Coordination

Training physicians who work in emergency departments in the techniques of Advance Trauma Life Support is not enough. A training program in Jamaica did not improve life and limb salvage because it was not integrated into the prehospital and surgical treatment programs. Integration of pre-hospital, clinical, emergency department, and surgical programs into one seamless system is the goal of any trauma system. Major items such as protocols and training can be standardized by a coordinating organization such as a municipality or hospital. Ironically, sometimes the little things are what really matter, such as compatibility of EKG machine lead attachments with machines in the ambulance, emergency department and operating room. The need to place and replace EKG leads or IV equipment from one component to the other wastes money and time that can be better spent in patient treatment (41,42,43).

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