ABSTRACT

Introduction In trauma, the concept of the Golden Hour-the relatively short period of time following injury-points to the importance of prompt access to definitive care (Trunkey, 1983). Treatment at a definitive care facility (e.g., Level 1 trauma center) has been demonstrated to provide a substantial decrease in mortality (Mackenzie et al., 2006). The siting of trauma center hospitals, however, is more complex than just

Contents Introduction ........................................................................................................75 Background .........................................................................................................76 Public Health Challenge of Trauma Care ............................................................ 77 Trauma Resource Allocation Model for Ambulances and Hospitals (TRAMAH) ...78