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CONTENTS Preface ~ 1 Introduction ~ 5 The Magnitude of the Problem ~ 8 Deaths ~ 8 Disability ~ 9 Costs ~ 9 Medical Load ~ 9 Accident Prevention ~ 10 Emergency First Aid and Medical Care ~ 12 First Aid 1 12 Ambulance Services ~ 13 Communication ~ 16 Emergency Departments ~ 18 Accreditation and Categorization of Emergency Departments ~ 19 The Advanced First Aid Facility ~ 21 The Limited Emergency Facility ~ 21 The Major Emergency Facility ~ 21 The Emergency Facility Combined with a Trauma Research Unit ~ 22 Interrelationships between the Emergency Department and the Intensive Care Unit ~ 23 The Development of Trauma Registries ~ 23 Hospital Trauma Committees ~ 24 Convalescence, Disability, and Rehabilitation ~ 25 Medicolegal Problems ~ 25 Autopsy of the victim ~ 27 Care of Casualties Under Conditions of Natural Disaster ~ 28 Research in Trauma ~ 30 Current Status of Research Support ~ 3() Potentials in Fundamental and Clinical Research ~ 31 Specialized Centers for Clinical Research in Shock and Trauma ~ 32 Specific Recommendations ~ 35 References ~ 38

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