Trauma centers: an idea whose time has come.

Major trauma is a preventable entity. Illustrations are used to discuss the differences between major trauma centers. Requirements for a trauma center are enumerated and the impact of residency training programs is discussed relative to trauma care. The development of trauma centers is examined and reference is made to Boyd's article on trauma centers. Priorities to develop a National Trauma System as well as educational programs are explained. Finally, a discussion of the teaching of advanced trauma life supports (ATLS) is presented.The ongoing need for the development of trauma centers is detailed.