Early Thoughts on Creating Comprehensive Trauma Centers This volume has
been many years in writing. When Dr. Donald Meichenbaum first suggested
it and I approached my coauthor Lasse Nurmi, it did not seem to be as
formidable a task as it has become. Interviewing the centers in this
book has taken years-to get responses, to summarize those responses, and
to return the summaries for further comment. Many centers have been
created in that time; others have suspended operation. This volume does
not claim to present even a majority of those centers. However, the ones
contained herein are representative of "what is out there. " The idea to
create a comprehensive trauma center is not new. The initial section of
this forward examines thoughts I proposed as part of my compre- hensive
examination for my doctorate. Many of the ideas proposed then (1989)
seem to fit now. It is my dream to put them into practice someday in the
future. THE COMPREHENSIVE EXAMINATION QUESTION In 1989, one question on
the written comprehensive examination ques- tions for my doctorate was,
"If you were to create a comprehensive trauma center in your suburban
area, making use of what you have learned in your [doctoral]
experience, describe the organization of that center, the mission,
structure, personnel, funding, objectives, and services it would offer.
" Some of the conclusions reached then now seem applicable to the task
at hand: design- ing comprehensive trauma centers (CTCs) for the 21st
century.
