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Trauma systems in North America.
Douglas W Lundy1, Edward J Harvey2, A Alex Jahangir3
1Resurgens Orthopaedics, Atlanta, Georgia, USA.
OTA International : the Open Access Journal of Orthopaedic Trauma
|September 8, 2023
Summary
North American trauma systems offer effective care, though accessibility varies. Canada
Area of Science:
- Trauma care systems
- Emergency medicine
- Healthcare policy
Background:
- North American trauma systems exhibit significant variability.
- Canadian trauma system is more unified than US systems.
- Access to trauma care can be challenging in remote areas.
Purpose of the Study:
- Compare and contrast trauma care systems in Canada and the United States.
- Identify similarities and differences in trauma system structures and accessibility.
- Highlight challenges and opportunities for improvement in trauma care delivery.
Main Methods:
- Comparative analysis of trauma system structures.
- Review of verification processes for trauma centers.
- Assessment of prehospital and postdischarge care considerations.
Main Results:
- Canadian trauma system is more unified, with 80% of the population near Level I/II centers.
- US trauma center verification varies by state, despite common criteria.
- Both countries face financial challenges with postdischarge care.
- Remote areas present access challenges for injured patients.
Conclusions:
- Both Canadian and US trauma systems provide effective care to most patients.
- Opportunities exist for further system optimization in both nations.
- Standardization and resource allocation remain key areas for improvement.
