title: Considerations for anesthesia staffing in a trauma center: new standards, education, and safety.
abstract: OBJECTIVE
  A review of recent updates to trauma anesthesia service requirements in the USA and UK, the evolving role of the trauma anesthesiologist, and opportunities for education and training. Considerations of cost and safety for staffing arrangements are discussed.
  
  
  RESULTS
  Certifying and specialty organizations have recently escalated the availability requirements and training recommendations for anesthesiology services in trauma centers.
  
  
  CONCLUSIONS
  There is a growing recognition that trauma anesthesiology represents a distinct area of subspecialty knowledge. Anesthesiology specialty organizations advocate for trauma-specific knowledge and training for trauma anesthesia providers. Requiring the in-house presence of anesthesia providers in level I and level II trauma centers may impose significant costs on medical centers that do not currently provide those services.
authors.affiliation: aDepartment of Anesthesiology, University of Miami Miller School of Medicine, Miami, Florida bUniversity of Tennessee Health Science Center, Memphis, Tennessee cUniversity of Maryland Medical Center, Baltimore, Maryland, USA dQueens Medical Centre, Nottingham, UK eHarborview Medical Center, University of Washington, Seattle, Washington, USA.
authors.forename: Shawn E
authors.initials: SE
authors.lastname: Banks
authors.forename: Christopher
authors.initials: C
authors.lastname: Sharp
authors.forename: Yvette L
authors.initials: YL
authors.lastname: Fouche
authors.forename: Jo
authors.initials: J
authors.lastname: Haycock
authors.forename: Armagan
authors.initials: A
authors.lastname: Dagal
mesh_terms: D000758:Anesthesia / Q000191:economics; D000776:Anesthesiology / Q000193:education*; D006801:Humans; D061214:Patient Safety; D010820:Physicians; D012449:Safety; D014193:Trauma Centers / Q000458:organization & administration / Q000592:standards; D000078329:Workforce