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National Trauma Research Action Plan

Eileen Bulger, MD FACS

The compelling conclusion in the 2016 NASEM National Trauma System Report is that the U.S. civilian and military trauma systems must be improved, with the goal of zero preventable death and disability after injury. This requires a unified effort across federal agencies and professions, yet the current state is disjointed, with uncoordinated research agendas, and insufficient funding. Overlapping priorities between the military and civilian trauma care communities mandate a new combined research agenda with commensurate funding. Furthermore, we need to advance beyond mortality in our assessment of outcomes to include important patient-reported outcomes that reflect long-term disability and quality of life. This study will develop a National Trauma Research Action Plan that: 1) unifies the U.S. trauma community around a prioritized, comprehensive research agenda; 2) develops the optimal measures for long-term functional outcomes assessment; 3) identifies gaps in current federal funding for trauma research, defines the burden of injury, and recommends increased research funding to address critical gaps; and 4) identifies regulatory barriers to conducting trauma research and recommends best practices including optimal clinical endpoints.   



Eileen M. Bulger, MD, Todd E. Rasmussen, MD, Gregory J. Jurkovich, MD, Timothy C. Fabian, MD, Rosemary A. Kozar, MD, Raul Coimbra, MD, Todd W. Costantini, MD, James Ficke, MD, Ajai K. Malhotra, MD, Michelle A. Price, PhD, Sharon L. Smith, MS, William G. Cioffi, MD, and Ronald M. Stewart, MD. Implementation of a National Trauma Research Action Plan (NTRAP). J Trauma Acute Care Surg Volume 84, Number 6.


Herrera-Escobar JP, Castillo-Angeles M, Osman SY, Orlas CP, Janjua MB, Abdullah Arain M, Reidy E, Jarman MP, Price MA, Bulger EM, Nehra D, Haider AH, and the National Trauma Research Action Plan (NTRAP) Investigators Group. Long-term Patient-Reported Outcomes Measures after Injury: The National Trauma Research Action Plan (NTRAP) Scoping Review Protocol. Trauma Surg Acute Care Open. 2020.


Claudia P. Orlas, MD, Arielle Thomas, MD, Juan P. Herrera-Escobar, MD, MPH, Michelle A. Price, PhD, Adil H. Haider, MD, MPH, Eileen M. Bulger, MD, and The National Trauma Research Action Plan (NTRAP) Investigators Group. Long-term Outcomes of Firearm Injury Survivors in the United States: The National Trauma Research Action Plan Scoping Review.Annals of Surgery. Sept 8, 2021


Gibran, Nicole S. MD, FACS; Shipper, Edward MD; Phuong, Jimmy PhD; Braverman, Max MD; Bixby, Pam; Price, Michelle PHD; Bulger, Eileen MD, FACS NTRAP Burns & Reconstructive Surgery Panel Group. Developing a National Trauma Research Action Plan (NTRAP), Journal of Trauma and Acute Care Surgery: September 20, 2021


Craig D. Newgard, MD, MPH, Maxwell A. Braverman, DO, Jimmy Phuong, PhD, Edward S. Shipper, MD, Michelle A. Price, PhD, Pamela J. Bixby, MA, Eric Goralnick, MD, MS, Mohamud R. Daya, MD, MSc, E. Brooke Lerner, PhD, Francis X. Guyette, MD, MPH, Susan Rowell, MD, MBA, MCR, Jay Doucet, MD, MSc, Peter Jenkins, MD, MS, N. Clay Mann, PhD, MS, MBA, Kristan Staudenmayer, MD, MS, David P. Blake, MD, MPH, DMCC, Eileen Bulger, MD, FACS, and NTRAP Prehospital and Mass Casualty Preparedness Panel Group. Developing a National Trauma Research Action Plan (NTRAP): Results from the Prehospital & Mass Casualty Research Delphi Survey. Journal of Trauma and Acute Care Surgery, Vol. 92, No. 2, pages 398-406.