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Demetriades	Dr	In	They	This	VOA	as	change	fluids	have
hospital	infection	like	members	of	responders	says	the
to	transporting	trauma	with

the United States, hospitals with the best resources treat injuries are known as trauma centers. One the largest is at the Los Angeles County-University Southern California Medical Center. Dr. Demetrios Demetriades is director of trauma services at the hospital. He when a trauma team is activated, all the are expected to be ready within five minutes. happens before the patient even arrives. Every member the team has a job to do. Dr. says this methodical way of treating patients in trauma center has greatly reduced preventable deaths. Other care changes have also improved survival rates. One involves emergency medical technicians and paramedics. These first are often with local fire and rescue departments. can start treatment in the field while communicating doctors at the hospital. But Dr. Demetriades says thinking now is to avoid any delays in seriously injured patients. The new policy is known "scoop and run." Another change is that the does not always operate on patients with gunshots the abdomen. Avoiding surgery reduces the risk of and other problems. Some lessons in trauma care come from the wars in Iraq and Afghanistan. . Demetriades says one lesson is to not give patients large amounts of saline and other intravenous . Patients are given fresh blood products instead. Changes these have improved the chances of survival in centers by as much as 25 percent. For Learning English, I'm Mario Ritter.

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