Author(s): Kreis DJ Jr, Plasencia G, Augenstein D, Davis JH, Echenique M,
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Abstract We reviewed 1,201 trauma deaths that occurred in Dade County, Florida, in 1982 in order to evaluate the need for an organized trauma network. There were 715 deaths (59.5\%) at the scene. Of the remaining 486 patients who were transported to hospitals for treatment there were 240 central nervous system (CNS) deaths and 246 non-CNS deaths. Fifty-two (21.1\%) preventable non-CNS trauma deaths were identified out of the 246 non-CNS deaths. The lack of an appropriate surgical procedure or a delay to surgery accounted for 82.7\% of the preventable deaths. The preventable non-CNS death rate was 12.1\% at the then functional Level I hospital and 26.4\% at the other 22 hospitals (p less than 0.01). The ISS scores were similar for both the functional Level I hospital and the other hospitals. A trauma network involving seven hospitals is currently being established in Dade County, Florida. Applying the 1982 data to these hospitals reveals a preventable non-CNS death rate of 12.1\% for the Level I hospital, 21.5\% for the six planned Level II hospitals, and 30.0\% for the other 16 hospitals. We conclude that: the severely injured should be triaged directly to trauma centers, and there is a need in Dade County, Florida, for an organized trauma system.
This article was published in J Trauma
and referenced in Journal of Trauma & Treatment