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Wherever the Dart Lands: Toward the Ideal Trauma System

I can't express strongly enough how honored I am to be standing before you, my peers and friends and patients, to speak about an issue that has absorbed my professional life: the development of trauma systems in North America and beyond. I accept the responsibility of giving the Scudder Oration recognizing it is meant to be a seminal address on the care of the injured patient, meant to carry a message to the people in this room and to trauma surgeons and trauma teams in the United States, Canada and around the world.</P>This 77th Scudder Oration will be built around surgeons, patients, and maps. I'll begin with my mantra, which some have said may be engraved on my tombstone. My wife, Tica, who is my editor and a master of brevity, says it's too long for a mantra, or a tombstone, for that matter, but here it is: my concept of an inclusive trauma system is one that is designed to ensure expeditious transfer to the appropriate level of care commensurate with the patient's injuries wherever the geographic location. Let me emphasize appropriate level of care because trauma systems have been misconstrued as dealing with only the most http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Journal of the American College of Surgeons Elsevier

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