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The Journal of Bone and Joint Surgery 83:283 (2001)
© 2001 The Journal of Bone and Joint Surgery, Inc.

The Orthopaedic Forum

Design of the Northern Nevada Orthopaedic Trauma Panel: A Model, Level-II Community-Hospital System

Timothy J. Bray, MD

The level-II trauma center has been defined by the American College of Surgeons as "a hospital capable of delivering definitive trauma care regardless of the severity of injury."1 In geographically isolated areas, the level-II center frequently assumes the responsibilities of the level-I center, including education, systems development, leadership, and research.

Although much has been written about the general surgical aspects of trauma, very few articles in the literature offer the orthopaedic surgeon guidelines for the design, development, implementation, and maintenance of orthopaedic trauma panels in community or level-II trauma systems. In the current article, these specific issues are discussed and questions regarding the daily functions of orthopaedic trauma care in a community system are addressed.

The Reno, Nevada, trauma system is a unique level-II community trauma program that has successfully fulfilled the designation criteria of the American College of Surgeons2. The Northern Nevada Orthopaedic Trauma Panel functions as an . . . [Full Text of this Article]


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