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hospital, similar to those established and maintained for many years in the cancer field. The vast pool of information available from such registries might provide guidelines for more objective definition of degrees of disability on which to base judgment in compensation cases. RECOMMENDATIONS 1. Establishment of trauma registries in selected hospitals as a mech- anism for the continuing description of the natural history of the various forms of injuries. 2. Subsequent consideration of establishment of a national com- puterized central registry. 3. Studies on the feasibility of designating selected injuries to be incorporated with reportable diseases under Public Health Service control. HOSPITAL TRAUMA COMMITTEES Trauma committees, as standing committees of hospital staffs, might serve several easeful purposes. As multi-specialty groups, they would set the standards of care, supervise staffing and function of the emergency department, maintain the trauma registry, and conduct training programs for staff, paramedical and ambulance personnel in cardiopulmonary resuscitation and other advanced techniques. They should be prepared to coordinate research programs and to organize follow-up studies on the long- term effects of trauma as well as the treatment itself. An important function would be a continuing analysis of the physical status of patients on delivery to the emergency department, as a guide to correction of deficiencies in first aid and transportation, and of the extent to which physician care is indicated in advance of the hospital. RECOMMENDATION Formation of hospital trauma committees, on a pilot basis, in selected hospita Is. 24 ..
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