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Letters to the Editor| Volume 55, ISSUE 2, P266-268, August 2018

Regarding the Joint Statement From the American College of Surgeons Committee on Trauma and the American College of Emergency Physicians Regarding the Clinical Use of Resuscitative Endovascular Balloon Occlusion of the Aorta

      Trauma remains a leading cause of mortality in the United States (
      • Brenner M.
      • Bulger E.M.
      • Perina D.G.
      • et al.
      Joint statement from the American College of Surgeons Committee on Trauma (ACS COT) and the American College of Emergency Physicians (ACEP) regarding the clinical use of Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA).
      ,
      • National Center for Health Statistics
      Health, United States, 2016: with chartbook on long-term health trends in health.
      ). In 2016, American College of Emergency Physicians (ACEP) and the American College of Surgeons Committee on Trauma were major stakeholders in the National Academy of Science, Engineering and Medicine report that suggested there are up to 30,000 preventable deaths from trauma annually in the United States, many from uncontrolled hemorrhage (
      • Berwick D.M.
      • Downey A.S.
      • Cornett E.
      • et al.
      A national trauma care system: integrating military and civilian trauma systems to achieve zero preventable deaths after injury.
      ). As the frontline provider, the emergency physician (EP) must receive extensive training in the care of traumatically injured patients. Several procedural interventions, including the performance of an emergency department resuscitative thoracotomy (EDRT), ultrasound, and arterial catheter insertion, are therefore included as part of the Model of Clinical Practice for Emergency Medicine (
      • Counselman F.L.
      • Babu K.
      • Edens M.A.
      • et al.
      The 2016 model of the clinical practice of emergency medicine.
      ).
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      References

        • Brenner M.
        • Bulger E.M.
        • Perina D.G.
        • et al.
        Joint statement from the American College of Surgeons Committee on Trauma (ACS COT) and the American College of Emergency Physicians (ACEP) regarding the clinical use of Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA).
        Trauma Surg Acute Care Open. 2018; 3: e000154
        • National Center for Health Statistics
        Health, United States, 2016: with chartbook on long-term health trends in health.
        National Center for Health Statistics, Hyattsville, MD2017
        • Berwick D.M.
        • Downey A.S.
        • Cornett E.
        • et al.
        A national trauma care system: integrating military and civilian trauma systems to achieve zero preventable deaths after injury.
        National Academies Press, Washington, DC2016
        • Counselman F.L.
        • Babu K.
        • Edens M.A.
        • et al.
        The 2016 model of the clinical practice of emergency medicine.
        J Emerg Med. 2017; 52: 846-849
        • Ahmed J.M.
        • Tallon J.M.
        • Petrie D.A.
        Trauma management outcomes associated with nonsurgeon versus surgeon trauma team leaders.
        Ann Emerg Med. 2007; 50: 7-12
        • Grossman M.D.
        The role of emergency medicine physicians in trauma care in North America: evolution of a specialty.
        Scand J Trauma Resusc Emerg Med. 2009; 17: 37
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        • Hajibandeh S.
        Who should lead a trauma team: surgeon or non-surgeon? A systematic review and meta-analysis.
        J Inj Violence Res. 2017; 9: 107-116
        • National Defense Authorization Act
        Section 708, page 1070.
        (Available at:)
        https://www.congress.gov/114/crpt/hrpt840/CRPT-114hrpt840.pdf
        Date: 2017
        Date accessed: January 20, 2018

      Linked Article

      • The 2016 Model of the Clinical Practice of Emergency Medicine
        Journal of Emergency MedicineVol. 52Issue 6
        • Preview
          Emergency medicine (EM) has a scientifically derived and commonly accepted description of the domain of its clinical practice. That document, “The Model of the Clinical Practice of Emergency Medicine” (EM Model), was developed through the collaboration of six organizations: the American Board of Emergency Medicine (ABEM), the administrative organization for the project, the American College of Emergency Physicians (ACEP), the Council of Emergency Medicine Residency Directors (CORD), the Emergency Medicine Residents' Association (EMRA), the Residency Review Committee for Emergency Medicine (RRC-EM), and the Society for Academic Emergency Medicine (SAEM).
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