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PREECHA SIRITONGTAWORN,MD,FRCST,FAC S. DEPARTMENT OF SURGERY FACULTY OF MEDICINE SIRIRAJ HOSPITAL

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TRAUMA SYSTEM PREVENTION PREHOSPITAL CARE ACUTE HOSPITAL CARE REHABILITATION RESEARCH ACTIVITIES

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TRAUMA CARE FACILITIES TRAUMA CENTER LEVEL I, II, III, IV

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TRAUMA CARE FACILITIES ACUTE CASES REFERRED CASES REHABILITATIVE CASES

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RESOURCES HUMAN RESOURCES PHYSICAL RESOURCES RESEARCH ACTIVITIES

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HUMAN RESOURCES STAFFING TRAINING

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PHYSICAL RESOURCES INFRASTRUCTURE EQUIPMENT SUPPLIES

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SPECTRUM OF HEALTH CARE FACILITIES IN THAILANCD BASIC GP HOSPITALS SPECIALITY HOSPITALS TERTIARY HOSPITALS

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HUMAN RESOURCES (GP HOSPITALS) GENERAL PRACTITIONERS NURSES

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HUMAN RESOURCES (SPECIALITY HOSPITALS) HOSPITALS WITH GENERAL SURGEONS HOSPITALS WITH GENERAL SURGEONS AND ORTHOPEDIC SURGEONS HOSPITALS WITH GENERAL SURGEONS, ORTHOPEDIC SURGEONS, AND OTHER SPECIALITIES

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HUMAN RESOURCES (TERTIARY HOSPITALS) TERTIARY CARE FACILITIES WITH LIMITED RANGE OF SPECIALITIES TERTIARY CARE FACILITIES WITH FULL RANGE OF SPECIALITIES

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Match Trauma System to Where Trauma Occurs Central authorizing agency places trauma center where they are needed

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8 1 2

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OPD CASES ADMISSION REFERRED CASES

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OPD REGISTRATION RESUSCITATION ROOM MAJOR TRAUMA AREA MINOR TRAUMA AREA X-RAY PHARMACY CASHIER INFORMATION

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OR ICU PUBLIC WARD PRIVATE WARD BURN UNIT

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ON DUTY STAFF GENERAL SURGEONS ORTHOPAEDIC SURGEONS NEUROSURGEONS ANESTHESIOLOGISTS NURSES TECHNICIANS

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CONSULTANT SPECIALIZED SURGEONS PHYSICIAN SPECIALISTS

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REHABILITATION SERVICES PM&R PT

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TRAUMA REGISTRY

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TRAUMA AUDIT DIVISION OF TRAUMA SURGERY DEPARTMENT OF SURGERY PEER REVIEW

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MASS CASUALTY PLAN

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EDUCATION TRAINING INTERNAL MEDICAL STUDENTS RESIDENTS FELLOWS NURSES OTHERS

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PUBLIC TEACHERS POLICEMEN MEDICAL PERSONNELS PARAMEDICS OTHERS

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EDUCATION NEWSPAPER RADIO T.V.

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PUBLICATI ONS

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TRAUMA TEAM ACTIVATION Full Activation Intermediate Activation

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Full Activation Trauma Surgeon Anesthesia Emergency Physician Blood Bank Pharmacy Radiology Technician CT Scan Technician Operating Room ICU

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Intermediate Activation Trauma Surgeon Emergency Physician Blood Bank Pharmacy Radiology Technician CT Scan Technician ICU

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Trauma Bay Specialized equipment X-ray ready stretcher Warming lights Surgical lights Ultrasound Machine Cardiac Monitor Level One

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Conclusion: Trauma Center Prehospital care Acute hospital care + Rehabilitation + Research activities + Prevention +

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Conclusion: Trauma Center Net work Audit Patient System: SWOT

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Thank you