RT Journal
A1 Bray, Timothy J.
A1 Althausen, Peter L.
A1 O'Mara, Timothy J.
T1 Growth and Development of the Northern Nevada Orthopaedic Trauma System from 1994 to 2008: An Update
JF The Journal of Bone & Joint Surgery
JO The Journal of Bone & Joint Surgery
YR 2008
FD April 1
VO 90
IS 4
SP 909
OP 914
DO 10.2106/JBJS.G.01259
UL http://dx.doi.org/10.2106/JBJS.G.01259
AB 
The Northern Nevada Orthopaedic Trauma System was designed and introduced into clinical practice in Reno, Nevada, in 1994. This unique trauma system was first reported in this journal in 2001, in an article presenting the first seven years of the experience1. That report outlined the guidelines for the design, development, implementation, and maintenance of a previously undescribed private-practice orthopaedic trauma panel in a community or rural level-II trauma system. Today, this orthopaedic trauma panel continues to function as an integral part of the Renown Health System (previously Washoe Health System) in Reno, Nevada. This model has served as an example of one type of experience for other interested, developing programs. The program has recently passed the recertification process set forth by the American College of Surgeons Committee on Trauma. In the current update, we review the progress of the program during the past six years as it relates to the mounting pressures on the nation's emergency-department call systems, the program's growth and development opportunities, as well as the newer personnel changes implemented to accommodate the stresses on the hospital-based trauma system in the Northern Nevada referral area.