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Trunkey DD. US Trauma Center Preparation for a Terrorist Attack in the Community. Eur J Trauma Emerg Surg. 2009;35(3):244-64doi: 10.1007/s00068-009-9901-7.
Trunkey, D. D. (2009). US Trauma Center Preparation for a Terrorist Attack in the Community. European journal of trauma and emergency surgery : official publication of the European Trauma Society, 35(3), 244-64. https://doi.org/10.1007/s00068-009-9901-7
Trunkey, Donald D. "US Trauma Center Preparation for a Terrorist Attack in the Community." European journal of trauma and emergency surgery : official publication of the European Trauma Society vol. 35,3 (2009): 244-64. doi: https://doi.org/10.1007/s00068-009-9901-7
Trunkey DD. US Trauma Center Preparation for a Terrorist Attack in the Community. Eur J Trauma Emerg Surg. 2009 Jun;35(3):244-64. doi: 10.1007/s00068-009-9901-7. Epub 2009 Mar 25. PMID: 26814901.
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Eur J Trauma Emerg Surg. 2009 Jun;35(3):244-64. doi: 10.1007/s00068-009-9901-7. Epub 2009 Mar 25.

US Trauma Center Preparation for a Terrorist Attack in the Community.

European journal of trauma and emergency surgery : official publication of the European Trauma Society

Donald D Trunkey

Affiliations

  1. Oregon Health and Science University, Portland, OR, 97239, USA. [email protected].
  2. Oregon Health and Science University, 3181 SW Sam Jackson Park Rd, L223, Portland, OR, 97239, USA. [email protected].

PMID: 26814901 DOI: 10.1007/s00068-009-9901-7

Abstract

BACKGROUND: Since the 2001 terrorist attacks on the United States, federal and state funding, primarily from the National Bioterrorism Hospital Preparedness Program, has resulted in a surge of hospital activity to prepare for future natural or human-caused catastrophes. Trauma centers were integrally involved in the response to the 2001 attacks as first receivers of patients, communication hubs, and as convergence sites for families, the worried well, volunteers, and donors. After the Madrid train station terrorist attack, Congress identified the need to study trauma center preparedness as an essential part of the nation's emergency management system.

METHODS: The NFTC received a one-year grant funded by the Centers for Disease Control and Prevention (CDC/NCIPC) to survey the capability and capacity of trauma centers to respond successfully to mass casualty incidents, particularly those brought about by acts of terrorism. This report summarizes responses to a US CDC/NCIPC-funded survey, R 49 CE000792-01, sent to all designated or verified Level I and II trauma centers in the US, to which 33% or 175 trauma centers replied.

RESULTS: The results are categorized by preparedness scoring, vulnerability, threats, and funding. Planning communication, surge capacity, diversion, sustainability, special populations, and finance represent additional categories examined in the survey.

CONCLUSIONS: Trauma centers are a major resource in disaster management. One-hundred and seventy-five centers candidly reported their resources and vulnerabilities. This inventory should be expanded to all trauma centers and recommendations for change as discussed.

Keywords: Mass casualty incidents; National Bioterrorism Hospital Preparedness Program; Preparedness; Survey; Terrorism; Trauma center

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