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Donald Trunkey, MD

Arch Surg. 1992;127(6):653-658.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

The intent of this article is to give my vision for the future of trauma care. To do so, it is necessary to establish a very brief history of trauma systems and to describe the current status of trauma systems and trauma care.

According to Majno,¹ it was the Greeks who introduced the first rudimentary trauma system. The wounded were tended to in barracks (klisiai) or in nearby ships. The Romans expanded this concept and provided special quarters called valetudinaria. Most valetudinaria were built during the first and second centuries AD, and their primary purpose was as sites at which medical care was provided to the Roman legionaries. These valetudinaria were relatively sophisticated, and there was a ready regular medical corps. At least 85 army physicians have been noted from casualty records. Paradoxically, in Rome, there were no hospitals, and civilian trauma most likely was handled by private physicians. . . . [Full Text PDF of this Article]

Author Affiliations
From the Oregon Health Sciences University, Portland.

Footnotes
Accepted for publication March 24, 1992.

Reprint requests to Oregon Health Sciences University, 3181 SW Sam Jackson Park Rd, L223, Portland, OR 97201 (Dr Trunkey).

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