Annals of Emergency Medicine
Volume 49, Issue 3 , Pages 302-303 , March 2007

Variability in Out-of-Hospital Trauma Care: So What?

  • Theodore R. Delbridge, MD, MPH

      Affiliations

    • Corresponding Author InformationAddress for correspondence: Theodore R. Delbridge, MD, MPH, Department of Emergency Medicine, 3ED-313, Brody School of Medicine, 600 Moye Boulevard, Greenville, NC 27834; 252-744-4757, fax 252-744-5014
    • ,
  • Juan A. March, MD

References 

  1. Institute of Medicine, Committee on the Future of Emergency Care in the US Health System. Emergency Services at the Crossroads. Washington, DC: National Academy Press; 2006;
  2. Delbridge TR, Bailey B, Chew JL, et al. EMS agenda for the future: where we are: where we want to be. Ann Emerg Med. 1998;31:251–263
  3. Bulger EM, Nathens AB, Rivara FP, et al. National variability in out-of-hospital care following traumatic injury. Ann Emerg Med. 2007;49:293-301.
  4. Eisenberg MS, Horwood BT, Cummins RO, et al. Cardiac arrest and resuscitation: a tale of 29 cities. Ann Emerg Med. 1990;19:179–186
  5. Lubin JS, Delbridge TR, Rinnert KJ, et al. Evolution of statewide EMS drug formularies and regulations. Prehosp Emerg Care. 2005;9:176–180
  6. Garrison HG, Benson NH, Whitley TW, et al. Paramedic skills and medications: practice options utilized by local advanced life support medical directors. Prehosp Disaster Med. 1991;6:29–33
  7. Wang HE, Yealy DM. Out-of-hospital endotracheal intubation: where are we?. Ann Emerg Med. 2006;47:532–541
  8. Wennberg JE. The paradox of appropriate care. JAMA. 1987;258:2568–2569
  9. Wennberg JE, Freeman JL, Shelton RM, et al. Hospital use and mortality among Medicare beneficiaries in Boston and New Haven. N Engl J Med. 1989;321:1168–1173
  10. Wennberg JE. Unwarranted variations in healthcare delivery: implications for academic medical centres. BMJ. 2002;325:961–964
  11. MacKenzie EJ, Rivara FP, Jurkovich GJ, et al. A national evaluation of the effect of trauma-center care on mortality. N Engl J Med. 2006;354:366–378

 Funding and support: The authors report this study did not receive any outside funding or support. Publication dates: Available online September 28, 2006.

 Supervising editor: Donald M. Yealy, MD

 Reprints not available from the authors.

PII: S0196-0644(06)02069-5

doi: 10.1016/j.annemergmed.2006.08.009

Annals of Emergency Medicine
Volume 49, Issue 3 , Pages 302-303 , March 2007

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