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tient should be transported,” said Richard C. Hunt, M.D., director of CDC’s Divi- sion of Injury Response, National Center for Injury Prevention and Control and an author of the report The Decision Scheme provides a safety net that the public won’t see. But we know it can help improve the chances of survival for severely injured pa- tients.”


OTHER KEY REVISIONS INCLUDE:


• Recommendations for the right place and right time to best use crucial emer- gency care resources


• Vehicle crash damage criteria which can help determine which patients may re- quire care at a trauma center


The Decision Scheme was developed in collaboration with the American College of Surgeons-Committee on Trauma with support from the National Highway Traf- fic Safety Administration (NHTSA). It was reviewed by the 36-member National Expert Panel on Field Triage, which in- cluded representatives from EMS, emer- gency medicine, trauma surgery, the automotive industry, public health, and several federal agencies. The Decision Scheme has been endorsed by many professional organizations and associations. It was included in the 2006 versions of the American College of Sur- geons’ Resources for the Optimal Care of the Injured Patient, and the National As- sociation of Emergency Medical Techni- cians’ Prehospital Trauma Care Life Support manual for EMS practitioners. The revised guidelines are in line with the 2006 Institute of Medicine report on the state of emergency care. The report en- visioned a highly coordinated emergency services system that assures that each pa- tient receives the most appropriate care, at the optimal location, with the minimum delay.


With additional funding from NHTSA, CDC is developing a companion educational initiative for local EMS medical directors, state EMS directors, public health officials, and EMS providers. Educational materials will be tailored to meet the needs of their communities and include: a user’s guide, poster and pocket card of the Decision Scheme, a slide presentation for use in train- ings, and the MMWR article that includes continuing education opportunities. EMS


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