Trauma: Still the Cornerstone of Acute Care Surgery Specialty L.D. Britt, MD, MPH, FACS  Journal of the American College of Surgeons  Volume 226, Issue 3, Pages 211-222 (March 2018) DOI: 10.1016/j.jamcollsurg.2017.11.024 Copyright © 2017 American College of Surgeons Terms and Conditions

Figure 1 LD Britt, MD, MPH, FACS, presenting the Scudder Oration at the American College of Surgeons 103rd Clinical Congress, San Diego, CA, October 2017. (Reprinted courtesy of the American College of Surgeons.) Journal of the American College of Surgeons 2018 226, 211-222DOI: (10.1016/j.jamcollsurg.2017.11.024) Copyright © 2017 American College of Surgeons Terms and Conditions

Figure 2 The Nickerson and Murphy buildings, along with a separate facility for the Surgery, Gynecology & Obstetrics journal. (Reprinted courtesy of the Archives of the American College of Surgeons.) Journal of the American College of Surgeons 2018 226, 211-222DOI: (10.1016/j.jamcollsurg.2017.11.024) Copyright © 2017 American College of Surgeons Terms and Conditions

Figure 3 Dr Charles Scudder. (Reprinted courtesy of the Archives of the American College of Surgeons.) Journal of the American College of Surgeons 2018 226, 211-222DOI: (10.1016/j.jamcollsurg.2017.11.024) Copyright © 2017 American College of Surgeons Terms and Conditions

Figure 4 (A) Preston Wade, MD, 1961 Trauma Orator. “The Injured Patient and the Specialist.” (B) Edwin French Cave, MD, 1963 Scudder Orator. “Trauma, Specialism and the College.” (C) G Tom Shires, MD, 1972 Scudder Orator. “Care of the Injured–The Surgeon's Responsibility.” (D) John H Davis, MD, 1979 Scudder Orator. “We've come a long way, baby, in improving trauma care.” (E) Col. Basil A Pruitt, MD, 1984 Scudder Orator. “The Universal Trauma Model.” (F) David S Mudler, MD, 1987 Scudder Orator. “Specialization in Surgery – Implications for Trauma-Related Disciplines.” (G) C James Carrico, MD, 1998 Scudder Orator. “In Search of a Voice.” (H) Kenneth L Mattox, MD. 2000 Scudder Orator. “TraumaLine 2000.” (I) Dario Birolini, MD, 2007 Scudder Orator. “Trauma: A Social and Medical Challenge.” (J) David Hoyt, MD, 2008 Scudder Orator. “Blood and War – Lest We Forget.” (K) J Wayne Meredith, MD, 2015 Scudder Orator. “If Charles L Scudder Could See Us Now.” (L) Robert J Freeark, MD, 1985 Scudder Orator. “The Accident Hospital.” (Reprinted courtesy of the Archives of the American College of Surgeons.) Journal of the American College of Surgeons 2018 226, 211-222DOI: (10.1016/j.jamcollsurg.2017.11.024) Copyright © 2017 American College of Surgeons Terms and Conditions

Figure 5 Comprehensive trauma centers. (A) Charity Hospital, Louisiana. (Reprinted from E-Architect, with permission from Louisiana State University Health Sciences Center.) (B) Grady Hospital, Atlanta. (Reprinted from Grady Hospital, with permission.) (C) Louisville Hospital. (Reprinted from University of Louisiana Health Sciences Center, with permission.) (D) University of Texas, Parkland. (Reprinted courtesy of the artist, David Taffet, with permission from Dallas Voice.) (E) Ben Taub Hospital, Houston. (Reprinted courtesy of the artist, Britni Riley, staff writer at Texas Medical Center.) (F) Methodist University Hospital. (Reprinted from Methodist Healthcare, with permission from University of Tennessee Health Science Center.) (G) Ryder Trauma Center, Miami. (Reprinted from Jackson Health System, with permission.) (H) University Hospital, San Antonio. (Reprinted courtesy of Mark Greenberg Photography, with permission from University Hospital in San Antonio.) (I) Brooke Army Hospital. (Reprinted courtesy of Brook Army Medical Center.) (J) San Francisco General Hospital. (Reprinted courtesy of the artist, Noah Berger, with permission from University of California San Francisco.) (K) R Adams Cowley Shock Trauma Center at the University of Maryland Medical Center. (Reprinted from University of Maryland Medical Center, with permission.) (L) Denver Health. (Reprinted from Denver Health, with permission.) (M) Boston City Hospital. (Reprinted from Boston Public Library, with permission from Boston Medical Center.) (N) Bellevue Hospital. (Reprinted from NYC Health + Hospitals/Bellevue, with permission.) (O) Harlem Hospital. (Reprinted courtesy of the artist, Paul Warchol, with permission from HOK.) (P) Detroit Receiving Hospital. (Reprinted from Detroit Medical Center, with permission.) (Q) Los Angeles County Hospital. (Reprinted from Los Angeles County Hospital, with permission.) Journal of the American College of Surgeons 2018 226, 211-222DOI: (10.1016/j.jamcollsurg.2017.11.024) Copyright © 2017 American College of Surgeons Terms and Conditions

Figure 6 Big-picture view of challenges resulting in suboptimal patient care. Journal of the American College of Surgeons 2018 226, 211-222DOI: (10.1016/j.jamcollsurg.2017.11.024) Copyright © 2017 American College of Surgeons Terms and Conditions

Figure 7 (A) J David Richardson, MD, 2004 Scudder Orator. (B) A Brent Eastman, MD, 2009 Scudder Orator. “Wherever the Dart Lands: Toward the Ideal Trauma System.” (C) George Sheldon, MD, 1991 Scudder Orator. “Trauma Manpower in the Decade of Aftershock.” (Reprinted courtesy of the Archives of the American College of Surgeons.) Journal of the American College of Surgeons 2018 226, 211-222DOI: (10.1016/j.jamcollsurg.2017.11.024) Copyright © 2017 American College of Surgeons Terms and Conditions

Figure 8 Acute care surgery. (Reprinted from Britt25 with permission from Wiley.) Journal of the American College of Surgeons 2018 226, 211-222DOI: (10.1016/j.jamcollsurg.2017.11.024) Copyright © 2017 American College of Surgeons Terms and Conditions