Trauma Care in Germany An Inclusive System

Background Development of trauma systems is a demanding process. The United States and Germany both have sophisticated trauma systems. This manuscript is a summary of political, economic, and medical changes that have led to the development of both trauma systems and the current high-quality standards. Questions/purposes We specifically asked three ques-tions: (1) What tasks are involved in developing a modern trauma system? (2) What is the approach to achieve this task? (3) Do these systems work? Methods We conducted a systematic review of relevant articles by searching electronic databases (PubMed, Embase, Cochrane library) using the following search terms: ‘‘trauma system’’, ‘‘polytrauma’’, ‘‘trauma networks’’, an