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.

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.

Hospital leaders make difficult decisions in rural communities when assessing capacity to provide trauma, stroke, and cardiac care.