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An integrated university emergency medicine - trauma program

W P Geis, R A Altergott, J L Giacchino

    The Journal of Trauma
    |April 1, 1982
    PubMed
    Summary

    An integrated Emergency Medicine and Trauma Service (EM & TS) successfully manages complex interdisciplinary care. This model streamlines prehospital, emergency medical, and trauma services for improved patient outcomes and education.

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    Area of Science:

    • Emergency Medicine
    • Trauma Care
    • Medical Systems Integration

    Background:

    • Prehospital, emergency medical, and trauma care systems exhibit significant educational, medical, financial, and political overlaps.
    • Existing systems often struggle to disentangle these interdisciplinary complexities.

    Purpose of the Study:

    • To present a customized Emergency Medicine and Trauma Service (EM & TS) model at a regional trauma center.
    • To address the challenges of integrating diverse medical services.

    Main Methods:

    • Established an EM & TS within a regional trauma medical center.
    • Implemented a vertical responsibility structure for multidisciplinary system management.
    • Physician personnel are board-certified in Internal Medicine, Surgery, or Pediatrics, with joint appointments and oversight.

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    Main Results:

    • The program annually treats 32,000 patients, including 11,330 trauma cases.
    • Educates 140 paramedics, residents, and students.
    • Ensures a board-qualified trauma surgeon is always present, supported by salaried faculty.

    Conclusions:

    • A vertical responsibility structure within a multidisciplinary system offers a successful solution for integrated care.
    • This model can be adapted to other complex healthcare systems.