Geriatric trauma is changing. The number of older adults requiring trauma care is increasing, but more importantly, trauma programs are developing a better understanding of the complexity of caring for these patients. Geriatric PI should evolve with that understanding.

Building geriatric trauma capability doesn't have to begin with a new service line, a large committee, or an expensive program. Start with the data, identify the problems, intervene, and measure results.

The trauma surgeon still needs to be the expert in trauma. What may need to change is the composition of the team around that surgeon.

Hospitals must design geriatric trauma care so that high-quality care and financial sustainability reinforce each other.

An increase in the number of geriatric trauma patients appearing in trauma data likely reflects both a real increase in the burden of injury and changes in how injured older adults are identified and counted.

As the trauma population ages, trauma centers will need to evolve from a model focused primarily on treating injuries to one that also accounts for frailty, function, cognition, comorbidities, goals of care, and the patient's ability to return to their previous life.

Somewhere near the bottom of the job description for a Trauma Program Manager you will find the familiar phrase: “Other duties as assigned.” What are those duties?

At its core, trauma designation and verification are not about earning a certificate on the wall. They exist to answer one question: If a critically injured patient arrives at your hospital, will every system function exactly as it should?

A mock survey should provide a clear roadmap that helps the trauma program prioritize improvements, assign responsibilities, and establish realistic timelines before the official designation or verification visit.

Sometimes the biggest advances in trauma care don't come from a new device or a groundbreaking procedure. Sometimes they come from something much simpler: knowing and trusting the person standing next to you.

Should your rural hospital become a trauma center? The decision involves far more than meeting designation standards.

Hospitals upgrade their trauma center designation to improve access to advanced trauma care, better serve their communities, expand clinical capabilities, strengthen their competitive position, and support long-term financial sustainability.

Obstetric trauma is not uncommon, but extreme OB trauma with emergency c-section is extremely rare, emotionally overwhelming, and clinically complex. Guidelines are essential in these rare situations.

There are several key issues that must considered when evaluating feasibility of a new trauma center.

An overview of the role of Environmental Services and laundry in hospital infection prevention

What are trauma readiness costs and why are they so critical to hospital finances?

ACS trauma centers must have 22+ specialties continuously available.

Who is involved in trauma care? Almost everyone in the hospital!