The need for a communication system in rural America where a trauma system is not available is important.
Evaluation is difficult because of the technology.
The importance of an ongoing relationship with computer and software vendors is imperative. Database programs change in new versions requiring conversions. New releases of operating systems can create changes in networking configuration and system interfaces. Multimedia interfacing using a variety of external devices and utilizing a variety of software requires technological expertise for creating a real-time electronic medical record. The development of training material needs to be multifaceted.