title: Trauma care system in Iran.
abstract: OBJECTIVE
  The high burden of injuries in Iran necessitates the establishment of a comprehensive trauma care system. The purpose of this paper is to describe the current status of trauma system regarding the components and function.
  
  
  METHODS
  The current status of trauma system in all components of a trauma system was described through expert panels and semi-structured interviews with trauma specialists and policy makers.
  
  
  RESULTS
  Currently, various organizations are involved in prevention, management and rehabilitation of injuries, but an integrative system approach to trauma is rather deficient. There has been ongoing progress in areas of public education through media, traffic regulation reinforcement, hospital care and prehospital services. Meanwhile, there are gaps regarding financing, legislations and education of high risk groups. The issues on education and training standards of the front line medical team and continuing education and evaluation are yet to be addressed. Trauma registry has been piloted in some provinces, but as it needs the well-developed infrastructure (regarding staff, maintenance, financial resources), it is not yet established in our system of trauma care.
  
  
  CONCLUSIONS
  It seems that one of the problems with trauma care in Iran is lack of coordination among trauma system organizations. Although the clinical management of trauma patients has improved in our country in the recent decade, decreasing the burden of injuries necessitates an organized approach to prevention and management of trauma in the context of a trauma system.
authors.affiliation: Sina Trauma and Surgery Research Center, Tehran University of Medical Sciences, Tehran, Iran.
authors.forename: Moussa
authors.initials: M
authors.lastname: Zargar
authors.forename: S M R
authors.initials: SM
authors.lastname: Kalantar Motamedi
authors.forename: Mojgan
authors.initials: M
authors.lastname: Karbakhsh
authors.forename: Seyed-Mohammad
authors.initials: SM
authors.lastname: Ghodsi
authors.forename: Vafa
authors.initials: V
authors.lastname: Rahimi-Movaghar
authors.forename: Farzad
authors.initials: F
authors.lastname: Panahi
authors.forename: Soheil
authors.initials: S
authors.lastname: Saadat
authors.forename: Ali
authors.initials: A
authors.lastname: Khaji
authors.forename: Seyed-Mahdi
authors.initials: SM
authors.lastname: Davachi
authors.forename: Sarah
authors.initials: S
authors.lastname: Ganji
authors.forename: Mahmoud
authors.initials: M
authors.lastname: Khodabandeh
authors.forename: Shahab
authors.initials: S
authors.lastname: Abdollahi Far
authors.forename: Morteza
authors.initials: M
authors.lastname: Abdollahi
authors.forename: Mohammad Reza
authors.initials: MR
authors.lastname: Zarei
mesh_terms: D000063:Accidents, Traffic / Q000517:prevention & control; D004632:Emergency Medical Services; D006801:Humans; D007492:Iran; D007857:Leadership; D014947:Wounds and Injuries / Q000517:prevention & control / Q000628:therapy*