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the United States, hospitals with the best resources
treat injuries are known as trauma centers. One
the largest is at the Los Angeles County-University
Southern California Medical Center. Dr. Demetrios Demetriades is
director of trauma services at the hospital. He
when a trauma team is activated, all the
are expected to be ready within five minutes.
happens before the patient even arrives. Every member
the team has a job to do. Dr.
says this methodical way of treating patients in
trauma center has greatly reduced preventable deaths. Other
care changes have also improved survival rates. One
involves emergency medical technicians and paramedics. These first
are often with local fire and rescue departments.
can start treatment in the field while communicating
doctors at the hospital. But Dr. Demetriades says
thinking now is to avoid any delays in
seriously injured patients. The new policy is known
"scoop and run." Another change is that the
does not always operate on patients with gunshots
the abdomen. Avoiding surgery reduces the risk of
and other problems. Some lessons in trauma care
come from the wars in Iraq and Afghanistan.
. Demetriades says one lesson is to not give
patients large amounts of saline and other intravenous
. Patients are given fresh blood products instead. Changes
these have improved the chances of survival in
centers by as much as 25 percent. For
Learning English, I'm Mario Ritter.
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