospital, Aurora, Colorado.