The concept of a trauma system as public health policy has developed substantially during the 30 years since publication of Accidental Death and Disability: The Neglected Disease of Modern Society. The military experience with casualties established the public expectation that grievously injured citizens should be expected to survive if a system enables a team of experts to work smoothly togeth...

The inter-hospital transfer of patients is crucial to a well functioning trauma system, and the transfer process may serve as a quality indicator for regional trauma care. However, the assessment of the transfer process requires high-quality data from various sources. Prospective studies and studies based on single-centre trauma registries may fail to capture an appropriate width and depth of d...

HYPOTHESIS Methamphetamine use affects length of hospital stay in the minimally injured patient. DESIGN Case series. SETTING The only tertiary trauma center serving Hawaii. PATIENTS Trauma patients examined during a 12-month period with an Injury Severity Score of 1 to 5 and an age of 18 to 55 years undergoing urine toxicology screen for suspected suicide attempt or altered sensorium. M...

Research on predictors of trauma-related distress in youth has tended to focus on trauma exposure and individual difference characteristics. This study extends previous research by examining the role of posttrauma appraisals in predicting trauma-related distress in a sample of female adolescents with current or prior involvement in the child welfare system and a history of maltreatment. Partici...