Feasibility Study and Demonstration Project for a Joint Military/Civilian Trauma Institute with a Burn Center

摘要

The purpose of the Trauma Institute of San Antonio, Texas (TRISAT) grant was to study and demonstrate the feasibility of a Trauma Institute and Burn Center with three primary missions: patient care, research, and education. Several goals of the grant have been met: TRISAT members have studied how combining resources will generate greater financial sustainability; a national trauma consultant reviewed the financial/economic status of each program and presented recommendations; an independent legal firm reviewed issues related to military and civilian doctors providing services across hospital lines and submitted recommendations; Surgical/Anesthesia Critical care fellowship program curriculum and rotation schedules have been integrated; patient databases and a regional trauma registry have been developed, allowing the use of data for clinical research, both military and civilian; and trauma and burn surgeons have submitted protocols for joint research and have begun multi-site clinical research. The author models coordinated trauma/burn care for the United States with the following goals in mind: improved survival rates of military and civilian casualties, increased innovation in combat casualty care, improved educational experience for surgical/critical care trainees, improved pre- hospital evaluation and resuscitation, and improved mass casualty/disaster response capabilities.