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Patient Care

Toward Zero Preventable Deaths

Last year a new National Academies of Sciences, Engineering, and Medicine report examined how the U.S. can sustain advances made in military trauma care and apply those to the civilian sector.

A National Trauma Care System: Integrating Military and Civilian Trauma Systems to Achieve Zero Preventable Deaths outlined several recommendations to meet these goals, including having more accessible trauma data systems, robust research programs, incentives to drive quality improvement processes and a network of civilian and military trauma centers to serve as an integrated trauma training platform.

“As one committee member put it, when it comes to trauma care, where you live ought not to determine if you live. It is time for a national goal owned by the nation’s leaders: zero preventable deaths after injury,” wrote Donald Berwick, MD, one of the editors of the 400-page document, which you can download at

In this issue, we focus on EMS systems and their leaders who are working toward decreasing trauma deaths in their communities. The cover report profiles the work of Cypress Creek EMS to develop protocols for field supervisors to carry fresh plasma and packed red blood cells in the field. In EMS World Roundtable: Optimizing Active-Shooter Response, Senior Editor John Erich interviews four experts on how EMS should craft response models for these hostile events in collaboration with other public safety entities. Preparing for Active Shooter and Hostile Events details how American Medical Response is implementing an evidence-based approach that evaluates and applies industry research and lessons learned from previous incidents. Find out how this approach could serve as a template for your agency.

Please let us know what your agency is doing to reduce trauma deaths. E-mail

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