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OCR for page 24
hospital, similar to those established and maintained for many
years in the cancer field. The vast pool of information available
from such registries might provide guidelines for more objective
definition of degrees of disability on which to base judgment in
compensation cases.
RECOMMENDATIONS
1. Establishment of trauma registries in selected hospitals as a mech-
anism for the continuing description of the natural history of the various
forms of injuries.
2. Subsequent consideration of establishment of a national com-
puterized central registry.
3. Studies on the feasibility of designating selected injuries to be
incorporated with reportable diseases under Public Health Service control.
HOSPITAL TRAUMA COMMITTEES
Trauma committees, as standing committees of hospital staffs,
might serve several easeful purposes. As multi-specialty groups,
they would set the standards of care, supervise staffing and
function of the emergency department, maintain the trauma
registry, and conduct training programs for staff, paramedical and
ambulance personnel in cardiopulmonary resuscitation and other
advanced techniques. They should be prepared to coordinate
research programs and to organize follow-up studies on the long-
term effects of trauma as well as the treatment itself. An important
function would be a continuing analysis of the physical status of
patients on delivery to the emergency department, as a guide to
correction of deficiencies in first aid and transportation, and of
the extent to which physician care is indicated in advance of
the hospital.
RECOMMENDATION
Formation of hospital trauma committees, on a pilot basis, in selected
hospita Is.
24
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Representative terms from entire chapter:
hospital trauma
